Decision
Reasons for decision
The Tribunal notes evidence from a relatively recent study of conversion therapy in four Asian countries including Malaysia, a study endorsed by the AIDS Data Hub for Asia Pacific, UNAIDS, UNICEF and the WHO:Conversion therapy practices (CTPs) refer to any sustained effort intended to “modify a person’s sexual orientation, gender identity, or gender expression”. According to the International Rehabilitation Council for Torture Victims, CTP can include talking therapy, ritual or religious cleansing, behavioural conditioning, such as being asked to dress or walk in a certain way, and/or beating or other forms of “corrective” violence. All these forms of CTPs are prevalent in Malaysia. CTPs in Malaysia are perpetrated by parents, school systems, religious institutions, and the state, which disguise CTPs as religious education programmes (such as the Mukhayyam programme) or programmes for hijrah diri (self-pilgrimage). The same report also states: The American Medical Association has stated that conversion therapy and “efforts to” convert someone’s sexual or gender identity “represent a significant risk of harm”. The Royal College of General Practitioners has asserted that “being LGBT is not a disease, it is not a mental illness and it doesn’t need a ‘cure’.”[6][6] Asia Pacific Transgender Network, Conversion Therapy Practices in Malaysia, 2021, pp. 4 and 10, at type="1">The Tribunal accepts the advice that conversion therapy represents a significant risk of harm, harm which may be mental or physical or both. If the applicant’s presence in Malaysia is known to his parents, there is a real chance that he will be forced to undergo conversion therapy and therefore be subject to serious harm.If the applicant were to return to Malaysia and live alone without contacting his parents, he would need to find a job quickly to become self-supporting. The Tribunal notes recent DFAT advice which supports claims made by the applicant:Many jobs, including all public service jobs, are subject to compulsory health screening. If an employer finds out a gay man has HIV, his employment will be terminated (the HIV prevalence rate for gay men in Malaysia is around 20%). [7][7] DFAT, Country Information Report: Malaysia. 24 June 2024, para. 3.135.However, as the applicant agreed, there are a number of less secure or lesser paid jobs which do not require a health check, such as the job in [business 1] which the applicant had before finding work in his chosen vocation. The Tribunal is not satisfied that the pre-employment health check is a complete barrier to employment; or not to the extent that the applicant would be unable to subsist. All independent evidence indicates societal discrimination in Malaysia against gay men like the applicant and LGBT+ people in general. For example, a 2021 study found that about 60% of Malaysians thought that same-sex attraction was not morally justifiable and rejected having lesbians or gay men as neighbours. [8][8] Tan, Lee and Cheong, “Current research involving LGBTQ people in Malaysia: A Scoping Review Informed by a Health Equity Lens”, Journal of Population and Social Studies, 2021, at submission on file).The Tribunal finds that the applicant would suffer discriminatory treatment in day-to-day life and in employment if he were to return to Malaysia. However, the real chance of serious harm arises from his father’s commitment to send the applicant to conversion therapy. In this, the father has the backing of both the church (Islam) and the State (the Malaysian government). Against these forces, the applicant would be fairly powerless to resist: he would have to sever all contact with his family and those connected to the mosque which his family attends. He would not be able to avail himself of any family assistance if he were unable to work because of illness and/or discrimination against PLHIV. The Tribunal finds that there is a real chance of serious harm befalling the applicant if he were to return to his home place in Malaysia and the essential and significant reason for this harm is his membership of a particular social group constituted by LGBT people in Malaysia.Harm as person living with HIVThe Tribunal considered the question of future harm to the applicant as a person living with HIV. The Tribunal accepts that the applicant has to maintain a regular and ongoing relationship with a doctor, even if for nothing more than scripts for prescription medicines. The applicant has been away from Malaysia for seven years so has no regular doctor there. If the applicant’s family have a ‘family doctor’ whom they all consult, the applicant will not be able to attend that one because of his estrangement from the family. The applicant will have to begin the process of finding his own doctor, or he will have to rely on public health clinics or hospitals. This process will take time, and time away from regular appointments will be injurious to his condition according to his current treating doctor. The Tribunal places weight on the letter from the applicant’s doctor in Australia, both because he has been the treating doctor for the whole length of time that the applicant has been living with HIV, and also because the doctor is a specialist in this field and works in a specialised clinic. This doctor has written about the problem of interruptions in treatment and the lack of access to Biktavy, the drug which is the best treatment for the applicant, if the applicant were to be removed to Malaysia (see paragraph 25 above). The doctor summarised in the following way:In returning to Malaysia, a country where there are significant religious and cultural factors that contribute to stigmatising, discriminatory, unsafe and unsupportive environments for members of the LGBTI community, there is significant risk that [the applicant] will experience stigma and discrimination that will impact on his ability to consistently remain in care and remain optimally adherent to his medication.