A U.S. Agency for International Development funding freeze in January forced the closure of India’s Mitr Clinic, the country’s first transgender healthcare facility, disrupting critical services for a vulnerable population. 

Six months later, the clinic has reopened as Sabrang Clinic, reviving access to essential care for the transgender community.

Major Indian corporations, including some of the nation’s largest multinationals, stepped up with substantial financial support. Their backing has enabled Sabrang Clinic to resume its mission of delivering specialized, stigma-free medical services.

The former Mitr Clinic on May 2 reopened as the Sabrang Clinic. YR Gaitonde Center for AIDS Research and Education, an HIV/AIDS service organization, manages the facility.

The Sabrang Clinic sparked controversy in the U.S. when U.S. Sen. John Kennedy (R-La.) in February denounced its USAID funding, arguing that American taxpayer dollars should not support trans healthcare initiatives abroad. President Donald Trump amplified the criticism, labeling the agency’s spending on such programs as “wasteful” and aligning with his administration’s broader push to curb federal support for gender-affirming care. White House press secretary Karoline Leavitt further fueled the debate, citing the clinic’s funding as part of a pattern of USAID’s “radical” expenditures, while House Speaker Mike Johnson (R-La.) echoed the sentiment, decrying similar international projects as misaligned with American priorities.

Elon Musk, who until May led the Department of Government Efficiency, added to the controversy surrounding the clinic. 

“That’s what American tax dollars were funding,” he said in a Feb. 28 X post. 

His remark, made before his departure from the Trump-Vance administration, spotlighted the clinic’s USAID support, intensifying debates over its role in delivering trans healthcare in India.

The Washington Blade on Feb. 27 detailed how the USAID funding freeze crippled Mitr Clinic’s operations, spotlighting the broader fallout for South Asian LGBTQ organizations. 

The Blade noted the clinic, a vital resource for trans healthcare in India, faced abrupt closure alongside groups in Nepal, Bangladesh, and Pakistan, as the freeze slashed support for programs addressing HIV/AIDS, mental health, and gender-based violence, leaving thousands without access to essential services.

The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and USAID in 2021 launched Program ACCELERATE, spearheaded by the Johns Hopkins University School of Medicine, to establish Mitr Clinic in Hyderabad in Telangana State. As India’s first comprehensive healthcare center for the trans community, the facility offered tailored medical services, including HIV/AIDS treatment and mental health support, filling a critical gap in the region’s healthcare landscape.

Sabrang Clinic serves a critical role for India’s estimated one million trans people, a population facing a disproportionate HIV/AIDS burden. 

A 2019 Reuters report noted a 3.1 percent HIV prevalence among trans people, translating to roughly 31,000 individuals living with the virus, compared to the national adult rate of 0.26 percent. Similarly, a 2021 UNAIDS report cited a 3.8 percent prevalence, suggesting approximately 38,000 trans people with HIV/AIDS. 

Internal reports indicate the clinic since it opened in 2021 has served more than 3,000 patients. It has become a model of community-led care that fosters trust and addresses the unique health needs of trans people in Hyderabad.

When USAID funding cuts forced Sabrang Clinic’s closure, scores of people and LGBTQ community members in Hyderabad were left without access to reliable, stigma-free healthcare. Undaunted, the clinic’s trans-led team pivoted to virtual consultations and medication delivery, sustaining critical support for patients until corporate funding revived operations.

Tata Trusts, a philanthropic arm of India’s Tata conglomerate, in April pledged to fund the clinic for three years.

The Hindu, a leading Indian English-language newspaper, reported the trust committed approximately $18 per person a year to sustain the clinic’s operations. This contrasts with the earlier USAID program, which had provided about $23 per person each year.

Tata Trusts covers the salaries of Sabrang Clinic’s core medical staff, while its leadership positions are jointly funded by Tata and the clinic’s parent organization. The clinic is now pursuing partnerships with additional donors to expand its trans-focused healthcare services.

