Its official name is Republic of Peru. This country is in west of South America and its capital is Lima. It has a political system governed by a unitary, representative, decentralized and presidential republic, with a multi-party system.

Like its abundance in biodiversity and ecosystems, its multilingual wealth is unleashed, considering that Spanish is its official language, coexisting with Quechua, Aymara and several other native languages.

Currently, it has 32,162,184 inhabitants (INEI 2018), being 27.6% of the urban population under 15 years old, 63.6% of the population aged 15 to 64 years old and 8.8% of the population 65 years old and older.

In the rural area, 34.6% of the population under 15 years old is male. Whereas, in the population aged 15 to 64, the proportion is 55.7% male and 9.7% male in the population aged 65 and over (ENDES, 2018).

As in other Latin American countries, in Peru attacks and hate crimes against LGBTI + people continue occurring, even in an impunity context even though the legal framework guarantees non-discrimination, through Legislative Decree No. 1323, in Article 323 "Discrimination and incitement to discrimination".

According to the Report 175 "Human Rights of the LGBT Population", in recent years 38 violent deaths of LGBTI + people have been reported: 14 in 2012, 12 in 2013 and 12 in 2014. Other sources of Civil society indicate that since 2008, 99 "hate crimes" were committed.

On the other hand, according to the First Virtual Survey for LGBTI people (INEI 2017), 63% of the participants said they had been victims of some act of discrimination and / or violence. The context of these events has been mainly public spaces (65.6%).

However, these figures are limited to address in depth the complex situation of violence suffered by the LGBTI + population, because there are not enough statistics or information.

In relation with the equal marriage, this is not legal in Peru, but there is a strong demand from LGTBI + activists to be legalized under the figure of civil union.

According to Onusida, the prevalence of HIV in the gay population and in MSM population in Peru is 15.2%. Since 2010, new HIV infections have increased by 24% and AIDS-related deaths have increased by 14%.

Since 2006, Peru has covered the costs of its response to AIDS, with current priorities closing the gaps in continued HIV care (especially access to testing and retention in care), building the sustainability of HIV prevention and eliminating the stigma and discrimination.

In the Report No. 175 “Human Rights of the LGBT Population” it is specified that the main route of transmission of HIV / AIDS cases is sexual (97%) and mostly affects certain sectors of the population. In that sense, an MSM is 33 times more likely to acquire HIV than a person of the general population.

In this context, the State promotes the strategy of Periodic Medical Care (AMP), which guides an offer of services for STI and HIV / AIDS care to MSM and trans women, as well as sex workers.

However, the lack of infrastructure, laboratory reagents, trained and sensitized personnel; care focused only on STIs and HIV (without considering the importance of integral care) and the absence of adequate schedules are barriers that prevent the key population from accessing these services. (Report No. 175).

Thus, it is necessary to strengthen the actions aimed at increasing coverage and access to prevention and treatment services for the MSM and trans population.

To do this, firstly, a greater budget allocation, adequate hours of care, provision of integral health services for LGBTI + people living with HIV / AIDS are required, in addition to persisting in the fight against existing stigma and discrimination, which put at risk people's lives.