World
US urges Central America governments to protect LGBTQ rights
Effort part of strategy to address migration ‘root causes’
Editor’s note: International News Editor Michael K. Lavers was on assignment for the Washington Blade in El Salvador, Honduras and Mexico from July 11-25.
A State Department spokesperson says the U.S. will continue to urge the governments of Guatemala, El Salvador and Honduras to protect LGBTQ rights as part of its efforts to address the “root causes” of migration from the three countries.
“Human rights, including those of LGBTQI+ persons, is one of the central pillars of our engagement with leaders from Guatemala, Honduras and El Salvador,” said the spokesperson in response to a series of written questions from the Washington Blade.
“The United States raises concerns about violence, discrimination, abuse, harassment and stigma targeting LGBTQI+ (people) across northern Central America with various stakeholders,” added the spokesperson. “We work to engage on these issues across multilateral fora, such as the United Nations, the Equal Rights Coalition and the Organization of American States.”
Guatemala, El Salvador and Honduras form what is known as Central America’s Northern Triangle.
Vice President Kamala Harris, who met with Guatemalan President Alejandro Giammattei last month during her trip to Guatemala City, has said on numerous occasions that violence based on sexual orientation and gender identity is one of the factors behind migration from the region. Harris and other administration officials have also told migrants not to travel to the U.S.-Mexico border because it remains closed to them due to the pandemic.
LGBTQ Hondurans with whom the Blade recently spoke acknowledged violence has forced them to flee their homes.
Leonela Barralaga and Jerlín Martel are a same-sex couple who are raising an 11-year-old daughter in La Ceiba, Honduras.
They told the Blade on July 20 during an interview at the offices of Organización Pro Unión Ceibeña, a local human rights group, that they have fled Honduras twice. Barralaga and Martel said they returned to the country once because they did not want their daughter to further endure the squalid conditions in which they were living in Tapachula, Mexico, a city in the country’s Chiapas state that borders Guatemala.
Marvin, a gay man from Honduras who plans to ask for asylum in the U.S., currently lives at Jardín de las Mariposas, a shelter for LGBTQ asylum seekers in the Mexican border city of Tijuana.
Marvin during a July 12 interview with the Blade at Jardín de las Mariposas spoke about his brother, who was murdered earlier this year in Honduras. Marvin was sobbing when Jaime Marín, who runs the shelter with his mother, Yolanda Rocha, showed this reporter a picture of his brother’s mutilated body in the morgue in San Pedro Sula, Honduras’ second-largest city.
A court in the Salvadoran capital of San Salvador last August sentenced three police officers to 20 years in prison for the 2017 murder of Camila Díaz Córdova, a trans woman who the U.S. deported. The Inter-American Court of Human Rights last month found Honduras responsible for the murder of Vicky Hernández, a trans woman who was killed hours after the 2009 coup that ousted then-President Manuel Zelaya.
Alexa, a trans woman who receives services at Organización Pro Unión Ceibeña, told the Blade during an emotional interview that she was raped in prison while serving a sentence for a stabbing she claims was an act of self-defense. Alexa also said guards forcibly cut her hair.
The Blade the day before witnessed a man stop his car on a street in San Pedro Sula, which is about three hours west of La Ceiba, and solicit for sex work two trans women with Colectivo Unidad Color Rosa, a local LGBTQ rights group. The U.S. granted asylum to Claudia Spellman, a trans woman who co-founded Colectivo Unidad Color Rosa, after death threats forced her to flee Honduras.
“The United States is committed to fighting for the human rights of LGBTQI+ persons at home and abroad,” the State Department spokesperson told the Blade. “LGBTQI+ persons are among the most vulnerable to forced displacement in and from El Salvador, Guatemala and Honduras.”
“Promoting and advancing these human rights is a foreign policy priority,” added the spokesperson. “As such, we endeavor to combat the violence and abuse, criminalization, discrimination and stigma targeting LGBTQI+ persons around the world, including in these three countries.”
