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Out in the World: LGBTQ news from Europe and Asia

Liechtenstein lawmakers approved a marriage equality bill on May 15

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(Los Angeles Blade graphic)

ILGA-Europe

A Pride flag and an EU flag fly near ILGA-Europe’s Brussels offices (Photo courtesy of ILGA-Europe)

ILGA-Europe released its annual Rainbow Europe Map module ranking countries across the continent on the status of LGBTQ rights, revealing that many countries are falling behind as political pressure from far-right politicians grows.

The report was released May 15, just a day after the EU’s Fundamental Rights Agency released its own report detailing a shocking growth in violence experienced by LGBTQ people across member states over the past year.

“Across Europe, LGBTI people are being targeted by hate speech and violence and their human rights are being actively undermined, yet we still see too many countries across the region stalling in moving legal protection forward and not renewing their commitments through national strategies and action plans,” says ILGA-Europe Advocacy Director Katrin Hugendubel.

“This non-action is dangerous, as without proper legislation in place to protect minorities, including LGBTI people, it will be much too easy for newly elected governments to quickly undermine human rights and democracy.”

Once again, Malta held the lead in the country rankings, as it has for the past nine years, scoring 88 percent across ILGA-Europe’s categories of equality and nondiscrimination law, family recognition, hate crime and hate speech laws, legal gender recognition, intersex bodily integrity, civil society space, and asylum policies. 

Iceland jumped to second place with 83 percent after passing new laws banning conversion therapy and facilitating legal gender recognition. Belgium reached third place with 78 percent after banning conversion therapy.

At the other end of the spectrum, Russia (2 percent), Azerbaijan (2 percent), and Turkey (5 percent) hold the bottom rankings amid ongoing crackdowns on LGBTQ rights and expression in all three countries. Last year, Russia banned “the LGBT movement” as an “extremist organization.”

Several countries jumped up the rankings in this year’s report, including Greece and Estonia, which both legalized same-sex marriage. Liechtenstein collected points for extending adoption rights to same-sex couples, although it did not collect points for legalizing same-sex marriage, which happened the day after the report was released.

Germany, Bulgaria, Iceland, and Slovenia all collected points for passing legislation on hate crimes and hate speech, while Belgium, Cyprus, Iceland, Norway, and Portugal all collected points for banning conversion therapy. 

But the changes haven’t all been positive. Several countries tumbled down the rankings as progress stalled on LGBTQ rights. Montenegro, Finland, Spain, Sweden, and Slovenia all lost points because their governments failed to renew action plans to promote LGBTQ rights. The report also noted the looming threat of right-wing governments across Europe, including in Italy where the national government has restricted the recognition of same-sex parents, and in several countries which are eying restrictions on legal gender recognition and trans health care, including France, UK, Slovakia, and Croatia. 

The UK once occupied the top spot on ILGA-Europe’s rankings, but has fallen to 15th place as other countries press ahead on LGBTQ rights while the UK’s Conservative government has increasingly come under the sway of an anti-transgender moral panic.

LIECHTENSTEIN

Liechtenstein’s parliament in the capital city of Vaduz. (Photo courtesy of the Principality of Liechtenstein)

The Alpine microstate Liechtenstein saw its parliament give final approval to legalizing same-sex marriage in a near-unanimous vote on May 15.

By a vote of 24-1, parliament approved a series of bills that would amend marriage law to allow same-sex couples to marry in the country of about 30,000 people nestled between Switzerland and Austria. The only “no” vote came from an MP from the right-wing populist Democrats for Liechtenstein party.

The new law will come into effect on Jan 1, 2025, as long as it is not vetoed by the prince or challenged in a citizen-initiated referendum. The prince is not expected to veto the bill, as he has previously expressed support for same-sex marriage. 

Under the new law, no new civil unions will be registered, although same-sex couples already in same-sex unions will be allowed to continue their unions. 

Liechtenstein’s parliament had already amended the law to allow same-sex couples to adopt last year, following an order from the Constitutional Court. 

