Asia
Cloud-based platform seeks to improve health care for LGBTQ, intersex Indians
Borderless LGBT currently operates in Bengaluru
The COVID-19 pandemic wreaked havoc and forced India into a strict lockdown.
The Indian government, through the Union Health Ministry, says upwards of 530,677 people died from COVID-19, and the country administered 2,200,212,178 doses of vaccines. The pandemic, however, exposed the truth about discrimination based on gender identity in the country’s healthcare system.
India’s transgender community, in particular, had a difficult time accessing the vaccine.
The country’s LGBTQ and intersex community often faces discrimination and stigma in both traditional private and government-run healthcare facilities. To tackle this, Borderless LGBT, the world’s first cloud-based health and wellness medical service that specifically focuses on LGBTQ and intersex healthcare, has launched a cloud clinic in India.
The cloud-based platform allows global experts to collaborate with local doctors who are interested in LGBTQ and intersex medicine to provide care to LGBTQ and intersex patients either in the clinic or at home via immersive telemedicine.
Borderless Health Care Group, Borderless LGBT’s parent company, provides a wide range of healthcare and wellness solutions to patients globally that includes general health, women’s health, men’s health, chronic disease management and pet care. But the idea behind Borderless LGBT came from the sense that the LGBTQ and intersex community is the most underserved, and there was a need for a platform that provides healthcare and wellness services to the community without any judgment.
“The goal is to democratize LGBT healthcare knowledge and services via the implementation of (an) LGBT clinic-of-the-future and technology-enabled LGBT home health,” Lani Santiago, vice president of the Borderless Healthcare Group’s Chairman’s Office, told the Washington Blade. “We have doctors from the U.S., Europe, Australia, (Southeast) Asia, India, etc.”
COVID-19 — and associated lockdowns, loss of employment and loved ones, the sudden overflow of patients and isolation from friends and family — affected mental health in India. This trend, however, is not new for the LGBTQ and intersex community.
Community members in a largely conservative Indian society have faced mental health issues all their lives, and researchers around the world have said the LGBTQ and intersex people face more mental health issues than heterosexuals. The stigma and prejudice in society have a different impact on the community.
Borderless LGBT in India, among other things, is providing mental health services for the LGBTQ and intersex community. The cloud-based platform is also providing health services for HIV, STD, sexual wellness, chronic disease management and family planning for the LGBTQ and intersex community in India.
Borderless LGBT is currently providing health care services in Bengaluru, the capital of Karnataka state in southern India. But in an interview with the Blade, Santiago said that the company has planned to roll out the services in other key cities in the country.
Santiago said that the traditional medical services that general hospitals offer do not cater to the specific needs of the LGBTQ and intersex community. In addition, the inefficiency and inherent conflict of interest in the traditional medical fraternity will take a long time to serve them.
“Borderless LGBT aims to create a new online-to-offline delivery channel to provide LGBT community unparalleled access to the best-of-class LGBT health and wellness knowledge and services where local doctors interested in LGBT healthcare can have instant access to global experts to support the management of their LGBT patients,” said Santiago. “The traditional provision of services is usually dependent on the knowledge and experience of the local doctor which in India, LGBT healthcare is still at its infancy.”
A 2021 report from National AIDS Control Organization, a division of India’s Health and Family Welfare Ministry, notes 2.4 million people are living with HIV in the country.
Stigma, societal pressure, and shame have pushed gay men underground, and not many of them seek help regarding HIV and other sexually transmitted infections. Borderless LGBT and other innovative healthcare solutions can provide an opportunity for patients from the community to seek medical attention without facing discrimination, shame, or stigma with their privacy intact.
“Borderless LGBT is positioned to support the local doctors with the latest knowledge in LGBT healthcare via a new online-to-offline global ‘co-care’ model with global experts,” said Santiago. “Thus, bringing the best of proximal local care and the best of global matured LGBT healthcare knowledge to the LGBT community.”
Vinay Chandran, executive director of Swabhava, an NGO in India that supports the LGBTQ and intersex community with health and advocacy, told the Blade that a generation of LGBTQ and intersex people who have not benefitted from public health services might hopefully benefit from these cloud-based efforts.
One concern that Chandran has is how people outside of urban areas will access these services. Chandran, however, believes time will tell whether Borderless LGBT’s efforts to ensure adequate health care outreach will prove successful.
“LGBT+ people have had personal and historical encounters with healthcare that range from the ignorant to the violent,” he said. “It is to the credit of a huge number of activists and legal challenges that the National Medical Commission of India have required a rewriting of curriculum and contemplate disciplinary action for those practising conversion therapy. However, implementation fo such measures will take time. Meanwhile, if the working LGBT+ population can have access to such clinics, I’m sure it will benefit quite a few of them.”
Amrita Sarkar of Alliance India, another NGO that works to bolster care for Indians with HIV, echoed Chandran’s concerns about lack of access to cloud-based health care outside of urban areas. Sarkar during an interview with the Blade encouraged Borderless LGBT to work with local LGBTQ and intersex organizations to raise awareness of these platforms.
