Commentary
LGBTIQ refugees in Kakuma need durable solutions to address challenges
Death of gay refugee last month underscored plight
The recent, tragic death of Chriton Atuhwera, a gay refugee who was the victim of an arson attack in Kakuma refugee camp, Kenya, has caught international attention.
Chritron was one of two gay men who suffered second-degree burns after a petrol bomb was thrown near the pair while they slept on a mattress in the open air, during the attack on March 15 in Kakuma.
This unspeakable and avoidable tragedy is just one piece of the puzzle. LGBTIQ asylum seekers and refugees in Kakuma have faced ongoing violence and discrimination and face elevated rates of economic and social exclusion including barriers to accessing employment and social services and challenges to effective organizing and advocacy for their human rights.
This tragic death and the ongoing threats that the community faces have precipitated the need for a more complete and long-overdue understanding of the situation on the ground for the LGBTIQ refugee community which in turn can lead to more comprehensive and durable solutions to benefit the broader community.
Today, Kakuma refugee camp is home to nearly 200,000 registered refugees and asylum seekers. Many have fled overland from Uganda, South Sudan, Somalia and the Democratic Republic of Congo. The majority of the world’s refugees remain for years, often decades in refugee camps or informal settlements.
In total, there are approximately 300 LGBTIQ refugees and asylum seekers — perhaps more — currently living in Kakuma, which remains the only country in the region to provide asylum to those fleeing persecution based on sexual orientation, gender identity or expression. The situation they face in Kakuma refugee camp is complex and multilayered.
While the goal of most LGBTIQ refugees and asylum seekers is to ultimately be resettled to a safe third country, resettlement slots have drastically fallen and are only available to less than 0.6 percent of refugees, a fraction of the world’s refugees. U.S. resettlement numbers dropped to historic lows during the Trump administration, and the Biden administration recently flip-flopped on its pledge to increase refugee resettlement slots. We urge the administration to honor its original commitment, recognizing that it will still only benefit a tiny fraction of refugees globally.
At the same time, LGBTIQ refugees in Kakuma face immediate challenges including poverty, isolation and lack of access to health and social services.
There are a number of groups of LGBTIQ asylum seekers and refugees scattered in different parts of the camp, and while these communities face many of the same daily struggles of life in a refugee camp, with individuals hailing from a variety of different countries of origin and cultural settings, not all LGBTIQ refugee communities in the camp have the same lived experiences nor do all LGBTIQ groups agree on one basic need and approach to better their lives and safety.
With the increased numbers of LGBTIQ asylum seekers and refugees arriving in Kakuma in recent years, the need has grown for a true and complete understanding of the challenges facing LGBTIQ refugees in Kakuma, uncovering root causes and identifying sustainable solutions. It is vital that this is done.
Especially in light of recent incidents, there is a clear need for further action and support, based on facts, taking into account the current situation on the ground and raising the voices of those groups whose needs are not always in the forefront. The lack of clear, detailed and well-rounded information regarding the situation experienced by LGBTIQ refugees in the camp also creates challenges for those interested in helping to ensure the rights and well-being of this community.
That is why, ORAM together with Rainbow Railroad have announced a joint Kakuma research project. The research project, endorsed by the U.N. refugee agency UNHCR, will provide accurate information on LGBTIQ asylum seekers and refugees living in the camp — a critical piece in more effective advocacy on behalf of the community.
In keeping with the organizations’ focus on local leadership, the research will be Kenyan-led. The researcher will conduct first-hand interviews with LGBTIQ refugees and asylum seekers, as well as community leaders in the camp and lead stakeholders. Based on the information gathered, the report will identify overarching issues facing the community, identify service and resource gaps, pinpoint solutions and make recommendations to address systemic challenges facing the community.
Kakuma refugee camp is a complex and challenging environment for LGBTIQ refugees and asylum seekers. This report aims to provide a deeper understanding that can lead to a number of multifaceted solutions to meet the urgent and critical needs of LGBTIQ asylum seekers and refugees in the camp, from improved living conditions to expedited resettlement.
We all having a duty to look out for the most vulnerable and marginalized among us. We need to prioritize the safety and protection on LGBTIQ asylum seekers and refugees and address the challenges they face on their journey to safety, Kakuma refugee camp, in Kenya in general and beyond. We must promote policies and practices that treat the forcibly displaced as fully human and with all the dignity and humanity that they deserve.
Log onto ORAM’s website for more information about our work in the camp.
Commentary
Protecting the trans community is not optional for elected allies and candidates
One of oldest political tactics is blaming vulnerable group for societal woes
Being an ally to the trans community is not a conditional position for me, nor should it be for any candidate. My allyship doesn’t hinge on polling, focus groups, or whether courage feels politically convenient. At a time when trans people, especially trans youth of color, are under coordinated attack, elected officials and candidates must do more than offer quiet support. We must take a public and solid stand.