[9][9] Letter from [named doctor], Staff Specialist, [Health Service 1], dated 15 August 2025 on Tribunal’s fileThe doctor also noted the ancillary health services provided at his specialised centre including physical health care and psychological support. He said that if the applicant were to be removed, ‘the impact of the rupture in these relationships and connections on his emotional and physical wellbeing would be very significant’. Independent evidence based on fairly recent studies in Malaysia have found that only 55% of people diagnosed as HIV positive are receiving treatment, one reason being the “stigmatising attitudes expressed by health care providers” including over 50% of physicians who discriminate against patients with HIV.[10] [10] AIDS Map, Half of Malaysian doctors admit to some discrimination against patients with HIV, 16 Jan 2019, at (Applicant’s submission on file). The problems for the applicant in returning to Malaysia as a PLHIV are significant. According to his doctor here, he will not have ongoing and continuous access to the drug which is best suited to him. There are other options available in Malaysia, including some dispensed freely or cheaply through the public health system, but there are barriers in accessing this treatment. The applicant will have to find a doctor which, the evidence shows, has a degree of difficulty given the doctors’ general unwillingness to treat HIV. There will be certainly a break in his ongoing treatment and when and if it resumes it will be less than the all-round treatment he receives in Australia. There is a real chance he will suffer one of the number of possibilities that his doctor has outlined in the submission to the Tribunal about cessation or changes of treatment (see paragraph 25 above). On the evidence before it, the Tribunal is satisfied that there is a real chance that the applicant will suffer serious harm if he returns to Malaysia and the essential and significant reason for this harm is his membership of a particular social group constituted by PLHIV. Modify behaviour to avoid persecutionThe Migration Act states that “a person does not have a well-founded fear of persecution if [he] could take reasonable steps to modify his behaviour so as to avoid a real chance of persecution in a receiving country, other than a modification that would: … [require him to] alter his sexual orientation or gender identity or conceal his or her true sexual orientation” (see Attachment below at s 5J(3)(c)(vi)). The Tribunal notes that the applicant has been living an openly gay life in Australia, having had a significant relationship which lasted some years, attending gay saunas, using apps to seek out gay contacts, and generally participating in the gay scene. He has been closely involved with a sexual health clinic since 2021 and has never had to conceal his sexual orientation from any of the medical and allied health staff. He has never felt that they treated him in a disapproving or discriminatory way. If the applicant were to return to Malaysia, the applicant would have to not just ‘modify his behaviour” but change completely in order to avoid persecution. The Tribunal uses the word persecution because it is satisfied that he would suffer harm greater than societal discrimination: as discussed earlier, there is a real chance that he would be sent to conversion therapy, a real chance that he could not find consistent employment and a real chance that he could not get ongoing and effective treatment for his HIV, all of which have serious consequences.Having regard to all the evidence before it, the Tribunal finds that there is a real chance that the applicant will suffer serious harm in Malaysia for reason of his membership of two different but in this case overlapping particular social groups. The first is constituted by LGBT people in Malaysia and the second by people living with HIV. The cumulative impact gives rise to a well-founded fear of persecution. The fear of persecution holds for all areas of the country and cannot be avoided by expecting the applicant to modify his behaviour. ConclusionThe Tribunal finds that the applicant has a well-founded fear of persecution for one of the reasons set out in s 5J(1)(a) and that he meets the definition of refugee in s sH(1)(a).DECISIONThe Tribunal sets aside and remits the application for a protection visa for reconsideration, in accordance with the order that the applicant satisfies s 36(2)(a) of the Migration Act.Hearing: 25 August 2025Representative: Mr Frederick JohnstonATTACHMENT - Extract from Migration Act 19585 (1) Interpretation…cruel or inhuman treatment or punishment means an act or omission by which:(a) severe pain or suffering, whether physical or mental, is intentionally inflicted on a person; or(b) pain or suffering, whether physical or mental, is intentionally inflicted on a person so long as, in all the circumstances, the act or omission could reasonably be regarded as cruel or inhuman in nature;but does not include an act or omission:(c) that is not inconsistent with Article 7 of the Covenant; or(d) arising only from, inherent in or incidental to, lawful sanctions that are not inconsistent with the Articles of the Covenant.