The tiny, conservative-leaning and mostly Catholic country has been slow to adopt LGBTQ rights. It lacks any legal protections from employment discrimination or anti-LGBTQ hate crimes. 

ILGA-Europe ranked Liechtenstein 33rd out of 48 states in Europe, with a score of 28 percent on its latest Rainbow Europe Map. This decision on marriage will likely see it rise somewhat in the rankings next year.

The Catholic Church has previously strongly rejected same-sex marriage. Last year, the country’s archbishop, Wolfgang Haas had called same-sex marriage a “diabolical attack against the Creator’s will to salvation,” and cancelled a planned service for opening of Parliament in protest of the law. Haas has since retired.

The decision makes Liechtenstein the last German-speaking country to legalize same-sex marriage.

In a state posted to its Facebook group, the Liechtenstein LGBTQ advocacy group FLay thanked the lawmakers and other supporters who helped get same-sex marriage legalized in the country. 

“We are looking forward to introducing marriage for all per 1 January 2025 and thank you to all who have fought for it,” the statement said.

Liechtenstein is the 22nd European country to introduce same-sex marriage, bringing the global total to 38 countries. A bill before the Thai Senate is expected to pass before the summer, which would make it the 39th.

GEORGIA

Screenshot from DW Germany’s live-stream YouTube coverage of massive protests in Tbilisi, Georgia, against actions taken by the country’s parliament this past week.

The government of the former Soviet republic of Georgia says it is close to finalizing a new law against so-called LGBTQ propaganda inspired by similar laws passed in Russia and Belarus in recent years, in what critics say is an attempt to maintain power by stoking divisions on a culturally sensitive issue.

The Georgian capital of Tbilisi has been rocked by protests for weeks as the ruling Georgian Dream party reintroduced a controversial “foreign agents” bill inspired by a similar Russian law, which requires any organization that receives funding from out of the country to register with the government as “organizations serving the interests of a foreign power.” 

Critics say the bill is intended to silence and discredit media and civil society that is critical of the government.

May 17 saw intense protests marked by anti-government and pro-European demonstrators marking the International Day Against Homophobia, Biphobia, and Transphobia while anti-LGBTQ protesters, including Prime Minister Irakli Kobakhidze and church leaders took to the streets to mark the government’s competing “Family Purity Day,” Reuters reported.

The party had first introduced the foreign agents bill last year, but withdrew it after months of protests and condemnation from EU countries. The government reintroduced the bill this spring, with some observers suggesting it’s an attempt to tip this October’s national elections in their favor. For weeks, protesters have attempted to halt passage of the law, but parliament gave it final approval May 14. It was vetoed by President Salome Zurabishvili on Saturday, but the government has enough votes in parliament to override the veto.

The proposed anti-LGBTQ law would amend article 30 of the Georgian Constitution to include a host of regulations restricting LGBTQ rights. It would ban recognition of same-sex relationships, ban adoption by gay people or same-sex couples, ban medical interventions to facilitate gender change, restrict recognition of gender to that of biological sex, and ban advocacy for recognition of same-sex couples or trans people.

To pass, the bill would require at least a 3/4 vote of parliament (113 votes), or a 2/3 vote (100 votes) in each of two successive parliaments. The government currently controls 84 of the 150 seats in parliament, but likely believes it can pull enough votes from the opposition to pass the constitutional law.

Critics have noted that both laws put Georgia’s application to join the EU in jeopardy as they clearly attack the fundamental rights at the heart of the union. But while the EU has been sharply critical of the foreign agents law, its criticism of the anti-LGBTQ law has been far more muted. 

Local activists say that the EU’s silence has been strategic, as any criticism would play into the hands of Georgian Dream, who claim that LGBTQ rights are a “pseudo-liberal ideology” advanced by a decadent West.