“We are elated to continue this service, as we have always believed that sexual minorities deserve respect and their right to self-expression,” said YRGCARE Chief Operating Officer A.K. Srikrishnan. “That’s why we launched Mitr Clinic under Project ACCELERATE in 2021, and it operated until January 2025. The Trump administration’s USAID funding withdrawal forced a shutdown, but we have no comment on that. Fortunately, with great vigor, we secured support from Tata Trusts to sustain Sabrang Clinic. The name change to Sabrang, also called ‘Help for All,’ was simply to reposition the brand, with no deeper logic attached.”

Srikrishnan told the Blade that YRGCARE will aim to raise additional crowdfunding and support if the current funding proves insufficient to maintain the same level of services at the clinic. Srikrishnan also thanked Tata Trusts for its support.

“We want to expand it throughout the country given the choice,” said Srikrishnan. “If someone were to tell us, ‘Can you run it across the country?’ we would certainly love to do it.” 

“Sexual minorities are a reality, and however much someone wishes them away, they exist and need to exist with the respect and rights they deserve,” added Srikrishnan. “We do not differentiate between local and foreign contributions; when we needed it most, Tata Trusts stepped in and helped. So we are certainly grateful to them.”

The International Criminal Court on Tuesday issued arrest warrants for two top Taliban officials accused of targeting LGBTQ people, women, and others who defy the group’s strict gender norms.

The warrants are for Hibatullah Akhundzada, the Taliban’s supreme leader, and Afghanistan Chief Justice Abdul Hakim Haqqani.

“Based on evidence presented by the Office (of the Prosecutor), the judges found that there are reasonable grounds to believe that they have committed — by ordering, inducing, or soliciting — the crime against humanity of persecution, under article 7(1)(h) of the Rome Statute, on gender grounds, against girls, women, and other persons non-conforming with the Taliban’s policy on gender, gender identity or expression; and on political grounds against persons perceived as ‘allies of girls and women,’” reads an ICC press release that announced the warrants.

Karim Khan, the ICC’s chief prosecutor, in January announced a request for warrants against Taliban officials over their treatment of women and other groups since they regained control of Afghanistan in 2021. The request marked the first time the court specifically named LGBTQ people as victims in a gender persecution case before it.

“The issuance of the first arrest warrants in the situation in Afghanistan is an important vindication and acknowledgement of the rights of Afghan women and girls,” reads the press release the ICC released on Tuesday. “It also recognizes the rights and lived experiences of persons whom the Taliban perceived as not conforming with their ideological expectations of gender identity or expression, such as members of the LGBTQI+ community, and persons whom the Taliban perceived as allies of girls and women.” 

A report that Outright International released in 2023 notes Taliban officials have systematically targeted LGBTQ people — especially gay men and transgender women.

Taliban officials have subjected them to physical and sexual assault as well as arbitrary detention. The Outright International report also notes Taliban authorities have carried out public floggings for alleged same-sex sexual relations, and have collected intelligence on LGBTQ activists and community members.

Artemis Akbary, executive director of the Afghanistan LGBTIQ Organization, praised the ICC.

“Today is a historic moment for LGBTIQ victims and survivors,” he said on social media.

View this post on Instagram

A post shared by ALO: Afghan LGBTIQ Organization (@afghanlgbt)

On China’s Weibo, a platform akin to a digital town square, a young woman using the handle Pingping Anan Yongfu laid bare a harrowing ordeal. She was arrested and subjected to a humiliating strip search for publishing gay erotic fiction. Her raw and unsparing account exposed a broader clampdown. 

Since February, at least 30 other writers — mostly women in their 20s — have shared similar stories of law enforcement raids, their lives upended for crafting “danmei,” a genre of male-male romance often laced with explicit themes, on Haitang Literature City and other platforms.

”I will never forget it — being escorted to the car in full view,” posted Pingping. “Enduring the humiliation of stripping naked for examination in front of strangers, putting on a vest for photos, sitting in the chair, shaking with fear, my heart pounding.”

A wave of legal limbo engulfs the writers, with many released on bail or awaiting trial, their fates uncertain, according to a BBC. Others remain behind bars, their detention a stark reminder of the crackdown’s reach.

Beyond those arrested, a broader net has been cast: scores of contributors to Haitang Literature City have been hauled in for interrogations, their online words now a potential liability under China’s pornography laws for producing and distributing obscene materials. 

