Between HIV Prevention and LGBTI Rights investigates the transformative impacts of global development's sexual rights agenda on queer politics and activism in Ghana. With queer men bearing a disproportionate burden of HIV in Africa, rights-based health interventions have sought to tackle the epidemic by bringing together, educating, and ‘empowering’queer African communities. Gore argues that queer Ghanaian men are not benefiting from development’s turn to sexual health and sexual rights. Instead, HIV and other sexual rights-based initiatives operate through neoliberal paradigms that reinforce class divides and de-politicize queer struggle. These dynamics are further shaping and shaped by the politicization of homophobia within the contemporary Ghanaian state. Gore combines original ethnography, documentary analysis, and the examination of development and global health data to connect the struggle for queer liberation in Ghana to broader trajectories of capitalist transformation and crisis and the afterlives of colonialism. In doing so, Between HIV Prevention andLGBTI Rights offers fascinating insights into the political economy of sexuality and global development for scholars, activists, and policymakers seeking to understand and address sexual injustice and oppression, both in Africa and beyond.