Ankush Kumar is a freelance reporter who has covered many stories for Washington and Los Angeles Blades from Iran, India and Singapore. He recently reported for the Daily Beast. He can be reached at [email protected]. He is on Twitter at @mohitkopinion.
Kazakh President Kassym-Jomart Tokayev on Tuesday signed a bill that will ban so-called LGBTQ propaganda in the country.
Members of Kazakhstan’s lower house of parliament last month unanimously approved the measure that would ban “‘LGBT propaganda’ online or in the media” with “fines for violators and up to 10 days in jail for repeat offenders.” The Kazakh Senate on Dec. 18 approved the bill.
Kazakhstan is a predominantly Muslim former Soviet republic in Central Asia that borders Russia, Turkmenistan, Uzbekistan, Kyrgyzstan, and China. Russia, Georgia, and Hungary are among the other countries with anti-LGBTQ propaganda laws.
India
Few transgender people benefit from India’s low-income housing program
Pradhan Mantri Awas Yojana launched in 2015
The Indian government on Dec. 15 informed parliament that only one transgender person in Jammu and Kashmir has been recorded as a beneficiary under the Pradhan Mantri Awas Yojana since the housing program was launched a decade ago.
PMAY is a federal government program aimed at expanding access to affordable housing for low- and middle-income households, including through credit-linked subsidies. The parliamentary disclosure indicates that trans beneficiaries have been virtually absent from the program’s records in the union territory, despite official guidelines listing trans people as a priority category.
In a written reply to a question in the upper house of parliament, known as the Rajya Sabha, the Housing and Urban Affairs Ministry said Jammu and Kashmir recorded zero trans beneficiaries under the program in each financial year from 2020–2021 through 2025–2026, with the cumulative total since inception remaining at one.
The Indian government launched the program on June 25, 2015, and the Housing and Urban Affairs Ministry implemented it.
The parliamentary reply came in response to a question on whether trans people are being included under the housing scheme and what steps have been taken to address barriers to access. The ministry said both PMAY and its successor, PMAY 2.0, are demand-driven programs, with responsibility for identifying and selecting beneficiaries resting with state and regional governments.
The ministry said the program lists trans people as a priority group, alongside widows, single women, people with disabilities, senior citizens, and other socially disadvantaged categories. It added that actual implementation depends on housing proposals and beneficiary lists submitted by state and regional governments.
According to figures the Indian government cited, a total of 809 trans beneficiaries have been recorded under PMAY and its successor, PMAY 2.0, since the programs were launched, with the vast majority concentrated in a small number of states. The southern state of Tamil Nadu accounts for 222 beneficiaries, followed by Andhra Pradesh with 186, and Odisha with 101. By contrast, several other states and federally administered regions, including Jammu and Kashmir, have reported either negligible or no coverage. India is administratively divided into 28 states and eight federally governed territories.
According to India’s 2011 national Census, Jammu and Kashmir recorded 4,137 trans residents. The same census counted 487,803 trans people nationwide, providing the most recent official population baseline for the community in India.
The ministry also said it has not conducted a specific survey to assess barriers faced by trans communities in accessing the scheme’s benefits. Instead, it said lessons from earlier implementation phases informed the design of the second phase of the program, launched on Sept. 1, 2024, which aims to support an additional 10 million urban beneficiaries over the next five years.
The parliamentary reply reveals an even more severe gap in Ladakh, India’s northernmost federally governed territory bordering China and Pakistan-administered areas and considered strategically critical to national security.
Official records show that Ladakh has not reported a single trans beneficiary under the housing scheme, either in recent years or cumulatively since the program began, with zero coverage recorded across all financial years listed in the Annexure. By comparison, Ladakh’s trans population stands at six, according to a written submission made to the High Court of Jammu and Kashmir in 2024.
Despite trans people being listed as a priority group in the scheme’s guidelines, the federal government said that as of November 2025 it had sanctioned more than 12.2 million homes nationwide under both versions of the program, with over 9.6 million homes completed and delivered. At the same time, data from Jammu and Kashmir, Ladakh, and several other regions show little to no recorded housing uptake by trans beneficiaries.
Speaking with the Washington Blade, Meera Parida, a trans activist, former member of the National Council for Transgender Persons in India’s eastern zone, and a former state advisor under the housing and urban development department, said the 2011 Census does not reflect the full size of India’s trans population, noting that public recognition and self-identification were far more limited at the time. She pointed to later government data collection efforts, including the National Portal for Transgender Persons that the Social Justice and Empowerment Ministry launched in 2020, as evidence that official counts have expanded beyond what was captured in the last Census.
“I am surprised that around the country only over 800 people benefited from the scheme, because most of the transgender population is from socially backward classes,” said Parida. “So they do not have a house and no family. Five years have passed since the NALSA judgment and the Transgender Protection Act; even after all these, if only over 800 transgender persons got home, that is a sad situation.”
