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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

Democracy Forward files FOIA request for State Department bathroom policy records

April 20 memo outlined anti-transgender rule

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(Photo courtesy of the Library of Congress)

Democracy Forward on Tuesday filed a Freedom of Information Act request for records on the State Department’s new bathroom policy.

A memo titled “Updates Regarding Biological Sex and Intimate Spaces, Including Restrooms” that the State Department issued on April 20 notes employees can no longer use bathrooms that correspond with their gender identity.

“The administration affirms that there are two sexes — male and female — and that federal facilities should operate on this objective and longstanding basis to ensure consistency, privacy, and safety in shared spaces,” State Department spokesperson Tommy Piggot told the Daily Signal, a conservative news website that first reported on the memo. “In line with President Trump’s executive order this provides clear, uniform guidance to the department by grounding policy in biological sex as determined at birth.”

President Donald Trump shortly after he took office in January 2025 issued an executive order that directed the federal government to only recognize two genders: male and female. The sweeping directive also ordered federal government agencies to “effectuate this policy by taking appropriate action to ensure that intimate spaces designated for women, girls, or females (or for men, boys, or males) are designated by sex and not identity.”

Democracy Forward’s FOIA request that the Washington Blade exclusively obtained on Tuesday is specifically seeking a copy of the memo that details the State Department’s new bathroom policy. Democracy Forward has also requested “all” memo-specific communications between the State Department’s Bureau of Global Public Affairs and the Daily Signal from April 1-21.

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State Department implements anti-trans bathroom policy

Memo notes directive corresponds with White House executive order

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(Photo courtesy of the Library of Congress)

The State Department on April 20 announced employees cannot use bathrooms that correspond with their gender identity.

The Daily Signal, a conservative news website, reported the State Department announced the new policy in a memo titled “Updates Regarding Biological Sex and Intimate Spaces, Including Restrooms.”

The State Department has not responded to the Washington Blade’s request for comment on the directive.

“The administration affirms that there are two sexes — male and female — and that federal facilities should operate on this objective and longstanding basis to ensure consistency, privacy, and safety in shared spaces,” State Department spokesperson Tommy Piggot told the Daily Signal. “In line with President Trump’s executive order this provides clear, uniform guidance to the department by grounding policy in biological sex as determined at birth.”

President Donald Trump shortly after he took office in January 2025 issued an executive order that directed the federal government to only recognize two genders: male and female. The sweeping directive also ordered federal government agencies to “effectuate this policy by taking appropriate action to ensure that intimate spaces designated for women, girls, or females (or for men, boys, or males) are designated by sex and not identity.”

The Daily Signal notes the new State Department policy “does not prohibit single-occupancy restrooms.”

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Report: US to withhold HIV aid to Zambia unless mineral access expanded

New York Times obtained Secretary of State Marco Rubio memo

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(Image by rusak/Bigstock)

The State Department is reportedly considering withholding assistance for Zambians with HIV unless the country’s government allows the U.S. to access more of its minerals.

The New York Times on Monday reported Secretary of State Marco Rubio in a memo to State Department’s Bureau of African Affairs staffers wrote the U.S. “will only secure our priorities by demonstrating willingness to publicly take support away from Zambia on a massive scale.” The newspaper said it obtained a copy of the letter.

Zambia is a country in southern Africa that borders Tanzania, Malawi, Mozambique, Zimbabwe, Botswana, Namibia, Angola, and the Democratic Republic of Congo.

The Times notes upwards of 1.3 million Zambians receive daily HIV medications through PEPFAR. The newspaper reported Rubio in his memo said the Trump-Vance administration could “significantly cut assistance” as soon as May.

“Reports of (the) State Department withholding lifesaving HIV treatment in return for mining concessions in Zambia does not make us safer, stronger, or more prosperous,” said U.S. Sen. Jeanne Shaheen (D-N.H.), the ranking member of the Senate Foreign Relations Committee, on Tuesday. “Monetizing innocent people’s lives further undermines U.S. global leadership and is just plain wrong.”

The Washington Blade has reached out to the State Department for comment.

Zambia received breakthrough HIV prevention drug through PEPFAR

Rubio on Jan. 28, 2025, issued a waiver that allowed PEPFAR and other “life-saving humanitarian assistance” programs to continue to operate during a freeze on nearly all U.S. foreign aid spending. HIV/AIDS service providers around the world with whom the Blade has spoken say PEPFAR cuts and the loss of funding from the U.S. Agency for International Development, which officially closed on July 1, 2025, has severely impacted their work.

The State Department last September announced PEPFAR will distribute lenacapavir in countries with high prevalence rates. Zambia two months later received the first doses of the breakthrough HIV prevention drug.

Kenya and Uganda are among the African countries have signed health agreements with the U.S. since the Trump-Vance administration took office.

The Times notes the countries that signed these agreements pledged to increase health spending. The Blade last month reported LGBTQ rights groups have questioned whether these agreements will lead to further exclusion and government-sanctioned discrimination based on sexual orientation and gender identity.

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