China’s pornography laws cast a long shadow over writers, with those profiting from their work facing prison terms exceeding a decade for crafting “explicit descriptions of gay sex or other sexual perversions.” Yet, heterosexual erotica often escapes such scrutiny, slipping through the cracks of enforcement. Nobel Laureate Mo Yan, whose novels brim with graphic sexual scenes, and Jia Pingwa, known for vivid depictions in works like “Abandoned Capital,” and other acclaimed writers continue to publish freely, their books lining shelves without fear of raids. This stark disparity underscores a selective crackdown, where gay erotica bears the brunt of official censure.

Beijing’s unease with the online outcry was palpable, as the trending hashtag #HaitangAuthorsArrested, which amassed more than 30 million views on Weibo, vanished abruptly under censorship’s heavy hand. Posts offering legal advice to the embattled writers were scrubbed, and a detailed report on the crackdown by Caixin, a leading Chinese news outlet, was swiftly taken offline. Writers’ accounts, including some of their pseudonymous handles, have also begun to disappear, erased from the digital landscape as authorities tighten their grip.

As her post ricocheted across China’s digital sphere, Pingping abruptly deleted it, replacing it with a brief message expressing gratitude to supporters while conceding she had broken the law. The admission, tinged with resignation, marked her final act on Weibo before she erased her account entirely, vanishing from the platform amid mounting pressure from authorities.

“Danmei,” a vibrant subgenre of Chinese fiction, centers on romantic and often sexually explicit relationships between men, captivating a largely female readership through its blend of emotional depth, fantasy, and forbidden desire. Rooted in Japanese “yaoi” or “boys’ love,” but distinctly shaped by Chinese cultural sensibilities, it flourishes on Haitang Literature City and JJWXC and other platforms where writers craft sprawling tales of historical, fantastical, or modern love that often laced with themes of power and sacrifice. 

Despite its popularity — bolstered by blockbuster adaptations like “The Untamed,” which amassed millions of fans — “danmei” faces intense scrutiny in China, where authorities deem its explicit content “obscene” under vague pornography laws. This tension reflects a broader cultural clash: while “danmei” offers a space for exploring queer identities and challenging traditional gender norms, its underground allure draws both devoted fans and the wary eye of censors seeking to uphold conservative values.

A sweeping crackdown in late 2024 saw Chinese authorities prosecute roughly 50 “danmei” writers, ensnaring them in a legal dragnet under the country’s 2004 obscenity laws. Among them, Yuan Shang Bai Yun Jian, a prominent author who earned 1.85 million yuan ($250,874.58) from her work on Haitang Literature City, was sentenced to nearly five years in prison, her success weaponized as evidence of “obscene materials for profit.” 

The harsh penalties, which outstrip those for some violent crimes, sparked outrage online, with netizens decrying the disproportionate punishment for crafting stories that, while explicit, harmed no one.

Chinese media regulator banned ‘danmei’ TV dramas in 2022 

Humiliation washed over Pingping as law enforcement stormed into her college classroom, recounted a writer using the Weibo handle “Tianxia Ju Da Bingyuan” or “The World Is a Vast Asylum.” Dragged from her lecture under the stunned gazes of her peers, she endured a public spectacle as officers trailed her to her dormitory, rifling through her belongings in a search for evidence of her “danmei” stories, leaving her exposed and her privacy shattered.

“Danmei” novels, centered on male-male romance have spurred numerous Chinese television dramas, but state censorship has sharply reduced their output. A 2021 Sixth Tone report identified more than 60 “danmei”-based dramas in development or slated for release, involving actors who include Chen Feiyu and Fan Chengcheng. Many of them, however, were halted following the 2022 National Radio and Television Administration ban on such adaptations. 

MyDramaList records 16 aired series, including “The Untamed” (2019) and “Word of Honor” (2021), each with 30–50 actors, totaling approximately 480–800 performers. Lead actors, including Xiao Zhan and Wang Yibo, earned $1–3 million per series, per The China Project, while others made $50,000–$100,000, though precise figures remain limited due to private contracts. The 2021 “Internet Clean-up Campaign” and continued restrictions have significantly curbed new “danmei” adaptations.