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State Department releases 2022 human rights report

Conversion therapy, treatment of intersex people documented

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The State Department (Photo courtesy of the Library of Congress)

The State Department’s annual human rights report that was released on Monday details the prevalence of so-called conversion therapy and the treatment of intersex people around the world.

The report notes LGBTQ and intersex rights groups in Kenya have “reported an increase in so-called conversion therapy and ‘corrective rape’ practices, including forced marriages, exorcisms, physical violence, psychological violence, or detainment.” The report cites the Kenya National Commission on Human Rights that said “infants and children born with physical sex characteristics that did not align with either a typical male or female body were subjected to harmful medical practices for years in attempt to ‘normalize’ them.” 

A landmark law that extended legal protections to intersex Kenyans took effect last July.

The report notes “many reports of conversion attempts conducted or recommended by evangelical and Catholic churches” in Brazil, even though the country has banned conversion therapy. It also cites the case of Magomed Askhabov, a man from the Russian republic of Dagestan who “demanded a criminal case be opened” against a rehabilitation center in the city of Khasavyurt in which he and other residents “were physically abused and subjected to forced prayer as part of their ‘treatment’ for homosexuality.”

“There were reports police conducted involuntary physical exams of transgender or intersex persons,” notes the report. “The Association of Russian-speaking Intersex reported that medical specialists often pressured intersex persons (or their parents if they were underage) into having so-called normalization surgery without providing accurate information about the procedure or what being intersex meant.”

The report notes Afghan culture “insists on compulsory heterosexuality, which forced LGBTQI+ individuals to acquiesce to life-altering decisions made by family members or society.” The report also refers to LGBTQ and intersex activists in the Philippines who criticized former President Rodrigo Duterte after he “mockingly” endorsed conversion therapy and joked he had “cured” himself of homosexuality.

The report indicates “social, cultural and religious intolerance” in Kiribati “led to recurrent attempts to ‘convert’ LGBTQI+ individuals informally through family, religious, medical, educational, or other community pressures.”

Hungarian law “prohibits transgender or intersex individuals from changing their assigned sex/gender at birth on legal and identification documents and there is therefore no mechanism for legal gender recognition.” The report also cites statistics from the Háttér Society, a Hungarian LGBTQ and intersex rights group, that indicate one out of 10 LGBTQ and intersex Hungarians have “gone through some form of ‘conversion therapy.'”

The report notes then-British Prime Minister Boris Johnson’s government in April 2022 announced plans to ban conversion therapy based on sexual orientation in England and Wales. Activists sharply criticized the exclusion of transgender people from the proposal, and the British government later cancelled an LGBTQ and intersex rights conference after advocacy groups announced a boycott.

‘Human rights are universal’

Congress requires the State Department to release a human rights report each year. 

President Joe Biden last June signed a sweeping LGBTQ and intersex rights executive order. Secretary of State Antony Blinken at the beginning of this year’s report notes the mandate directed the State Department to “specifically include enhanced reporting on so-called conversion ‘therapy’ practices, which are forced or involuntary efforts to change a person’s sexual orientation, gender identity, or gender expression, as well as additional reporting on the performance of unnecessary surgeries on intersex persons.” 

“Human rights are universal,” Blinken told reporters on Monday as he discussed the report. “They aren’t defined by any one country, philosophy, or region. They apply to everyone, everywhere.”

The Biden-Harris administration in 2021 released a memorandum that committed the U.S. to promoting LGBTQ and intersex rights abroad.

The State Department released the report hours before U.S. Ambassador to the U.N. Linda Thomas-Greenfield hosted a meeting at the United Nations that focused on the integration of LGBTQ and intersex rights into the U.N. Security Council’s work.

Lawmakers in Uganda on Tuesday approved a bill that would further criminalize LGBTQ and intersex people in the country. Consensual same-sex sexual relations remain criminalized in dozens of other countries around the world.

