Africa
Transgender South Africans urge government to do more to protect them
March 21 was Human Rights Day in the country
South Africa on March 21 marked its Human Rights Day, notably known as Sharpeville Day in Vereeniging to commemorate those who died in 1960 during the Apartheid regime as they fought for democracy.
Although South Africa is one of the most progressive countries in the world when it comes to the advancement of LGBTQ and intersex rights, many transgender people feel as though the government has not done enough to protect them.
One of the most pertinent issues about which trans people often complain is the lack of urgency around hormone therapy within the public health care system and the Department of Home Affairs’ lackadaisical approach when it comes to gender identity on their national identification cards.
Zade de Kock is a trans nonbinary person who has lived in South Africa since the beginning of 2019.
“I have learnt to understand that I don’t feel comfortable identifying with the gender that I was assigned at birth,” said de Kock. “This means that the gender marker on my birth certificate does not accurately define who I am. This is unfortunately the only document that inaccurately defines me, things like my bank card, passport, and any official website that may need my ID number immediately label me incorrectly. This causes major gender dysphoria which is detrimental to my mental health and it is something that cis-gender people could never fully grasp.”
“It’s undeniable that South Africa has been quite progressive compared to other countries when it comes to understanding the lives of the LGBTQ community but as our community grows so should the understanding of those around us,” added de Kock. “Transgender and nonbinary people of South Africa need to be understood and respected for the humans we are. We are members of every society and we are contributing to life and bliss just like everyone else. We demand to be seen, thus, we ask that we get recognized on official documentation.”
Iranti, an LGBTQ and intersex rights group, said it is now important to sit down with policy makers to ensure LGBTQ and intersex people are not left behind.
“Whilst we celebrate gains that affirm human rights, such as the National Assembly finally passing the Prevention and Combating of Hate Crimes and Hate Speech Bill, which aims to clamp down on various forms of hate speech in South Africa as well as … the Human Rights Commission’s recent Equality Court victory against racist and homophobic musician Steve Hofmeyr for his hateful, homophobic statements regarding LGBTIQ persons, we cannot ignore the ways in which the state continues to fail the LGBTIQ community,” Iranti Communications and Media Manager Nolwazi Tusini said.
“In South Africa, no express law exists for transgender and nonbinary persons to amend their gender markers on their identification documents, except for Act 49. Act 49 allows transgender persons, who have begun their medical transition, (hormonal or surgically) and intersex persons to change the sex descriptor on their identity documents, to reflect their gender identity. This law has been challenged by trans and intersex movements, who have applied for amendments with the DHA (Department of Home Affairs),” Tusini further noted. “The DHA has since promised that the soon to be published National Identification and Registration Bill of 2022 will finally resolve issues of legal gender recognition by removing gender markers from South African identity numbers. Iranti is looking forward to offering public comment to this bill and hopes that the passing of this bill will not be delayed for four years, as happened with the crucial Hate Crimes Bill.”
Tusini also complained about the manner in which intersex babies and children still undergo surgeries to make their sex characteristics fit the male or female binary.
“IGM (Intersex Genital Mutilation) still takes place in several hospitals in South Africa, under other names like corrective surgery, causing severe mental and physical pain and suffering as there is no current law that makes IGM unlawful in South Africa,” Tusini noted. “We need legal protection for intersex people, and we are requesting a sit-down discussion between ourselves and policy makers to put an end to this practice. There is no health risk to being intersex. Children should be allowed to decide for themselves what should happen to their bodies.”
“We reiterate our call for President Cyril Ramaphosa to explicitly commit dedicated State officials and State resources to ensure an end to discrimination and violence against LGBTQI people, as envisaged by our constitution,” Tusini added. “This is crucial in order to promote respect for basic human rights for all and restore and uphold human dignity in line with the Bill of Rights, as promised by the presidency in a recent press release.”
Daniel Itai is the Washington Blade’s Africa Correspondent.
Uganda
Ugandan activist named Charles F. Kettering Foundation fellow
Clare Byarugaba founded PFLAG-Uganda
The Charles F. Kettering Foundation has named a prominent Ugandan LGBTQ activist as one of its 2026 fellows.
Clare Byarugaba, founder of PFLAG-Uganda, is one of the foundation’s five 2026 Global Fellows.
Byarugaba, among other things, has been a vocal critic of Uganda’s Anti-Homosexuality Act. Byarugaba in 2024 met with Pope Francis — who criticized criminalization laws during his papacy — at the Vatican.
The foundation on its website says it “is dedicated to bringing research and people together to make the promise of democracy real for everyone, everywhere.”
“Clare is the kind of hero who rushes toward the emergency to help,” said PFLAG CEO Brian K. Bond in a Feb. 27 statement to the Washington Blade. “She founded PFLAG-Uganda as the country pushed to criminalize homosexuality and those who support LGBTQ+ people. Yet, she never hesitated in her courage, telling us that families wanted to organize to keep their LGBTQ+ loved ones safe, and PFLAG was the way to do it. Clare Byarugaba not only deserves this honor, but she will use her compassion and experience to teach the world about LGBTQ+ advocacy as a Kettering Global Fellow.”
Africa
LGBTQ groups question US health agreements with African countries
Community could face further exclusion, government-sanctioned discrimination
Some queer rights organizations have expressed concern that health agreements between the U.S. and more than a dozen African countries will open the door to further exclusion and government-sanctioned discrimination.