Two members of Guatemalan civil society who work with LGBTQ people and people with HIV/AIDS — Visibles Executive Director Daniel Villatoro and Ingrid Gamboa of the Association of Garifuna Women Living with HIV/AIDS — are among those who participated in a round table with Harris in Guatemala City.
Samantha Power, administrator of the U.S. Agency for International Development, and U.S. Ambassador to Guatemala William Popp on June 17 visited the Guatemala City headquarters of Organización Trans Reina de las Noche, a trans advocacy group. The visit took place less than a week after Andrea González, the organization’s executive director who previously participated in the State Department’s International Visitors Leadership Program, was murdered near her Guatemala City home.
Sasha Rodríguez, a trans woman who works for Organización Pro Unión Ceibeña, is also an IVLP alum.
Bianka Rodríguez, executive director of COMCAVIS TRANS, a trans Salvadoran rights group, is among those who participated in what a USAID spokesperson described to the Blade as a “youth leaders lunch roundtable that we organized” with Power in San Salvador last month. The USAID spokesperson noted “they exchanged important points of view regarding USAID support (past and present) and the challenges of the LGBTIQ+ community in the country.”
“USAID human rights projects based in El Salvador support anti-discrimination efforts against the LGBTQI+ community,” said the State Department spokesperson. “They also support a regional effort that engages private sector companies in inclusive strategies to open labor opportunities for the LGBTQI+ community.”
“Projects also do research on hate crimes against the LGTBQI+ community and provides to the justice sector to investigate such crimes,” they added. “The majority of activities are led by local or regional LGBTQI+ groups.”
The State Department spokesperson noted “discussions between civil society leaders” and the U.S. Embassy in Honduras, “as well as USAID-led forums on LGBTQI+ migration push factors, help us learn more about the root causes and ways we can better support this community.” They also pointed out that USAID’s Unidos por la Justicia project “has supported the LGBTQI+ community to develop an anti-discrimination law and the law of gender identity” in the country.
USAID and Unidos por la Justicia in 2019 officially recognized Unidad Colectivo Color Rosa for its work. The Blade on July 19 saw a plaque with the two organizations’ logos on it hanging inside their San Pedro Sula office.
“USAID in Honduras has done extensive work with the LGBTQI+ population who lack access to formal education and workforce development services by supporting training that included self-esteem and human rights to prevent stigma and discrimination, and promote respect for diversity,” said the State Department spokesperson. “Through private sector engagement, businesses have agreed to interview members of the LGBTQI+ community, which is the foundation to valuing diversity in the workplace.”
USAID also works with Asociación PASMO, an organization that conducts HIV testing in San Pedro Sula.
The State Department spokesperson told the Blade that Honduran LGBTQ activists have attended workshops that focused on their participation in the country’s political process. They said USAID for the project’s next phase “will work with local higher education institutions to certify community members to participate as candidates in elections.”
Honduras’ national elections are scheduled to take place on Nov. 28.
A federal judge in New York in March sentenced Honduran President Juan Orlando Hernández’s brother, former Honduran Congressman Juan Antonio “Tony” Hernández, to life in prison after a jury convicted him of trafficking tons of cocaine into the U.S.
The Biden administration on July 20 banned former Honduran President Porfirio “Pepe” Lobo Sosa, his wife and their children from traveling to the U.S. because of “their involvement in significant corruption.” Salvadoran prosecutors last week charged former President Salvador Sánchez Cerén and nine other members of former President Mauricio Funes’ administration with the misuse of more than $300 million in government funds.
Juan Francisco Sandoval, a leading anti-corruption prosecutor in Guatemala, fled to El Salvador on July 24 after Guatemalan Attorney General Consuelo Porras fired him. The Biden administration this week announced it has stopped working with Porras’ office.
Corruption is one of the myriad issues that activists in the region have raised with the Blade. They also remain highly critical of their respective governments over the lack of LGBTQ rights.
