Africa
Report details conversion therapy impact on LGBTQ South Africans
Country’s lawmakers urged to ban discredited practice
So-called conversion therapy is something which is still widely practiced across South Africa, impacting the well-being of the LGBTQ community in the process.
Families, schools, religious sects and peer groups over the years have been used to try and convert those that identify as part of the LGBTQ community to conform to the heterosexual narrative which is promoted as “homogeneous.” Access-Chapter 2, a South African NGO, in a recent study found conversion therapy is proving to be more harmful towards the society and it could pose serious repercussions in the future if nothing is done to address it.
“The LGBTQIA+ community has historically been a site of erasure, silencing and marginalization in many of our communities. This erasure has been normalized over the history of civilization, particularly in the context of Africa, where most countries still criminalize same-sex desiring. Through this study we see a problematic trajectory regarding this erasure even in contemporary South African societies,” reads the study.
The study notes 50 percent respondents “have reported to have been forced to convert by their families, while 43 percent (of respondents) had a session with a religious representative or institution as intervention by parents, families, or communities.”
“Despite the visible efforts to call out the practices of conversion by LGBTQIA+ pressure groups, these practices are still prevalent. The impact is even more detrimental, with most of our participants directly having experienced discrimination, prejudice, homophobia, transphobia or stigma in the hands of their families, churches, psychosocial service providers, schools, and the rest of the community,” it reads.
A total of 303 respondents participated in an online survey, and the study’s findings were shared with a variety of LGBTQ civil society organizations and on social media platforms.
The respondents came from nine provinces: 149 from Gauteng, nine from Mpumalanga, 36 from Free State, 24 from North-West, two from Northern Cape, seven from KwaZulu-Natal, 42 from Eastern Cape, 28 from Western Cape and 14 from Limpopo. Seven respondents identified themselves as White, while five identified as Colored and 209 identified as Black African.
A total of 144 respondents identified as lesbian, while 91 described themselves as gay. Twenty-five respondents identified themselves as bisexual and 31 said they are heterosexual. 183 respondents described themselves as Christian, while 74 said they practice a traditional African religion. Forty respondents said they do not associate with any religion, while one said they are Hindu and one described themselves as Muslim.
“Parents are the main perpetrators of conversion practices and initiators of external sources to fix individuals whose sexual orientation does not align with heterosexuality,” notes the study. “Parents maintain that same-sex sexual and romantic desires is not inborn and therefore engage in efforts to change their child’s sexual orientation or gender identity. Some seek professional therapies or religious interventions for a child’s same-sex sexual orientation or non-heterosexual gender identity while other consider traditional remedies. The study raised distinct ethical concerns concerning appropriate consent because parents and authority figures would exert pressure over minors.”
“Despite parental reliance of religion to fix the non-normative sexual orientation and gender expressions, churches outside the request of the family continue to police gender expressions. Participants reported that they were constantly harassed because of the manner of dressing, expression of identity and attractions that did not align with their gender assigned at birth,” it adds. “They could not be open about their romantic partners and LGBTQIA+ friendships. Community members from the same religious organizations would report members who are seen with LGBTQIA+ individuals, and their religious and spiritual standing would instantly be questioned. Participants who pointed out that they had a particular spiritual gift be it singing in the worship team, praying for others or an usher was recalled from such positions as their lifestyles were deemed demonic.”
The study further notes many respondents experienced “engagement with professional psychological services that subjected them to conversion practices.”
“Those who were subjected to psychological services were forced by parents to attend. They reported that parents claimed that it was normal to experience a phase of confusion about sexual orientation and non-normative gender identity and that therapy could help. Participants also reported how therapist appeared to be under pressure to have them fixed as these services are costly. Those who attended therapeutic interventions were subjected to the confusion narrative and at one stage were desperate to be healed from it,” it says. “Families also sought help from traditional healers.”
The study’s respondents reported “they had to be immersed in rivers and dams to be cleansed while others were fed with potions that would enable the release of the demonic spirit.”
“The traditional practices would continue at home with frequent follow up consultations at traditional practitioners,” it says. “While participants were aware that the focus was to heal them from their abnormal sexual orientation, they were not always aware of what substances they were given. Participants were also subjected to violence such as beatings and slaps while undergoing healing processes with traditional healers. They reported that they were put under spells and were not fully aware of all things they were subjected to.”