History shows us how these moments begin. One of the oldest political tactics is to single out the most vulnerable and blame them for society’s anxieties — not because they are responsible, but because they are easier to blame than those with power and protection. In Nazi Germany, Jewish people were primarily targeted, but they were not the only demographic who suffered elimination. LGBTQ people, disabled people, Romani communities, political dissidents, and others were also rounded up, imprisoned, and killed. Among the earliest acts of fascistic repression was the destruction of Berlin’s Institute for Sexual Science, a pioneering center for gender-affirming care and LGBTQ research. These books and medical records were among the first to be confiscated and burned. It is not a coincidence that these same communities are now the first to suffer under this regime, they are our canaries in the coal mine signaling what’s to come.
Congress, emboldened by the rhetoric of the Donald Trump campaign, recently passed HR 3492 to criminalize healthcare workers who provide gender-affirming healthcare with fines and imprisonment. This bill, sponsored by celebrity politicians like Marjorie Taylor Greene, puts politics and headlines over people and health outcomes. Healthcare that a number of cis-gendered people also benefit from byway of hair regeneration and surgery, male and female breast augmentation, hormone replacement therapy etc. Even when these bills targeting this care do not pass, they do real damage. They create fear among patients, legal uncertainty for providers, and instability for clinics that serve the most marginalized people in our communities.
Here in D.C., organizations like Planned Parenthood and Whitman-Walker Health are lifelines for many communities. They provide gender-affirming care alongside primary care, mental health services, HIV treatment, and preventative medicine. When healthcare is politicized or criminalized, people don’t wait for court rulings — they delay care, ration medication, or disappear from the system entirely.
As a pharmacist, I know exactly what that means. These are life-saving medications. Continuity of care matters. Criminalizing and politicizing healthcare does not protect children or families — it puts lives at risk.
Instead of centering these realities, political discourse has been deliberately diverted toward a manufactured panic about trans women in sports. Let me be clear: trans women deserve to be protected and allowed to compete just like anyone else. Athletics have always included people with different bodies, strengths, and abilities. Girls and women will always encounter competitors who are stronger or faster — that is not a gender or sports crisis, it is the nature of competition.
Sports are meant to teach fairness, mutual respect, and the shared spirit of competition — not suspicion or exclusion. We should not police young people’s bodies, and we should reject attempts to single out trans youth as a political distraction. Families and doctors should be the authority on sex and gender identity.
This narrative has been cynically amplified by the right, but too often Democrats have allowed it to take hold rather than forcefully rejecting it. It is imperative to pay attention to what is happening — and to push back against every attempt to dehumanize anyone for political gain.
Trans people have always been part of our communities and our democracy. Protecting the most vulnerable is not radical — it is the foundation of a just society. My work is grounded in that commitment, and I will not waver from it. I’m proud to have hired trans political team Down Ballot to lead my campaign for DC Council At Large. We need more ally leaders of all stages to stand up for the LGBTQ+ community. We must let elected detractors know that when they come for them, then they come for all of us. We cannot allow Fox News and social media trolls to create a narrative that scares us away from protecting marginalized populations. We must stand up and do what’s right.
Anything less is not leadership.
Rep. Oye Owolewa is running for an at-large seat on the D.C. Council.
Commentary
America is going in the wrong direction for intersex children
Lawmakers are criminalizing care for trans youth, while permitting irreversible harm to intersex babies
I live with the consequences of what America is willing to condone in the name of “protecting children.”
When I was young, doctors and adults made irreversible decisions about my body without my informed consent. They weren’t responding to an emergency. They were responding to discomfort with innate physical differences and the social and medical pressure to make a child’s body conform to a rigid female-male binary. That’s the part people like to skip over when they talk about “child welfare”: the harm didn’t begin with my identity. It started with adults deciding my healthy body needed fixing.
That’s why the hypocrisy unfolding right now from statehouses to Capitol Hill feels so familiar, and so dangerous.
While harmful medical practices on intersex children, the nearly 2 percent born with differences in one or more of their physical sex characteristics, have been ongoing in the U.S. for decades, until recently, there was no law specifically condoning it.
This month, House Republicans passed one of the most extreme anti-trans bills in modern American history, advancing legislation that would criminalize gender-affirming medical care for transgender youth and threaten doctors with severe penalties for providing evidence-based treatment. The bill is framed as a measure to “protect children,” but in reality, it weaponizes the criminal legal system against families and providers who are trying to support young people in surviving adolescence.