“The United States is concerned with the protection governments extend to LGBTQI+ persons throughout the region,” said the State Department spokesperson. “While we have seen some positive developments; we will continue to raise the importance of protections for LGBTQI+ persons whenever appropriate, as well as the importance of holding accountable perpetrators of discrimination and violence.”
The State Department spokesperson also responded to the Blade’s question about what the Biden administration can do to ensure the Guatemalan, Honduran and Salvadoran governments adequately address anti-LGBTQ discrimination and violence in their respective countries.
“The U.S. government monitors and reports on the state of human rights across the world, including protections for the LGBTQI+ community,” said the State Department spokesperson. “Our efforts to draw attention to abuses of the human rights of LGBTQI+ persons create transparency and promote accountability for such abuses. The U.S. government also has sanctions and visa restriction authorities it can apply to perpetrators to promote accountability for human rights violations and abuses.”
Abdiel Echevarría-Caban and Dunia Orellana of Reportar sin Miedo contributed to this story.
Colombia
Colombia anunció la inclusión de las categorías ‘trans’ y ‘no binario’ en los documentos de identidad
Registraduría Nacional anunció el cambio el 28 de noviembre
Ahora los ciudadanos colombianos podrán seleccionar las categorías ‘trans’ y ‘no binario’ en los documentos de identidad del país.
Este viernes la Registraduría Nacional del Estado Civil anunció que añadió las categorías ‘no binario’ y ‘trans’ en los distintos documentos de identidad con el fin de garantizar los derechos de las personas con identidad diversa.
El registrador nacional, Hernán Penagos, informó que hizo la inclusión de estas dos categorías en los documentos de: registro civil, tarjeta de identidad y cédula de ciudadanía.
Según la registraduría: “La inclusión de estas categorías representa un importante avance en materia de garantía de derechos de las personas con identidad de género diversa”.
Estas categorías estarán en el campo de ‘sexo’ en el que están normalmente las clasificaciones de ‘femenino’ y ‘masculino’ en los documentos de identidad.
En 2024 se inició la ejecución de diferentes acciones orientadas implementar componentes “‘NB’ y ‘T’ en el campo ‘sexo’ de los registros civiles y los documentos de identidad”.
Las personas trans existen y su identidad de género es un aspecto fundamental de su humanidad, reconocido por la Corte Constitucional de Colombia en sentencias como T-236/2023 y T-188/2024, que protegen sus derechos a la identidad y no discriminación. La actualización de la Registraduría implementa estos fallos que ya habían ordenado esos cambios en documentos de identidad.
Por su parte, el registrador nacional, Penagos, comentó que: “se trata del cumplimiento de unas órdenes por parte de la Corte Constitucional y, en segundo lugar, de una iniciativa en la que la Registraduría ha estado absolutamente comprometida”. Y explicó que en cada “una de las estaciones integradas de servicio de las más de 1.200 oficinas que tiene la Registraduría Nacional se va a incluir todo este proceso”.
Japan
Tokyo court upholds Japan’s same-sex marriage ban
Country is only G7 nation without legal recognition of same-sex couples
The Tokyo High Court on Nov. 28 ruled the lack of marriage rights for same-sex couples in Japan is constitutional.
The Associated Press notes Judge Ayumi Higashi upheld the legal definition of a family in Japan as a man and a woman and their children. The court also dismissed the eight plaintiffs’ demand for 1 million yen ($6,406.85) in damages.
Hiromi Hatogai, one of the plaintiffs, told reporters after the court ruled that she is “so disappointed.”
“Rather than sorrow, I’m outraged and appalled by the decision,” said Hatogai, according to the AP. “Were the judges listening to us?”
Japan remains the only G7 country without legal recognition of same-sex couples, even though several courts in recent years have ruled in favor of it.
The Sapporo District Court in 2021 ruled the denial of marriage benefits to same-sex couples violates the constitution’s equality clause. The Nagoya District Court in 2023 issued a similar ruling. The Fukuoka District Court in a separate decision said Japan’s current legal framework is unconstitutional. The Tokyo High Court in 2024 came to the same conclusion.