Activists in Ukraine with whom the Washington Blade has spoken since Russia launched its war against the country in February 2022 have said LGBTQ and intersex people who lived in Russia-controlled areas feared Russian soldiers would target them because of their sexual orientation or gender identity. The report’s release also coincides with Republican efforts to curtail LGBTQ rights in states across the U.S.

Volunteers with the Parasol Patrol, a group that protects children and young people from protesters at drag queen story hours and other LGBTQ-specific events in the U.S., at a recent protest. (Photo by Jon Farina)

The report notes LGBTQ and intersex rights advances around the world in 2022.

Antigua and Barbuda, Barbados, St. Kitts and Nevis and Singapore decriminalized consensual same-sex sexual relations last year. 

The report notes Chile’s marriage equality law took effect on March 10, 2022, but lists violence against LGBTQ and intersex people as one of the “significant human rights issues” in the country. Switzerland, Slovenia and Cuba also extended marriage rights to same-sex couples in 2022.

Jaime Nazar, left, Javier Silva with their two children shortly after they married in Santiago, Chile, on March 10, 2022. (Washington Blade photo by Michael K. Lavers)

The report cites the case of Brenda Díaz, a trans Cuban woman with HIV who is serving a 14-year prison sentence because she participated in an anti-government protest in July 2021. The report also notes several LGBTQ and intersex journalists — including Nelson Álvarez Mairata and Jancel Moreno — left the country because of government harassment and threats. 

The Cuban government also blocked the websites of Tremenda Nota, the Blade’s media partner on the island, and other independent news outlets. 

The full report can be found here:

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State Department

FOIA lawsuit filed against State Department for PEPFAR records

Council for Global Equality, Physicians for Human Rights seeking data, documents

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HIV/AIDS activists place Black Styrofoam coffins in front of the State Department on April 17, 2025, to protest the Trump-Vance administration's foreign aid cuts that impacted PEPFAR-funded programs. The Council for Global Equality and Physicians for Human Rights have filed a FOIA lawsuit that seeks the State Department's PEPFAR-related documents and data. (Washington Blade photo by Michael Key)

The Council for Global Equality and Physicians for Human Rights have filed a Freedom of Information Act lawsuit against the State Department for PEPFAR-related data and documents.

The groups, which Democracy Forward represents, filed the lawsuit in U.S. District Court for the Southern District of New York on Wednesday.

Then-President George W. Bush in 2003 signed legislation that created PEPFAR. UNAIDS Executive Director Winnie Byanyima last March said PEPFAR has saved 26 million lives around the world.

The Trump-Vance administration in January 2025 froze nearly all U.S. foreign aid spending for at least 90 days. Secretary of State Marco Rubio later issued a waiver that allowed PEPFAR and other “life-saving humanitarian assistance” programs to continue to operate during the freeze.

The Washington Blade has previously reported PEPFAR-funded programs in Kenya and other African countries have been forced to suspend services and even shut down because of gaps in U.S. funding. HIV/AIDS activists have also sharply criticized the Trump-Vance administration over reported plans it will not fully fund PEPFAR in the current fiscal year.

The lawsuit notes the Council for Global Equality and Physicians for Human Rights have “filed several FOIA requests” with the State Department for PEPFAR-related data and documents. The groups filed their most recent request on Jan. 30.

“On Jan. 30, 2026, plaintiffs, through counsel, sent State a letter asking it to commit to prompt production of the requested records,” reads the lawsuit. “State responded that the request was being processed but did not commit to any timeline for production.”

“Plaintiffs have received no subsequent communication from State regarding this FOIA request,” it notes.

“Transparency and inclusion have been hallmarks of PEPFAR’s success in the last decade,” said Beirne Roose-Snyder, a senior policy fellow at the Council for Global Equality, in a press release that announced the lawsuit. “This unprecedented withholding of data, and concurrent ideological misdirection of foreign assistance to exclude LGBTQI+ people and others who need inclusive programming, has potentially devastating and asymmetrical impacts on already marginalized communities.”