The timing of the bill is likely meant to further divide the opposition as protests mount against the foreign agents law. Georgian Dream has been sliding in the polls since it was returned to power in 2020, but still commands a plurality of support compared to the highly fractured opposition according to most polls. 

Georgian Dream politicians have deep ties to Russia, and have increasingly sided with Russia in international and cultural disputes, including by refusing to impose sanction against Russia for the invasion of Ukraine. The support is ironic, considering that Russian forces invaded Georgia in 2008 and continues to support two unrecognized breakaway republics that resulted from that war.

On May 17, U.S. Rep. Joe Wilson (R-S.C.) of the House Foreign Affairs Committee announced that he plans to introduce legislation to sanction Georgian leaders over their assault on democracy and introduce incentives for the government to reverse course.

ILGA-Europe ranked Georgia 36th out of 48 countries, with a score of just 25 percent on its most recent Rainbow Europe Map this week.

UNITED KINGDOM

10 Downing St. is Prime Minister Rishi Sunak’s official residence and office (Photo courtesy of the U.K. government)

The Conservative government of the UK has directed schools in England to ban discussion of gender identity in schools and restrict sex education for children under age nine, in an update to statutory guidance issued to schools that is currently under review.

Although the guidance has not yet been released or put into effect, LGBTQ activists and government critics are already comparing the guidance to the notorious Thatcher-era Section 28, which banned discussion of homosexuality in all schools across the UK from 1988 until it was repealed in England and Wales in 2003 and in Scotland in 2000. 

The UK has long been in the grip of an anti-trans moral panic, fostered by segments of the ruling Conservative Party that are hostile to trans people and influential British celebrities like “Harry Potter” creator JK Rowling who has long campaigned against trans people’s rights.

Last week, Prime Minister Rishi Sunak appeared on ITV’s daytime talk show “Loose Women,” where he complained that “gender ideology” was infiltrating UK schools. 

“Children were being exposed to lots of different things,” Sunak said. “You know, we’ve got lots of people talking to kids, they were talking about [how] you can have 72 different gender identities.”

There is no evidence that children in UK schools are being taught that there are 72 different gender identities or are being taught to engage in inappropriate behavior.

London Mayor Sadiq Khan, who was recently reelected to a third term, blasted the government’s new policy as being harmful to the children the government claims to want to protect.

“We’ve just got to be a bit aware when we have these conversations that we’re conscious about the impact that this has on trans young people,” he said.

“Many of these people — young people — learn about these things through social media. You know, the proliferation of porn, and also the proliferation of misogynists like Andrew Tate. If we’re delaying proper, responsible teaching until later on, I worry about who’s going to be rebutting some of the nonsense on social media.”

Education Secretary Gillian Keegan tried to mollify critics by claiming that the new policy will not restrict discussion of adults who have undergone gender reassignment. 

“Gender reassignment” is listed as protected characteristic under the 2010 Equality Act, but the act does not list “gender identity” or “gender expression” as protected characteristics. 

“Let me be clear on gender ideology in schools,” Keegan said on BBC Radio 4’s “Today.” “The thing that we’re trying to stop is not gender reassignment. Gender reassignment is something that is a protected characteristic — that adults are allowed to reassign their gender, there’s a process that they go through for that. That is a protected characteristic, and that can be taught.

Gender identity and ideology is something different, and this is part of probably similar campaign groups that have been building this set of materials and this ideology,” she said.

Jo Morgan, the chief executive of Engendering Change, an organization that provides sex education workshops in schools, disputed the idea that schools are teaching children to be trans.

“They are concerned that schools are becoming breeding grounds for transgenderism. There’s no evidence to support that. What we are doing as educators is saying, this is in the news, in social media, it’s everywhere — let’s unpack it together and look at what sources of information you are being exposed to, let’s talk about how this relates to the Equality Act,” Morgan told the Guardian.

ILGA-Europe ranked the UK 15th out of 48 countries with a score of just 52 percent on its most recent Rainbow Europe report, citing a lack of legal protections for trans people and outdated procedures for legal gender recognition.