…degrading treatment or punishment means an act or omission that causes, and is intended to cause, extreme humiliation which is unreasonable, but does not include an act or omission:(a) that is not inconsistent with Article 7 of the Covenant; or(b) that causes, and is intended to cause, extreme humiliation arising only from, inherent in or incidental to, lawful sanctions that are not inconsistent with the Articles of the Covenant.…torture means an act or omission by which severe pain or suffering, whether physical or mental, is intentionally inflicted on a person:(a) for the purpose of obtaining from the person or from a third person information or a confession; or(b) for the purpose of punishing the person for an act which that person or a third person has committed or is suspected of having committed; or(c) for the purpose of intimidating or coercing the person or a third person; or(d) for a purpose related to a purpose mentioned in paragraph (a), (b) or (c); or(e) for any reason based on discrimination that is inconsistent with the Articles of the Covenant;but does not include an act or omission arising only from, inherent in or incidental to, lawful sanctions that are not inconsistent with the Articles of the Covenant.…receiving country, in relation to a non-citizen, means:(a) a country of which the non-citizen is a national, to be determined solely by reference to the law of the relevant country; or(b) if the non-citizen has no country of nationality—a country of his or her former habitual residence, regardless of whether it would be possible to return the non-citizen to the country.…5H Meaning of refugee(1)For the purposes of the application of this Act and the regulations to a particular person in Australia, the person is a refugee if the person is:(a) in a case where the person has a nationality – is outside the country of his or her nationality and, owing to a well-founded fear of persecution, is unable or unwilling to avail himself or herself of the protection of that country; or(b) in a case where the person does not have a nationality – is outside the country of his or her former habitual residence and owing to a well-founded fear of persecution, is unable or unwilling to return to it.Note: For the meaning of well-founded fear of persecution, see section 5J.…5J Meaning of well-founded fear of persecution(1)For the purposes of the application of this Act and the regulations to a particular person, the person has a well-founded fear of persecution if:(a) the person fears being persecuted for reasons of race, religion, nationality, membership of a particular social group or political opinion; and(b) there is a real chance that, if the person returned to the receiving country, the person would be persecuted for one or more of the reasons mentioned in paragraph (a); and(c) the real chance of persecution relates to all areas of a receiving country.Note: For membership of a particular social group, see sections 5K and 5L.(2)A person does not have a well-founded fear of persecution if effective protection measures are available to the person in a receiving country.Note: For effective protection measures, see section 5LA.(3)A person does not have a well-founded fear of persecution if the person could take reasonable steps to modify his or her behaviour so as to avoid a real chance of persecution in a receiving country, other than a modification that would:(a) conflict with a characteristic that is fundamental to the person’s identity or conscience; or(b) conceal an innate or immutable characteristic of the person; or(c) without limiting paragraph (a) or (b), require the person to do any of the following:(i)alter his or her religious beliefs, including by renouncing a religious conversion, or conceal his or her true religious beliefs, or cease to be involved in the practice of his or her faith;(ii)conceal his or her true race, ethnicity, nationality or country of origin;(iii)alter his or her political beliefs or conceal his or her true political beliefs;(iv)conceal a physical, psychological or intellectual disability;(v)enter into or remain in a marriage to which that person is opposed, or accept the forced marriage of a child;(vi)alter his or her sexual orientation or gender identity or conceal his or her true sexual orientation, gender identity or intersex status.(4)If a person fears persecution for one or more of the reasons mentioned in paragraph (1)(a):(a) that reason must be the essential and significant reason, or those reasons must be the essential and significant reasons, for the persecution; and(b) the persecution must involve serious harm to the person; and(c) the persecution must involve systematic and discriminatory conduct.(5)Without limiting what is serious harm for the purposes of paragraph (4)(b), the following are instances of serious harm for the purposes of that paragraph:(a) a threat to the person’s life or liberty;(b) significant physical harassment of the person;(c) significant physical ill‑treatment of the person;(d) significant economic hardship that threatens the person’s capacity to subsist;(e) denial of access to basic services, where the denial threatens the person’s capacity to subsist;(f) denial of capacity to earn a livelihood of any kind, where the denial threatens the person’s capacity to subsist.