“Participants, particularly lesbian-identifying individuals, also reported how they live in fear as they are continuously subjected to threats of rape and even killings. As a result, many Lesbian couples cannot embrace their true self and cannot openly and in a safe way express public affection. Participants mentioned the common practice and spades of LGBTQIA+ murders in South Africa and how it forces them to live a hidden lifestyle.”
The study, which is a notable breakthrough in the research for conceptualizing conversion therapy in the context of South Africa and also the first official evidence of the harmfulness of conversion practices across the country, further highlighted on the impact of the conversion therapies, recommendations and on how to avert the despicable acts.
“Participants in this study showed that there are various psychosocial effects on LGBTQIA+ people who were subjected to conversion practices. Social factors such as discrimination, prejudice, homophobia, transphobia and stigma can create hostile and stressful social environments for LGBTQIA+ people,” it notes. “It left individuals experiencing social rejection and feeling forced to hide their identity. In some instances, individuals also adopted unhealthy coping processes and their mental health negatively impacted. Some of the impacts of conversion practices on mental health include depression, social anxiety, substance abuse, thoughts and attempts of suicide, an altered body image as well as other mental health issues. Individuals also experienced shame, guilt, hopelessness, helplessness, increased self-hatred and social withdrawal. Conversion practices are also known too often lead to severe emotional damage.
Participants who experienced conversion while at school mentioned that learning was affected to the point that some dropped out of school. Others indicated risky behaviors such as unprotected sex to develop a sense of belonging while some indulged in excessive alcohol drinking. These experiences left participants vulnerable even in their young adult developments.”
The study also found those who undergo conversion therapy are at higher risk of depression and anxiety and are more likely to die by suicide.
“This study could not identify a single participant that could confirm that conversion therapy has been effective,” it reads.
The study further notes that despite the fact South Africa has “one of the most progressive Constitutions and LGBTQIA+-inclusive legislation in the world, the social reality depicts the complete opposite.”
“Religious, cultural, professional and social scripts still uphold, produce and perpetuate compulsory heteronormativity hence, conversion practices could pass as normal and acceptable in all domains,” it reads. “Conversion practices emanates directly from privileging heterosexuality as the norm and natural. All other forms of expression are deemed unacceptable, sinful and un-African. This is despite the Constitution that affirms and protects diverse sexual orientations, sex and gender expressions.”
“We therefore, call on legislation that would place an urgent ban on conversion practices in the South African context,” said Access-Chapter 2. “Professional institutions such as the medical and psychological fraternity should be educated about the damaging effects of conversion practices. This form of education should form part of in-service and pre-service training. All civil society organizations should be empowered to support individuals who have been subjected to conversion practices. Supported services for recipients of conversion practices should be widely published to create awareness of interventions, care and support.”
Daniel Itai is the Washington Blade’s Africa Correspondent.
Botswana
The first courageous annual Palapye Pride in Botswana
Celebration was a beginning rooted in courage, community, and love.
“When the sun rose on 1 Nov., 2025, Pride morning in Palapye, the open space where the march was scheduled to begin was empty. I stood there trying to look calm, but inside, my chest felt tight. I was worried that no one would come. It was the first-ever Pride in Palapye, a semi-urban village where cultural norms, religious beliefs, and tradition are deeply woven into everyday life.
I kept asking myself if we were being naive. Maybe people weren’t ready. Perhaps fear was going to win. For the first 30 minutes, it was me, a couple of religious leaders and a handful of parents. That was it. The silence was loud, and every second felt like it stretched into hours. I expected to see the queer community showing up in numbers, draped in color and excitement. Instead, only the wind was moving.
But slowly, gently, just like courage often arrives, people started to show up with a rainbow flag appearing from behind a tree and a hesitant wave from someone standing at a distance.