Parida said that Prime Minister Narendra Modi has publicly positioned trans people’s welfare as a priority, but argued that the issue requires greater attention at the administrative level. She said the prime minister’s office should issue clear directions to all relevant departments to ensure trans people receive housing support and that implementation moves more quickly.
“There is still widespread discrimination and stigma against the community. Many transgender people are afraid to speak openly, which is why this issue continues to persist,” Parida said. “If stigma and discrimination are not addressed seriously, the marginalized community will remain invisible and reluctant to come forward. In that situation, the government will also be limited in what it can do. State governments should work with activists and community organizations to build accurate data. The government has decided to resume the Census in 2026, but the enumerators who go door to door must be sensitized to engage respectfully with the transgender community. The government should also improve awareness of housing schemes, because many people simply do not know they exist. A single-window system is needed.”
Malaysia
Malaysian police raids spark renewed concern among LGBTQ activists
202 people arrested at men-only venues in Kuala Lumpur on Nov. 28
In the weeks since a Nov. 28 police raid on men-only venues in Kuala Lumpur, queer activists in Malaysia say they have stepped up efforts to coordinate legal assistance for people detained under state Shariah laws.
Justice for Sisters, Pelangi, and other groups have been providing legal referrals, court monitoring, and emergency support following the arrests, as advocates warn that enforcement targeting LGBTQ communities has intensified.
In Malaysia, a Muslim-majority but multi-ethnic and multi-faith country, consensual same-sex sexual conduct is criminalized under both civil and Islamic law. The federal penal code bans “carnal intercourse against the order of nature,” a provision that applies nationwide, while state-level Shariah laws governing Muslims prohibit same-sex relations and gender nonconformity, including cross-dressing. Together, the dual-track legal system allows authorities to pursue LGBTQ people under parallel civil and religious statutes.
According to Justice for Sisters, 202 people — including venue owners, staff, and customers — were arrested and detained overnight. The organization in a statement said detainees were repeatedly denied access to legal counsel and communication with family members, and that their identities and images were exposed publicly — actions it said led to humiliation and, in some cases, job losses.
According to testimonies collected by Justice for Sisters and several other NGOs, detainees reported multiple procedural violations during the legal process. In a document the group published, detainees said they were not informed of the charges against them, were denied access to legal counsel, and phone communication for hours, and, in the case of foreign nationals, were not given access to embassies or translators. The document also described interrogations that included intrusive questions about sexual practices and orientation, as well as detention conditions in which detainees were repeatedly ordered to sit, stand, and recline without explanation and transported in overcrowded vehicles, with 30 to 40 people placed in trucks designed for far fewer passengers.
Detainees also reported being subjected to degrading treatment while in custody.
Accounts said detainees were denied access to toilets for extended periods and instructed to urinate into bottles, which were later thrown at them. Some detainees said officers suggested using rubber bands to restrict urination. Detainees also said authorities kept them awake overnight and repeatedly ordered them to sit upright or monitor others to prevent them from sleeping.
“We call on the Malaysian Human Rights Commission (SUHAKAM) and the Ministry of Health (KKM) to immediately launch an independent and unbiased assessment and investigation into the actions of the agencies involved during the raid, detention, and subsequent procedures, after the court rejected the remand extension request on Nov. 29, 2025,” Justice for Sisters said in a statement. “This raid has had a serious impact on public health. Many individuals reported heightened mental distress, including suicidal thoughts and severe psychological stress, affecting their ability to carry out daily activities such as eating, working, sleeping, and accessing medical treatment. When safe-sex tools such as condoms or pre-exposure prophylaxis are used to imply criminal activity, it directly undermines progress in the country’s public health response.”
Justice for Sisters also said law enforcement officers must conduct investigations professionally and fairly, while upholding the presumption that detainees are innocent until proven guilty. The organization in a statement said police must carry out their duties in a manner that preserves public trust and confidence in the justice system.
Rights groups say enforcement actions against LGBTQ gatherings in Malaysia have not been limited to the capital.
In June 2025, police in the northeastern state of Kelantan raided a private rented property described by authorities as a “gay party,” arresting 20 men, according to state police statements.
According to Reuters, Malaysian law enforcement authorities said they would review their procedures following the November raid. The report cited Kuala Lumpur Police Chief Fadil Marsus as saying that 171 Malaysian nationals were released from custody after authorities found no evidence to prosecute them.
The Washington Blade reached out to the Royal Malaysia Police for comment, but did not receive an immediate response.
“We do not want a situation where raids and arrests are carried out but, in the end, the evidence is inadmissible,” Marsus said, according to Reuters.
As of Dec. 1, all but one of the 37 foreign nationals detained in the raid had been released, with the remaining person held on an immigration-related matter, according to Reuters. Authorities have not publicly disclosed whether they remain in custody.