“This data is vital to understanding who’s getting access to care and who’s being left behind,” added Roose-Snyder.

“We filed this lawsuit to seek transparency: the administration’s PEPFAR data blackout withholds information the public, health providers, and affected communities need to track the HIV epidemic and prevent avoidable illness and death, obscuring the true human cost of these policy decisions,” said Physicians for Human Rights Research, Legal, and Advocacy Director Payal Shah.

The State Department has yet to respond to the Blade’s request for comment on the lawsuit.

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Eswatini

PEPFAR delivers first doses of groundbreaking HIV prevention drug to two African countries

Lenacapavir now available in Eswatini and Zambia.

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World AIDS Day 2023 at the White House. PEPFAR has distributed the first doses of lenacapavir to the African countries of Eswatini and Zambia. (Washington Blade Photo by Michael Key)

The State Department on Tuesday announced PEPFAR has delivered the first doses of a groundbreaking HIV prevention drug to two African countries.

The lenacapavir doses arrived in Eswatini and Zambia.

The State Department in September unveiled an initiative with Gilead Sciences to bring lenacapavir “to market in high-burden HIV countries.”

Lenacapavir users inject the drug twice a year.

The State Department in its September announcement noted everyone who participated in Gilead’s clinical trials remained HIV negative. It also said lenacapavir “has the potential to be particularly helpful for pregnant and breastfeeding mothers, as it safely protects them during and after pregnancy to prevent mother-to-child transmission.”

“In our new America First Global Health Strategy, the Department of State is establishing a first-of-its-kind innovation fund to support American-led research, market-shaping, and other dynamic advancements in global health,” said PEPFAR on Tuesday in a press release.

“The arrivals of the first doses of lenacapavir in Eswatini and Zambia mark an important milestone in HIV prevention and reflect our commitment to supporting communities with the greatest need,” added Gilead CEO Daniel O’Day. “For the first time, a new HIV medicine is reaching communities in sub-Saharan Africa in the same year as its U.S. approval.”

The September announcement came against the backdrop of widespread criticism over the Trump-Vance administration’s reported plans to not fully fund PEPFAR and to cut domestic HIV/AIDS funding. The Washington Blade has previously reported PEPFAR-funded programs in Kenya and other African countries have been forced to curtail services or even close because of U.S. funding cuts.

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State Department

Vance swears in gay State Department official

Jacob Helberg is Under Secretary of State for Economic Growth, Energy, and the Environment

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Vice President JD Vance, right, swears in Jacob Helberg, left, as under secretary of state on Oct. 17, 2025, as his husband, Keith Rabois, center, looks on. (Photo courtesy of Helberg's LinkedIn page)

Vice President JD Vance on Oct. 17 swore in Under Secretary of State for Economic Growth, Energy, and the Environment Jacob Helberg.

Helberg stood alongside his husband, Keith Rabois, during the ceremony.

“An unforgettable moment being sworn in by Vice President Vance alongside my husband, Keith Rabois,” wrote Helberg in a LinkedIn post that included two photos of the swearing in ceremony. “VP Vance is a friend and a role model for a generation of patriots who look to the future with excitement and optimism while always putting America First.”

“Grateful to serve under President Trump and Secretary Rubio’s historic leadership, as we unleash America’s economic power — fueling growth, energy abundance, and technological leadership for a new American century,” added Helberg.

President Donald Trump before his inauguration announced he would nominate Helberg.

Treasury Secretary Scott Bessent and former U.S. Ambassador to Germany Richard Grenell, who Trump named as interim executive director of the Kennedy Center in D.C., are among the Trump-Vance administration’s openly gay members. Former State Department spokesperson Tammy Bruce, who Trump has nominated to become deputy representative at the U.N., describes herself as a “gay woman.”

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