The Washington Blade last month noted Prime Minister Sanae Takaichi, who is Japan’s first female head of government, opposes marriage equality and has reiterated the constitution’s assertion the family is an institution based around “the equal rights of husband and wife.”
India
India’s Jharkhand state works to improve trans people’s access to health care
People for Change working with local officials to address disparities
The transgender community has been part of India’s social fabric for centuries, but decades of policy neglect pushed many into poverty and inadequate health care.
The Supreme Court formally recognized trans people as a third gender in 2014, yet state-level services developed slowly. Telangana opened India’s first dedicated trans clinic, the Mitr Clinic, in 2021 with support from the U.S. Agency for International Development and Johns Hopkins University. Jharkhand State has now ordered all government hospitals and medical colleges to establish dedicated outpatient units for transgender patients.
People for Change, an LGBTQ organization, spent the past year mapping gaps in trans health care across Jharkhand. Its surveys of 100 trans residents in five districts found limited access to gender-affirming care, hormone therapy, dermatology, and mental-health services. The group followed this survey with a May 2025 consultation in Jamshedpur, an industrial town in Jharkhand, that brought together clinicians and community leaders to outline a feasible outpatient model.
Those findings were presented to Health Minister Irfan Ansari in June, backed by input from allied organizations and more than 50 trans leaders. The process helped inform the state’s decision to introduce dedicated trans outpatient departments in all government hospitals and medical colleges.
People for Change, which played a central role in shaping the policy, noted that government hospitals in Jharkhand still face infrastructure and resource gaps. Even so, the group said the order reflects a clear policy commitment to creating dedicated trans health services.
If Jharkhand’s trans outpatient departments system functions as planned, it could become a regional model for states with comparable gaps in public health access.
Government data from the 2011 Census — the latest official count to identify an “other” gender category — lists 13,463 trans residents in Jharkhand, alongside sizable populations in neighboring states: 40,827 in Bihar, 30,349 in West Bengal, 22,364 in Odisha, 18,489 in Chhattisgarh, and 137,465 in Uttar Pradesh. Though likely underreported, these figures underscore the scale of need across eastern and central India.
“The decision to start dedicated transgender OPDs (outpatient departments) is not just an administrative step — it is a statement of inclusion, a recognition that the transgender community deserves discrimination-free, dignified, and responsive healthcare. When the government takes such a deliberate step, it sets a tone for systemic change,” said Souvik Saha, founder of People for Change. “It creates an official entry point for transgender healthcare.”
“For the first time, transgender persons will have a recognized and respectful space within the public health system,” added Saha. “That itself is a major shift. It signals to doctors, nurses, and administrators that transgender health is a priority. This leads to sensitization, accountability, and the gradual improvement of attitudes within hospitals.”
Saha told the Washington Blade the policy is likely to trigger broader improvements, noting that once a service is formally notified, budget allocations, training, infrastructure, and staffing typically follow. He said the move could strengthen the system gradually, “step by step.”
“We are realistic: we know improvements won’t happen overnight. But we are also optimistic because the state has already shown genuine leadership and empathy by issuing this order,” said Saha. “And since Jharkhand is celebrating its 25th year of formation, this decision reflects the state’s intention to move towards greater equality and social justice.”
“For the transgender community, this is not just a service — it is dignity. It is visibility. It is inclusion,” he added. “And with the government, civil society, and community working together, we believe this will lead to meaningful and lasting change in the years ahead.”
Saha told the Blade that the dedicated transgender outpatient will operate within existing government medical colleges and hospitals in Jharkhand and will be staffed by current medical and paramedical teams, with no separate funding required at this stage. He said the policy does not call for separate wards or beds, but for clearly designated outpatient spaces for trans patients. The service, he added, will be run by existing staff who will receive training and orientation as needed.
“At this moment, the specific operational details are still being discussed with the government of Jharkhand. However, what is clear is: the OPD will function as a dedicated space within the hospital, not limited to a specific day,” said Saha. “Transgender individuals will have access to focused, discrimination-free services through this dedicated space. The clinic will run through existing hospital systems, with linkages to psychiatry, dermatology, endocrinology, and other departments when required.”