(6)In determining whether the person has a well‑founded fear of persecution for one or more of the reasons mentioned in paragraph (1)(a), any conduct engaged in by the person in Australia is to be disregarded unless the person satisfies the Minister that the person engaged in the conduct otherwise than for the purpose of strengthening the person’s claim to be a refugee.5K Membership of a particular social group consisting of familyFor the purposes of the application of this Act and the regulations to a particular person (the first person), in determining whether the first person has a well‑founded fear of persecution for the reason of membership of a particular social group that consists of the first person’s family:(a) disregard any fear of persecution, or any persecution, that any other member or former member (whether alive or dead) of the family has ever experienced, where the reason for the fear or persecution is not a reason mentioned in paragraph 5J(1)(a); and(b) disregard any fear of persecution, or any persecution, that:(i)the first person has ever experienced; or(ii)any other member or former member (whether alive or dead) of the family has ever experienced;where it is reasonable to conclude that the fear or persecution would not exist if it were assumed that the fear or persecution mentioned in paragraph (a) had never existed.Note: Section 5G may be relevant for determining family relationships for the purposes of this section.5L Membership of a particular social group other than familyFor the purposes of the application of this Act and the regulations to a particular person, the person is to be treated as a member of a particular social group (other than the person’s family) if:(a) a characteristic is shared by each member of the group; and(b) the person shares, or is perceived as sharing, the characteristic; and(c) any of the following apply:(i)the characteristic is an innate or immutable characteristic;(ii)the characteristic is so fundamental to a member’s identity or conscience, the member should not be forced to renounce it;(iii)the characteristic distinguishes the group from society; and(d) the characteristic is not a fear of persecution.5LA Effective protection measures(1)For the purposes of the application of this Act and the regulations to a particular person, effective protection measures are available to the person in a receiving country if:(a) protection against persecution could be provided to the person by:(i)the relevant State; or(ii)a party or organisation, including an international organisation, that controls the relevant State or a substantial part of the territory of the relevant State; and(b) the relevant State, party or organisation mentioned in paragraph (a) is willing and able to offer such protection.(2)A relevant State, party or organisation mentioned in paragraph (1)(a) is taken to be able to offer protection against persecution to a person if:(a) the person can access the protection; and(b) the protection is durable; and(c) in the case of protection provided by the relevant State—the protection consists of an appropriate criminal law, a reasonably effective police force and an impartial judicial system.…36 Protection visas – criteria provided for by this Act…(2)A criterion for a protection visa is that the applicant for the visa is:(a) a non-citizen in Australia in respect of whom the Minister is satisfied Australia has protection obligations because the person is a refugee; or(aa) a non-citizen in Australia (other than a non-citizen mentioned in paragraph (a)) in respect of whom the Minister is satisfied Australia has protection obligations because the Minister has substantial grounds for believing that, as a necessary and foreseeable consequence of the non-citizen being removed from Australia to a receiving country, there is a real risk that the non-citizen will suffer significant harm; or(b) a non-citizen in Australia who is a member of the same family unit as a non-citizen who:(i)is mentioned in paragraph (a); and(ii)holds a protection visa of the same class as that applied for by the applicant; or(c) a non-citizen in Australia who is a member of the same family unit as a non-citizen who:(i)is mentioned in paragraph (aa); and(ii)holds a protection visa of the same class as that applied for by the applicant.(2A)A non‑citizen will suffer significant harm if:(a) the non‑citizen will be arbitrarily deprived of his or her life; or(b) the death penalty will be carried out on the non‑citizen; or(c) the non‑citizen will be subjected to torture; or(d) the non‑citizen will be subjected to cruel or inhuman treatment or punishment; or(e) the non‑citizen will be subjected to degrading treatment or punishment.(2B)However, there is taken not to be a real risk that a non‑citizen will suffer significant harm in a country if the Minister is satisfied that:(a) it would be reasonable for the non‑citizen to relocate to an area of the country where there would not be a real risk that the non‑citizen will suffer significant harm; or(b) the non‑citizen could obtain, from an authority of the country, protection such that there would not be a real risk that the non‑citizen will suffer significant harm; or(c) the real risk is one faced by the population of the country generally and is not faced by the non‑citizen personally.…