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This chapter examines the complex interplay between sexual minority rights, colonial legacies, and geopolitical factors in Africa. It attacks the utilisation of Lesbian Gay Bisexual Transgender Queer Plus (LGBTQ+) rights by Western powers as instruments of political leverage, emphasising the discord between global movements and African socio-cultural circumstances. The study highlights the significance of addressing LGBTQ+ rights in Africa as a crucial aspect of human rights, particularly in deconstructing neo-colonial narratives and promoting equitable campaigning. Analysing colonial impacts on African concepts of gender and sexuality underscores the imperative for culturally relevant strategies in LGBTQ+ activism. This research utilises a desk-based qualitative methodology, employing a decolonial framework grounded in human rights and post-colonial theory (PCT). Comparative case studies from East, West, and Southern Africa elucidate the intersection of colonial legacies, religion, culture, and health inequities with the experiences of sexual minorities. The results indicate that health disparities and socio-political marginalisation disproportionately impact African men who have sex with men (MSM), with religion significantly contributing to the perpetuation of homophobia. The analysis reveals a discrepancy between Western-led LGBTQ+ rights activism and local cultural contexts, intensifying opposition and marginalisation. The research promotes the decolonisation of human rights discourses through the incorporation of local histories, cultures, and epistemologies. It underscores the necessity for global solidarity that respects African autonomy and advocates for structurally inclusive, culturally attuned methodologies on LGBTQ+ rights. Future study should enhance understanding of locally motivated campaigning and broaden comparative evaluations of sexual minority rights across various African contexts.