TAIWAN

Taiwanese President Tsai Ing-Wen with Taiwanese drag queen Nymphia Wind, winner of season 16 of “RuPaul’s Drag Race.” (Screenshot/YouTube Livestream)

Outgoing Taiwanese President Tsai Ing-Wen hosted “RuPaul’s Drag Race” winner Nymphia Wind at a ceremony at her presidential office May 15, in a sign of the growing acceptance of LGBTQ people in the Asian island nation.

The Taiwanese-American performer Nymphia Wind was crowned the winner of season 16 of “RuPaul’s Drag Race” in an episode that aired April 19, taking home the crown and scepter and a cash prize of $200,000. She is the first person of East Asian descent to win the long-running reality competition series. American drag artist Raja, who is of Dutch-Indonesian ancestry, was the first “Drag Race” winner of Asian descent after taking the crown in season three.

Tsai had been quick to offer her congratulations to Wind, posting a message on Instagram just days after her victory. Less than a month later, Wind was in her office, where she performed a trio of songs in full drag — Lady Gaga’s “Marry the Night,” Taiwanese singer Huang Fei’s “Chase, Chase, Chase,” and Jolin Tsai’s gender equality hit “Womxnly,” which she performed with a quintet of backup dancers in drag.  

“I want to thank you for demonstrating your fearless beauty, standing up and breaking down barriers,” Tsai said to Wind after her performance, noting that her win “will bring courage to many young people in Taiwan, so they stay fearless and stay true to their hearts.”

Under Tsai’s leadership, Taiwan has become a bastion of liberal values, including progressive attitudes toward LGBTQ people. Among recent landmarks, Taiwan legalized same-sex marriage and adoption, and it banned conversion therapy, and the capital Taipei hosts East Asia’s largest Pride festival. 

“Thank you for your contributions to this country, so that I could grow up to be like this today,” Wind told Tsai after her performance. “Thank you for your eight years of dedication, becoming our Taiwan mother.”

Tsai stepped down May 20. Her successor, Vice President Lai Ching-te, last year became the most senior government official to march in Taipei’s Pride parade.

NEW ZEALAND

Wellington Regional Hospital (Photo courtesy of Tom Ackroyd/Wellington Regional Hospital)

Activists are calling for greater access to gender-affirming surgeries after the “New Zealand Medical Journal” published a report of a trans teenager who attempted a self-mastectomy at home and had to be treated at hospital.

The teenager, an 18-year-old high school student, had reportedly watched a “how to” video on YouTube and prepared instruments for the surgery himself. He went to the hospital hours into the surgery after he became concerned that he had damaged a nerve while attempting to remove his left breast. 

Surgeons at the hospital then removed both breasts, and he was discharged a day later. The report notes that the boy reported higher confidence and self-esteem at a post-operation interview a month later. The hospital’s mental health team assessed that he did not have a psychiatric disorder and was not suicidal, but that he had attempted the surgery as an act of desperation.

“Due to the long wait times of referral in the public healthcare system, an inability to afford a private consultation and the significant psychological stress of having breasts at an upcoming pool party he planned to complete a bilateral (double) self-mastectomy at home,” wrote the report’s authors, Wellington Regional Hospital doctors Mairarangi Haimona, Sue Hui Ong, and Scott Diamond.

Gender-affirming surgeries are covered by New Zealand’s healthcare system, but wait times for surgeries can be lengthy – 10 years or longer for “bottom surgery” by the only doctor in the country who performs it. 

Top surgery can be accessed in the parallel private system for around NZ $15,000 (approximately $9,200) and is generally not covered by private health insurance, putting it out of reach for many. 

Transgender people often need to self-advocate for care in the public health system, but with increasing demand and associated psychological and possible physical harm it’s crucial for public services to be more accessible to an under-served population,” the report’s authors concluded.

Self-surgery is an incredibly risky option for trans people — complications can range from scarring to infection to death. And the surgeries may not even work if the patient is taken to the hospital and patched up due to complications. 

