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Posicionamiento de INPPARES e IPPF sobre el Decreto Supremo Nº 009-2024-SA del Perú

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INPPARES and IPPF's position on Peru's Supreme Decree Nº 009-2024-SA

All LGBTQI+ people in Peru and in the Americas and the Caribbean have the right to lives free from violence!

All LGBTQI+ people in Peru and in the Americas and the Caribbean have the right to lives free from violence!

In recent months, IPPF ACRO Member Associations, Collaborating Partners and the IPPF ACRO Secretariat have witnessed how some governments in the Americas and the Caribbean, even some that have historically acted to protect and advance human rights, have become the main opponents of people's rights, freedom and self-determination. So, after writing about our concerns about the new Argentinean government, today, on the International Day Against LGBTIQ+-Phobia, we want to demonstrate our strong concern with the actions of the government of Peru, which undermine the fundamental rights of LGBTIQ+ people.

The IPPF Americas and Caribbean Regional Office joins INPPARES, Member Association in Peru, in expressing its rejection of the Supreme Decree Nº 009-2024-SA issued last May 10th by the Peruvian Ministry of Health which, by updating the Essential Health Insurance Plan (PEAS) based on the 10th revision of the International Classification of Diseases (ICD-10), violates the human rights of LGBTIQ+ people.


Some context: The PEAS contains the list of interventions that can be addressed by health insurers in Peru, so it is vitally important that it is kept up to date with the guidelines and standards set by the World Health Organisation (WHO). From time to time, the WHO revises its International Classification of Diseases (ICD) to update it based on recent scientific evidence and thus adequately guide global clinical practice. Recall that in 2019, the 11th revision of the ICD made history by removing trans identities and expressions from the chapter on ‘Mental and Behavioural Disorders’. However, last week, the government of Peru decided to use an outdated revision of the ICD, which pathologises sexual orientation and gender identity.

This decision of the Peruvian government to use ICD-10 is very serious, as it violates binding codes and agreements at local, regional and international level. On the one hand, it violates the constitutional right to health established in articles 7 and 9 of the Political Constitution of Peru, which establishes the right to health on the basis of equality and non-discrimination. Furthermore, it disregards the information, guidelines and standards of the WHO, the United Nations specialised health agency, and the requests of the Office of the UN High Commissioner since 2015 to stop the pathologisation of LGBTIQ+ people, in particular trans and intersex people. It also goes against commitments adopted by Peru in numerous regional and international declarations, such as the Montevideo Consensus, whose implementation and follow-up was officially adopted in 2016 by Supreme Decree N° 051-2016-PCM.

Today, it is necessary to reaffirm that LGBTIQ+ people have the right to live free from violence, to live their gender identity and sexual orientation freely, to access health and reproductive services where their identities are respected and their specific needs are met. It is the responsibility of governments to ensure that these rights are fulfilled.





Americas & the Caribbean

Related Member Association

Instituto Peruano de Paternidad Responsable - Peru

"INPPARES defends the fundamental human rights of all people and categorically rejects Supreme Decree Nº 009-2024-SA that pathologizes the LGTBIQ+ community and promotes stigma and discrimination, generating a negative impact on the full exercise of their rights and access to comprehensive health services. "- Irma Ramos, Executive Director of INPPARES

In view of the above, we consider that Supreme Decree Nº 009-2024-SA constitutes a step backwards in terms of human rights and violates the dignity, safety and wellbeing of people of gender diversity in Peru. It is imperative that this decree be repealed, as well as updating and implementing the use of ICD-11.

Repeal the Decree, NOW!


The Peruvian Institute for Responsible Parenthood (INPPARES) is an IPPF Member Association in Peru. INPPARES is a non-governmental institution that has been working for more than 47 years for a country where all people have control over their own bodies and make their own decisions. They work with a focus on rights, gender and intersectionality.