CENESEX director Mariela Castro Espín (centre).
March 23, 2011 – Links International Journal of Socialist Renewal -- In Cuba, there is a LGBTT [lesbian, gay, bisexual, transvestite, transsexual] movement whose gestation is found at the intersection of the state and organised civil society. This movement seeks to tackle the main themes of LGBTT reality from the perspective of human rights, health and social integration, while inserting itself into the national project of a just society. Historically, the space for its existence was provided by the country’s women’s movement, which was largely responsible for making Cuba, in 2008, the first country in the Americas to have sex-change operations included in the universal health-care system.