Te Ahi Wi-Hongi, executive director of the advocacy group Gender Minorities Aotearoa, urges any trans person considering home surgery to avoid it and “hang in there.”

“It might seem right now it’s completely hopeless, but we went from a 40-year waiting list for genital reconstruction surgery to 10 years or less when in 2019 the government made changes [announcing $3 million funding for genital gender-affirming surgery],” Wi-Hongi told the New Zealand Herald.

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Colombia

Colombia anunció la inclusión de las categorías ‘trans’ y ‘no binario’ en los documentos de identidad

Registraduría Nacional anunció el cambio el 28 de noviembre

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(Foto via Bigstock)

OrgulloLGBT.co es el socio mediático del Washington Blade en Colombia. Esta nota salió en su sitio web.

Ahora los ciudadanos colombianos podrán seleccionar las categorías ‘trans’ y ‘no binario’ en los documentos de identidad del país.

Este viernes la Registraduría Nacional del Estado Civil anunció que añadió las categorías ‘no binario’ y ‘trans’ en los distintos documentos de identidad con el fin de garantizar los derechos de las personas con identidad diversa.

El registrador nacional, Hernán Penagos, informó que hizo la inclusión de estas dos categorías en los documentos de: registro civil, tarjeta de identidad y cédula de ciudadanía.

Según la registraduría: “La inclusión de estas categorías representa un importante avance en materia de garantía de derechos de las personas con identidad de género diversa”.

Estas categorías estarán en el campo de ‘sexo’ en el que están normalmente las clasificaciones de ‘femenino’ y ‘masculino’ en los documentos de identidad.

En 2024 se inició la ejecución de diferentes acciones orientadas implementar componentes “‘NB’ y ‘T’ en el campo ‘sexo’ de los registros civiles y los documentos de identidad”.

Las personas trans existen y su identidad de género es un aspecto fundamental de su humanidad, reconocido por la Corte Constitucional de Colombia en sentencias como T-236/2023 y T-188/2024, que protegen sus derechos a la identidad y no discriminación. La actualización de la Registraduría implementa estos fallos que ya habían ordenado esos cambios en documentos de identidad.

Por su parte, el registrador nacional, Penagos, comentó que: “se trata del cumplimiento de unas órdenes por parte de la Corte Constitucional y, en segundo lugar, de una iniciativa en la que la Registraduría ha estado absolutamente comprometida”. Y explicó que en cada “una de las estaciones integradas de servicio de las más de 1.200 oficinas que tiene la Registraduría Nacional se va a incluir todo este proceso”.

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Japan

Tokyo court upholds Japan’s same-sex marriage ban

Country is only G7 nation without legal recognition of same-sex couples

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(Bigstock photo)

The Tokyo High Court on Nov. 28 ruled the lack of marriage rights for same-sex couples in Japan is constitutional.

The Associated Press notes Judge Ayumi Higashi upheld the legal definition of a family in Japan as a man and a woman and their children. The court also dismissed the eight plaintiffs’ demand for 1 million yen ($6,406.85) in damages.

Hiromi Hatogai, one of the plaintiffs, told reporters after the court ruled that she is “so disappointed.”

“Rather than sorrow, I’m outraged and appalled by the decision,” said Hatogai, according to the AP. “Were the judges listening to us?”

Japan remains the only G7 country without legal recognition of same-sex couples, even though several courts in recent years have ruled in favor of it.

The Sapporo District Court in 2021 ruled the denial of marriage benefits to same-sex couples violates the constitution’s equality clause. The Nagoya District Court in 2023 issued a similar ruling. The Fukuoka District Court in a separate decision said Japan’s current legal framework is unconstitutional. The Tokyo High Court in 2024 came to the same conclusion.

The Washington Blade last month noted Prime Minister Sanae Takaichi, who is Japan’s first female head of government, opposes marriage equality and has reiterated the constitution’s assertion the family is an institution based around “the equal rights of husband and wife.”