The Trump-Vance administration since December has signed five-year agreements with Kenya, Uganda, and other nations that are worth a total of $1.6 billion.
Kenyan and Ugandan advocacy groups note the U.S. funding shift from NGO-led to a government-to-government model poses serious risks to LGBTQ people and other vulnerable populations in accessing healthcare due to existing discrimination based on sexual orientation.
Uganda Minority Shelters Consortium, Let’s Walk Uganda, the Kenya Human Rights Commission, and the Center for Minority Rights and Strategic Litigation note the agreements’ silence on vulnerable populations in accessing health care threatens their safety, privacy, and confidentiality.
“Many LGBTQ persons previously accessed HIV prevention and treatment, sexual and reproductive health services, mental health support, and psychosocial care through specialized clinics supported by NGOs and partners such as USAID (the U.S. Agency for International Development) or PEPFAR,” Let’s Walk Uganda Executive Director Edward Mutebi told Washington Blade.
He noted such specialized clinics, including the Let’s Walk Medical Center, are trusted facilities for providing stigma-free services by health workers who are sensitized to queer issues.
“Under this new model that sidelines NGOs and Drop-in Centers (DICs), there is a high-risk of these populations being forced into public health facilities where stigma, discrimination, and fear of exposure are prevalent to discourage our community members from seeking care altogether, leading to late testing and treatment,” Mutebi said. “For LGBTQ persons already living under criminalization and heightened surveillance, the loss of community-based service delivery is not just an access issue; it is a full-blown safety issue.”
Uganda Minority Shelters Consortium Coordinator John Grace said it is “deeply troubling” for the Trump-Vance administration to sideline NGOs, which he maintains have been “critical lifelines” for marginalized communities through their specialized clinics funded by donors like the Global Fund and USAID.
USAID officially shut down on July 1, 2025, after the White House dismantled it.
Grace notes the government-to-government funding framework will impact clinics that specifically serve the LGBTQ community, noting their patients will have to turn to public systems that remain inaccessible or hostile to them.
“UMSC is concerned that the Ugandan government, under this new arrangement, may lack both the political will and institutional safeguards to equitably serve these populations,” Grace said. “Without civil society participation, there is a real danger of invisibility and neglect.”
Grace also said the absence of accountability mechanisms or civil society oversight in the U.S. agreement, which Uganda signed on Dec. 10, would increase state-led discrimination in allocating health resources.
Center for Minority Rights and Strategic Litigation Legal Manager Michael Kioko notes the U.S. agreement with Kenya, signed on Dec. 4, will help sustain the country’s health sector, but it has a non-binding provision that allows Washington to withdraw or withhold the funding at any time without legal consequences. He said it could affect key health institutions’ long-term planning for specialized facilities for targeted populations whose independent operations are at stake from NGOS the new agreement sidelines.
“The agreement does not provide any assurance that so-called non-core services, such as PrEP, PEP, condoms, lubricants, targeted HIV testing, and STI prevention will be funded, especially given the Trump administration’s known opposition to funding these services for key populations,” Kioko said.
He adds the agreement’s exclusionary structure could further impact NGO-run clinics for key populations that have already closed or scaled down due to loss of the U.S. funding last year, thus reversing hard-won gains in HIV prevention and treatment.
“The socio-political implications are also dire,” Kioko said. “The agreement could be weaponized to incite discrimination and other LGBTQ-related health issues by anti-LGBTQ voices in the parliament who had called for the re-authorization of the U.S. funding (PEPFAR) funding in 2024, as a political mileage in the campaign trail.”
Even as the agreement fails to safeguard specialized facilities for key populations, the Kenya Human Rights Commission states continued access to healthcare services in public facilities will depend on the government’s commitment to maintain confidentiality, stigma-sensitive care, and targeted outreach mechanisms.
“The agreement requires compliance with applicable U.S. laws and foreign assistance policies, including restrictions such as the Helms Amendment on abortion funding,” the Kenya Human Rights Commission said in response to the Blade. “More broadly, funded activities must align with U.S. executive policy directives in force at the time. In the current U.S. context, where executive actions have narrowed gender recognition and reduced certain transgender protections, there is a foreseeable risk that funding priorities may shift.”
Just seven days after Kenya and the U.S. signed the agreement, the country’s High Court on Dec. 11 suspended its implementation after two petitioners challenged its legality on grounds that it was negotiated in secrecy, lacks proper parliamentary approval, and violates Kenyans’ data privacy when their medical information is shared with America.
The agreement the U.S. and Uganda signed has not been challenged.
Senegal
A dozen Senegalese men arrested for ‘unnatural acts’
Popular journalist and musician among those taken into custody
Senegalese police have charged a dozen men with committing “unnatural acts.”
The New York Times reported Pape Cheikh Diallo, a popular television reporter, and Djiby Dramé, a musician, are among the men who authorities arrested. They appeared in court in Dakar, the Senegalese capital, on Monday.
Le Soleil, a Senegalese newspaper, reported authorities arrested the men on Feb. 6 “for intentional transmission of HIV, unnatural acts, criminal conspiracy, and endangering others.” The newspaper further notes the men have been placed in “pre-trial detention.”
Senegal is among the countries in which consensual same-sex sexual relations remain criminalized.
Police in Kaolack, a town that is roughly 135 miles southeast of Dakar, in 2015 arrested 11 people who allegedly engaged in same-sex sexual acts during “a celebration of a gay marriage.” The National Assembly in 2021 rejected a bill that would have further criminalized homosexuality in the country.