That’s when I understood that people weren’t late, just that they were afraid. And their fear made sense. Showing up openly in a small community like Palapye is a radical act. It disrupts silence. It challenges norms. It forces visibility. Visibility is powerful, but it is never easy. We marched with courage, pulling from the deepest parts of ourselves. We marched with laughter that cracked through the tension. We marched not because it was easy, but because it was necessary,” narrates activist Seipone Boitshwarelo from AGANG Community Network, which focuses on families and friends of LGBTIQ+ people in Botswana. She is also a BW PRIDE Awards nominee for the Healing and Justice Award, a category which acknowledges contributions to wellness, mental health, and healing for the LGBTIQ+ community across Botswana.
Queer Pride is Botswana Pride!
Pride is both a celebration and a political statement. It came about as a response to systemic oppression, particularly the criminalization and marginalization of LGBTIQ+ people globally, including in Botswana at some point. It is part of the recognition, equality, and assertion of human rights. It also reminds us that liberation and equality are not automatically universal, and continued activism is necessary. A reminder of the famous saying by Fannie Lou Hamer, “Nobody is free until everybody’s free.”
The 2023 Constitutional Review process made one thing evident, which is that Botswana still struggles to acknowledge the existence of LGBTIQ+ people as full citizens. Instead of creating a democratic space for every voice, the process sidelined and erased an entire community. In Bradley Fortuin’s analysis of the Constitutional review and its final report, he highlighted how this erasure directly contradicts past court decisions that explicitly affirmed the right of LGBTIQ+ people to participate fully and openly in civic life. When the state chooses to ignore court orders and ignore communities, it becomes clear that visibility must be reclaimed through alternative means. This is why AGANG Community Network embarked on Palapye Pride. It is a radical insistence on belonging, rooted in community and strengthened through intersectionality with families, friends, and allies who refuse to let our stories be erased.
Motho ke motho ka batho!
One of the most strategic decisions made by the AGANG Community Network was to engage parents, religious leaders, and local community members, recognizing their value in inclusion and support. Thus, their presence in the march was not symbolic, but it was intentional.
Funding for human rights and LGBTIQ+ advocacy has been negatively impacted since January 2025, and current funding is highly competitive, uneven and scarce, especially for grassroots organizations in Botswana. The Palapye Pride event was not funded, but community members still showed up and donated water, a sound system, and someone even printed materials. This event happened because individuals believed in its value and essence. It was a reminder that activism is not always measured in budgets but in willingness and that “motho ke motho ka batho!” (“A person is a person because of other people!”).
Freedom of association for all
In March 2016, in the the Attorney General of Botswana v. Rammoge and 19 Others case, also known as the LEGABIBO registration case, the Botswana Court of Appeal stated that “members of the gay, lesbian, and transgender community, although no doubt a small minority, and unacceptable to some on religious or other grounds, form part of the rich diversity of any nation and are fully entitled in Botswana, as in any other progressive state, to the constitutional protection of their dignity.” Freedom of association, assembly, and expression is a foundation for civic and democratic participation, as it allows all citizens to organize around shared interests, raise their collective voice, and influence societal and cultural change, as well as legislative reform.
The Botswana courts, shortly after in 2021, declared that criminalizing same-sex sexual relations is unconstitutional because they violated rights to privacy, liberty, dignity, equality, and nondiscrimination. Despite these legal wins, social stigma, cultural, and religious opposition continue to affect the daily lived experience of LGBTIQ+ people in Botswana.
The continuation of a declaration
AGANG Community Network is committed to continuing this work and creating safe and supportive spaces for LGBTIQ+ people, their families, friend, and allies. Pride is not just a day of fun. It is a movement, a declaration of queer existence and recognition of allyship. It is healing and reconciliation while amplifying queer joy.
Seipone Boitshwarelo is a feminist, activist, social justice healer, and founder of AGANG Community Network. Bradley Fortuin is a social justice activist and a consultant at the Southern Africa Litigation Center.
Opinions
The hidden struggle for LGBTQ refugees in East Africa and beyond
Those seeking refuge and safety are often silenced
I never imagined that fleeing my own country would not free me from fear. Yet, when I left Uganda, the place of my birth, my memories, and the source of both joy and pain I believed that the hardest part of my journey was behind me. I was wrong.
I had lived under the weight of persecution, where being queer was not only condemned but criminalized by laws and reinforced by the religious and cultural doctrines that shaped daily life. Every glance, every whispered insult, every hushed conversation reminded me that the very core of who I am was treated as a threat. In the end, I had no choice but to flee.