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India

India’s Jharkhand state works to improve trans people’s access to health care

People for Change working with local officials to address disparities

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Jkarhkand State Health Minister Irfan Ansari, right, meets with local LGBTQ activists. (Courtesy photo)

The transgender community has been part of India’s social fabric for centuries, but decades of policy neglect pushed many into poverty and inadequate health care. 

The Supreme Court formally recognized trans people as a third gender in 2014, yet state-level services developed slowly. Telangana opened India’s first dedicated trans clinic, the Mitr Clinic, in 2021 with support from the U.S. Agency for International Development and Johns Hopkins University. Jharkhand State has now ordered all government hospitals and medical colleges to establish dedicated outpatient units for transgender patients.

People for Change, an LGBTQ organization, spent the past year mapping gaps in trans health care across Jharkhand. Its surveys of 100 trans residents in five districts found limited access to gender-affirming care, hormone therapy, dermatology, and mental-health services. The group followed this survey with a May 2025 consultation in Jamshedpur, an industrial town in Jharkhand, that brought together clinicians and community leaders to outline a feasible outpatient model. 

Those findings were presented to Health Minister Irfan Ansari in June, backed by input from allied organizations and more than 50 trans leaders. The process helped inform the state’s decision to introduce dedicated trans outpatient departments in all government hospitals and medical colleges.

People for Change, which played a central role in shaping the policy, noted that government hospitals in Jharkhand still face infrastructure and resource gaps. Even so, the group said the order reflects a clear policy commitment to creating dedicated trans health services.

If Jharkhand’s trans outpatient departments system functions as planned, it could become a regional model for states with comparable gaps in public health access. 

Government data from the 2011 Census — the latest official count to identify an “other” gender category — lists 13,463 trans residents in Jharkhand, alongside sizable populations in neighboring states: 40,827 in Bihar, 30,349 in West Bengal, 22,364 in Odisha, 18,489 in Chhattisgarh, and 137,465 in Uttar Pradesh. Though likely underreported, these figures underscore the scale of need across eastern and central India.

“The decision to start dedicated transgender OPDs (outpatient departments) is not just an administrative step — it is a statement of inclusion, a recognition that the transgender community deserves discrimination-free, dignified, and responsive healthcare. When the government takes such a deliberate step, it sets a tone for systemic change,” said Souvik Saha, founder of People for Change. “It creates an official entry point for transgender healthcare.”

“For the first time, transgender persons will have a recognized and respectful space within the public health system,” added Saha. “That itself is a major shift. It signals to doctors, nurses, and administrators that transgender health is a priority. This leads to sensitization, accountability, and the gradual improvement of attitudes within hospitals.”

Saha told the Washington Blade the policy is likely to trigger broader improvements, noting that once a service is formally notified, budget allocations, training, infrastructure, and staffing typically follow. He said the move could strengthen the system gradually, “step by step.”

“We are realistic: we know improvements won’t happen overnight. But we are also optimistic because the state has already shown genuine leadership and empathy by issuing this order,” said Saha. “And since Jharkhand is celebrating its 25th year of formation, this decision reflects the state’s intention to move towards greater equality and social justice.” 

“For the transgender community, this is not just a service — it is dignity. It is visibility. It is inclusion,” he added. “And with the government, civil society, and community working together, we believe this will lead to meaningful and lasting change in the years ahead.”

Saha told the Blade that the dedicated transgender outpatient will operate within existing government medical colleges and hospitals in Jharkhand and will be staffed by current medical and paramedical teams, with no separate funding required at this stage. He said the policy does not call for separate wards or beds, but for clearly designated outpatient spaces for trans patients. The service, he added, will be run by existing staff who will receive training and orientation as needed.

“At this moment, the specific operational details are still being discussed with the government of Jharkhand. However, what is clear is: the OPD will function as a dedicated space within the hospital, not limited to a specific day,” said Saha. “Transgender individuals will have access to focused, discrimination-free services through this dedicated space. The clinic will run through existing hospital systems, with linkages to psychiatry, dermatology, endocrinology, and other departments when required.”

