UHAI is Africa’s first indigenous activist led and managed fund for and by sex workers and sexual and gender minorities. UHAI believes in African activists’ voice in resourcing the struggle for equality, justice and dignity for Africa’s sex workers and sexual and gender minorities. UHAI is changing the narrative of how Africa’s human rights and health struggles are resourced from one of ‘foreign assistance’ to one of ownership and self-determination by the very activists who live the struggles. UHAI supports civil society organising for and by sex workers and sexual and gender minorities in Burundi, the Democratic Republic of Congo, Ethiopia, Kenya, Rwanda, Tanzania and Uganda with flexible and accessible grants; capacity support; support for Pan-African advocacy and organising (including support for activist-led convening); and research and documentation. Over the last 7 years, UHAI has made US$6 million in grants to Eastern Africa’s sex workers and sexual and gender minorities. Eastern African activists themselves determine most of these grants. UHAI has provided multi-year capacity support to more than 50 community organisations; supported numerous Pan-African advocacy engagements and convening; and contributed to the repertoire of knowledge on Eastern Africa LGBTI and sex worker human rights and health. UHAI just concluded a landscape analysis of the context in which Eastern Africa’s trans, intersex and gender non-conforming communities organise and exist. The analysis shares information on five thematic focus areas: legal environment, public discourse, health, lived realities and organising landscape.