I arrived at Kakuma Refugee Camp in northern Kenya with hope in my heart, imagining that safety and relative freedom awaited me. Kakuma is one of Africa’s largest camps, home to hundreds of thousands displaced by conflict across the region. But what I found was a different kind of cage: the cage of silence. The fear I carried from Uganda followed me, threading itself into my interactions, my movements, my very breath. “You cannot say who you are,” a fellow refugee whispered one night as we huddled in the corner of a tent. “Even the walls have ears.”
For LGBTQI+ refugees across East Africa, silence is often the only shield against violence. But silence is also a heavy burden. In Kakuma, Malawi’s Dzaleka Camp, and Zambia’s Meheba settlement, we live in a constant negotiation between visibility and invisibility, between survival and authenticity. The promise of freedom is only partial; the moment you speak your truth, the risk of reprisal is real from fellow refugees, from camp authorities, and from the broader legal and social systems that criminalize us.
Freedom of speech is not merely the right to speak about politics; for us, it is the right to exist openly, to report threats, to seek help when we are attacked, and to be acknowledged as human. But in countries where same-sex relations are criminalized, even reporting a threat can become an act of extreme risk. Arrest. Deportation. Beaten for daring to ask for safety. Silence, then, becomes both our protection and our punishment.
In Kakuma, I have seen friends beaten for holding hands with someone of the same sex, harassed for wearing clothing that did not “fit” traditional gender expectations, and denied essential aid because our identities are deemed illegitimate. We are told to stay quiet, to blend in, to survive in shadows. And yet, survival in silence is a constant reminder that our rights exist only on paper.
The tension between hope and hostility is a daily reality. Humanitarian organizations like UNHCR and NGOs such as ORAM and Rainbow Railroad provide critical interventions, but safe spaces are limited and often inaccessible. Even interpreters people meant to help us navigate the bureaucracy of aid can inadvertently “out” us, putting lives at risk. Attempts at advocacy, such as peaceful marches within camps, are met with hostility, detention, or social ostracism.
Malawi and Zambia offer a similar narrative, albeit in different hues. In Dzaleka Camp, Malawi, LGBTQI+ refugees live largely underground, avoiding clinics or services for fear of ridicule or exposure. Even when protections are formally recognized, they are often overridden by national laws or local social norms. In Zambia, settlements like Meheba and Mantapala host tens of thousands of refugees, but restrictive legal frameworks and growing public hostility force many queer individuals to remain silent, invisible, and isolated.
Silence carries a cost far beyond fear of immediate violence. It fosters isolation, anxiety, and depression. It limits access to justice, healthcare, and advocacy. When we cannot speak openly, misinformation and stigma flourish. The very systems meant to protect us in camps, NGOs, and legal frameworks often fail to bridge the gap between policy and practice.
Yet, even within these constraints, resilience thrives. I have witnessed extraordinary courage: small networks of LGBTQI+ refugees who create discreet support groups, online networks that allow us to share information safely, and local NGOs that quietly provide legal aid and mental health support. Technology, especially encrypted communication tools, has become our lifeline. Even if we cannot speak openly in our physical spaces, our voices travel through digital networks, connecting us with allies and advocacy channels across the globe.
I think of Musa, a bisexual refugee from the Democratic Republic of Congo, who once told me, “Even if we can’t speak loudly here, we can be heard somewhere.” Those words linger, reminding me that freedom of speech is not just about talking it is about being acknowledged, being safe, and being human.
International organizations are slowly recognizing these realities. UNHCR’s 2024 Global Appeal emphasizes the need for safe spaces, community outreach, and equitable access to protection for LGBTQI+ refugees. Yet, progress remains uneven. Governments and donors must move beyond statements to tangible actions: confidential reporting channels, SOGIESC-sensitive training for camp staff and interpreters, funding for refugee-led initiatives, and legal reforms that at least protect asylum seekers under international protection.
Writing this from Gorom Refugee Settlement in South Sudan, I reflect on the journey I have taken from Uganda’s shadows of persecution, through Kakuma’s labyrinth of fear, to this temporary space of relative safety. I still carry the echoes of enforced silence, the whispers of caution, and the weight of being invisible. But I also carry hope, solidarity, and the knowledge that even small acts of courage ripple outward.