“This structure allows the government to start services immediately without needing new construction, new staff positions, or separate budget lines,” he added. “It is a practical and efficient first step, making the service accessible while keeping the doors open for: future budget allocations, specialized staffing, expansions into gender-affirming services, and strengthened infrastructure. The government’s intent is very clear: to ensure dignified, equitable, and discrimination-free healthcare for the transgender community. This order is a strong beginning, and operational details will continue to evolve through collaborative discussions between the government, hospitals, and People for Change.”

Saha acknowledged that taboos, misinformation, and stereotypes about the trans community persist in Jharkhand and in many other states. However, Saha said there are encouraging models at which to look. 

He pointed to Kerala and Chhattisgarh, which have introduced sensitization programs and begun integrating trans-inclusive practices into their public health systems. These examples, he noted, show that when health departments invest in training and awareness, attitudes shift and services become more respectful and accessible.

“In Jharkhand, People for Change has proposed a similar approach. We have formally recommended to the government that civil surgeons, chief medical officer, doctors, nurses, and other hospital staff be trained on gender sensitization and transgender health challenges. This includes understanding gender identity, psychological needs, respectful communication, medical protocols, and ways to ensure discrimination-free services,” said Saha. “The encouraging part is that these proposals are already being discussed in detail with the government of Jharkhand. The government has shown strong intent through the issuance of the transgender OPD order, and training health professionals is naturally the next crucial step.”

Saha noted that it remains unclear whether trans people will be recruited into government health roles, saying it is too early to make any definitive statement. He explained that recruitment requires separate processes, policies, and approvals, and the current order does not address new staffing or the creation of government positions.

A recent performance audit by the Comptroller and Auditor General of India, the constitutional authority responsible for auditing government spending and administration, outlined severe human-resource and medicine shortages across Jharkhand’s public health system. 

Tabled in the state assembly in February, the report found that about 61 percent of sanctioned posts for medical officers and specialists were vacant, along with more than half of all staff-nurse positions and roughly four-fifths of paramedic posts. The audit also documented acute shortages of essential drugs in the hospitals it reviewed, with stock gaps ranging from 65 to 95 percent during the 2020-2022 period. The findings highlight the systemic constraints that the new trans outpatients will have to navigate.

Saha acknowledged that drug shortages remain a serious issue in government hospitals and said the concern is valid. Even so, he added that he is approaching the new outpatient policy with hope and confidence.

“The government of Jharkhand has made a historic and intentional decision by opening dedicated transgender OPDs,” said Saha. “When a government takes such a strong step of recognition and inclusion, it also shows the readiness to understand the specific health challenges and medication needs of the transgender community.” 

“As more transgender persons start coming to the OPDs and their health requirements become clearer through proper documentation and reporting, we are confident that the state will make every effort to ensure that essential medicines are available for them,” he added.

Saha said People for Change is also seeking support outside the public system. The organization has begun briefing civic service groups — including Lions Club, Rotary Club and Inner Wheel, international volunteer organizations that run local welfare and health projects — on the outpatient order and the community’s needs. According to Saha, several of these groups have indicated they may help trans patients with medicines and other essentials when prescribed by a doctor.

“So the effort is two-fold: the government is creating an inclusive health system and will be informed of the community’s specific medicinal needs through the OPDs. People for Change and partners are strengthening the safety net to ensure that transgender persons are never left unsupported,” said Saha. “We truly believe that this collaborative approach will ensure that transgender individuals receive the medication and care they deserve — with dignity, consistency, and compassion.”

“Every hospital may take a slightly different amount of time depending on internal readiness, but overall: The foundational work is already underway, Hospitals have started preparing their designated OPD spaces, And coordination is happening at the level of civil surgeons, medical superintendents, and hospital management teams,” he added.

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