“This structure allows the government to start services immediately without needing new construction, new staff positions, or separate budget lines,” he added. “It is a practical and efficient first step, making the service accessible while keeping the doors open for: future budget allocations, specialized staffing, expansions into gender-affirming services, and strengthened infrastructure. The government’s intent is very clear: to ensure dignified, equitable, and discrimination-free healthcare for the transgender community. This order is a strong beginning, and operational details will continue to evolve through collaborative discussions between the government, hospitals, and People for Change.”
Saha acknowledged that taboos, misinformation, and stereotypes about the trans community persist in Jharkhand and in many other states. However, Saha said there are encouraging models at which to look.
He pointed to Kerala and Chhattisgarh, which have introduced sensitization programs and begun integrating trans-inclusive practices into their public health systems. These examples, he noted, show that when health departments invest in training and awareness, attitudes shift and services become more respectful and accessible.
“In Jharkhand, People for Change has proposed a similar approach. We have formally recommended to the government that civil surgeons, chief medical officer, doctors, nurses, and other hospital staff be trained on gender sensitization and transgender health challenges. This includes understanding gender identity, psychological needs, respectful communication, medical protocols, and ways to ensure discrimination-free services,” said Saha. “The encouraging part is that these proposals are already being discussed in detail with the government of Jharkhand. The government has shown strong intent through the issuance of the transgender OPD order, and training health professionals is naturally the next crucial step.”
Saha noted that it remains unclear whether trans people will be recruited into government health roles, saying it is too early to make any definitive statement. He explained that recruitment requires separate processes, policies, and approvals, and the current order does not address new staffing or the creation of government positions.
A recent performance audit by the Comptroller and Auditor General of India, the constitutional authority responsible for auditing government spending and administration, outlined severe human-resource and medicine shortages across Jharkhand’s public health system.
Tabled in the state assembly in February, the report found that about 61 percent of sanctioned posts for medical officers and specialists were vacant, along with more than half of all staff-nurse positions and roughly four-fifths of paramedic posts. The audit also documented acute shortages of essential drugs in the hospitals it reviewed, with stock gaps ranging from 65 to 95 percent during the 2020-2022 period. The findings highlight the systemic constraints that the new trans outpatients will have to navigate.
Saha acknowledged that drug shortages remain a serious issue in government hospitals and said the concern is valid. Even so, he added that he is approaching the new outpatient policy with hope and confidence.
“The government of Jharkhand has made a historic and intentional decision by opening dedicated transgender OPDs,” said Saha. “When a government takes such a strong step of recognition and inclusion, it also shows the readiness to understand the specific health challenges and medication needs of the transgender community.”
“As more transgender persons start coming to the OPDs and their health requirements become clearer through proper documentation and reporting, we are confident that the state will make every effort to ensure that essential medicines are available for them,” he added.
Saha said People for Change is also seeking support outside the public system. The organization has begun briefing civic service groups — including Lions Club, Rotary Club and Inner Wheel, international volunteer organizations that run local welfare and health projects — on the outpatient order and the community’s needs. According to Saha, several of these groups have indicated they may help trans patients with medicines and other essentials when prescribed by a doctor.
“So the effort is two-fold: the government is creating an inclusive health system and will be informed of the community’s specific medicinal needs through the OPDs. People for Change and partners are strengthening the safety net to ensure that transgender persons are never left unsupported,” said Saha. “We truly believe that this collaborative approach will ensure that transgender individuals receive the medication and care they deserve — with dignity, consistency, and compassion.”
“Every hospital may take a slightly different amount of time depending on internal readiness, but overall: The foundational work is already underway, Hospitals have started preparing their designated OPD spaces, And coordination is happening at the level of civil surgeons, medical superintendents, and hospital management teams,” he added.
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India’s Jharkhand state works to improve trans people’s access to health care