I write not just for myself, but for every queer refugee silenced by fear, for every friend who cannot report an assault, who cannot access medical care, who cannot simply say, “I am here. I am human. I exist.” Freedom of speech is more than words; it is the right to live authentically and safely. Every whispered story, every cautious disclosure, is a testament to our humanity and our resilience.
I did not come to Kakuma, or to any camp, to be a hero. I came to survive. I came to live. And I continue to write in shadows, in whispers, and now, finally, in a voice that reaches beyond the walls of fear. One day, I hope, we will no longer have to whisper. We will be able to speak, freely, openly, and safely. Until then, every word I write is a small act of defiance, a claim to my right to exist, and a reminder to the world that legal protection means little without the freedom to claim it.
Abrina lives in the Gorom Refugee Camp in South Sudan.
South Africa
Transgender inmate sues South Africa prison officials
Nthabiseng Mokoena alleges mistreatment at Johannesburg Correctional Center
South Africa’s transgender community is eagerly anticipating a court ruling that could change their lives.
The Equality Court at the Gauteng High Court in Johannesburg on Sept. 12 reserved judgment for a case brought by Nthabiseng Mokoena, a trans woman who is an inmate at the Johannesburg Correctional Center (Sun City Prison) against the Department of Correctional Services and other officials.
According to Mokoena, who is being represented by Lawyers for Human Rights and others, the DCS commits systemic discrimination against trans inmates by refusing to recognize their gender identity and denying them basic gender-affirming rights.
Mokoena also argued the DCS has violated her rights by refusing her chosen name and pronouns, not allowing her to wear clothing and use cosmetics and toiletries that correspond with her gender expression, bullying her, and denying her gender-affirming healthcare.
“The transphobia within DCS’s senior management is undeniable,” said Mokoena. “There’s a clear difference in how heterosexual inmates are treated compared to members of the LGBTQI+ community. The LGBTQI+ community is often treated as less than human.”
Mokoena also said there is no recourse for her and other trans people when they are victimized; they are rather punished when they try to stand up for themselves.
“When we are hurt or attacked, no one speaks up or does anything to help,” said Mokoena. “Those who harm the LGBTQI community are never held responsible. What is worse, when we try to defend ourselves or speak out about the unfair treatment, we are the ones who get punished.”
Mokoena as a result wants the court to order the defendants to provide her with gender-affirming healthcare, assistance in legally changing her name and gender marker, and to be housed in a single cell or with other inmates who share her gender identity.
Letlhogonolo Mokgoroane, a nonbinary lawyer who represents Mokoena, said gender-affirming healthcare is recognized by medical professionals worldwide as essential healthcare.
“Gender-affirming care is not elective or optional, it is life-saving,” said Mokgoroane. “Denial of such care amounts to cruel and inhumane treatment, which is incompatible with the values enshrined in our constitution and international human rights standard. Trans rights are human rights.”
Access Chapter 2, a local LGBTQ organization which filed an amicus brief in support of Mokoena in the Equality Court, said it stands with her and all trans people who face systematic discrimination.
“Our submissions emphasized that gender-affirming healthcare is an essential component of primary healthcare, not an elective treatment. Denying access to gender-affirming healthcare violates the constitutional rights of transgender people to equality, dignity, and healthcare, especially those in detention facilities,” said Access Chapter 2.
Thabsie Mabezane, acting media and programs director at Lebo Basadi Foundation, an LGBTQ rights organization, said trans issues are complex and multifaceted and require a comprehensive approach that addresses legal discrimination, societal stigma, economic oppression, and healthcare access.
“Socially transitioning individuals who choose to live as their preferred gender without medical intervention, face unique challenges,” noted Mabezane. “They often lack access to essential services, including healthcare and social support, and may be excluded from projects aimed at uplifting LGBTQ+ individuals, hence the need to promote inclusivity, supporting advocacy efforts, and addressing the specific needs of transgender individuals.”
Even though South Africa has made strides in recognizing and advancing the rights of trans people, systematic and deeply-rooted transphobia in the country make it difficult for them to live openly and access gender-affirming health care.
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