At the same time, the administration has proposed hospital and insurance policies designed to choke off access to affirming care for trans youth nationwide by making providers fear loss of federal funding, regulatory retaliation, or prosecution. This is a familiar strategy: don’t just ban care outright; instead, make it so risky that hospitals stop providing it altogether. The result is the same everywhere. Young people lose access to care that major medical associations agree can be lifesaving.
All of this is happening under the banner of preventing “irreversible harm.”
But if America were genuinely concerned about irreversible harm to minors, the first thing lawmakers would address is the medically unnecessary, nonconsensual surgeries still performed on intersex infants and young children, procedures that permanently alter healthy tissue, often without urgent medical need, and long before a child can meaningfully participate in the decision. Human rights organizations have documented for years how these interventions are justified not by medical necessity, but by social pressure to make bodies appear more typically “female” or “male.”
Here is the uncomfortable truth: all of the state laws now banning gender-affirming care for transgender youth explicitly include exceptions that allow nonconsensual and harmful intersex surgeries to continue.
A recent JAMA Health Forum analysis found that 28 states have enacted bans on gender-affirming care for minors that carve out intersex exceptions, preserving doctors’ ability to perform irreversible “normalizing” procedures on intersex children even while prohibiting affirming care for trans adolescents.
This contradiction is not accidental. It reveals the real priority behind these laws.
If the goal were truly to protect children from irreversible medical interventions, intersex kids would be protected first. Instead, these policies target one group of children, transgender youth, while continuing to permit permanent interventions on another group whose bodies challenge the same rigid sex and gender binary that lawmakers are trying to enforce.
Intersex people are routinely erased from American policy debates, except when our bodies are invoked to justify harmful laws, warning that intersex children are being used as legal loopholes rather than protected as human beings. This “protect the children” rhetoric is routinely deployed to justify state control over bodies, while preserving medical practices that stripped intersex children like me of autonomy, good health, and choice. Those harms are not theoretical. They are lifelong.
What makes this moment even more jarring is that the federal government had finally begun to recognize intersex people and attempt to address the harms suffered.
In 2024, at the very end of his term, the Biden administration released the first-ever intersex health equity report — a landmark admission that intersex people have been harmed by the U.S. health care system. Issued by the Department of Health and Human Services, the report documents medically unnecessary interventions, lack of informed consent, and systemic erasure and recommends delaying irreversible procedures until individuals can meaningfully participate in decisions about their own bodies.
This should have been a turning point. Instead, America is moving in the opposite direction.
On day one, President Trump issued an executive order defining “sex” in a way attempting to delegitimize the existence of transgender Americans that also erased the existence of many intersex people.
When medicine is used to erase difference, it is called protection, while care that supports self-understanding is treated as a threat. This is not about medicine. It is about control.
You cannot claim to oppose irreversible harm to children while legally permitting surgeries that intersex adults and human rights experts have condemned for decades. You cannot claim to respect bodily autonomy while denying it selectively, based on whose bodies make lawmakers uncomfortable.
Protecting children means protecting all children, transgender, intersex, and cisgender alike. It means delaying irreversible interventions when they are not medically necessary. It means trusting and supporting young people and families over politicians chasing culture-war victories.
America can continue down the path of criminalizing care for some children while sanctioning harm to others, or it can finally listen to the people who have lived the consequences.
Intersex children deserve laws that protect their bodies, not politics that hurt and erase them.
Kimberly Zieselman is a human rights advocate and the author of “XOXY: A Memoir”. The author is a co-author of the JAMA Health Forum article cited, which examined state laws restricting gender-affirming care.
Today, on World AIDS Day, we honor the resilience, courage, and dignity of people living with HIV everywhere especially refugees, asylum seekers, and queer displaced communities across East Africa and the world.
For many, living with HIV is not just a health journey it is a journey of navigating stigma, borders, laws, discrimination, and survival.
Yet even in the face of displacement, uncertainty, and exclusion, queer people living with HIV continue to rise, thrive, advocate, and build community against all odds.
To every displaced person living with HIV:
• Your strength inspires us.
• Your story matters.
• You are worthy of safety, compassion, and the full right to health.
• You deserve a world where borders do not determine access to treatment, where identity does not determine dignity, and where your existence is celebrated not criminalized.
Let today be a reminder that:
• HIV is not a crime.
• Queer identity is not a crime.
• Seeking safety is not a crime.
• Stigma has no place in our communities.
• Access to treatment, care, and protection is a human right.
As we reflect, we must recommit ourselves to building systems that protect not punish displaced queer people living with HIV. We must amplify their voices, invest in inclusive healthcare, and fight the inequalities that fuel vulnerability.
Hope is stronger when we build it together.
Let’s continue to uplift, empower, and walk alongside those whose journeys are too often unheard.
Today we remember.
Today we stand together.
Today we renew hope.
Abraham Junior lives in the Gorom Refugee Settlement in South Sudan.
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