Africa
Report details conversion therapy impact on LGBTQ South Africans
Country’s lawmakers urged to ban discredited practice
So-called conversion therapy is something which is still widely practiced across South Africa, impacting the well-being of the LGBTQ community in the process.
Families, schools, religious sects and peer groups over the years have been used to try and convert those that identify as part of the LGBTQ community to conform to the heterosexual narrative which is promoted as “homogeneous.” Access-Chapter 2, a South African NGO, in a recent study found conversion therapy is proving to be more harmful towards the society and it could pose serious repercussions in the future if nothing is done to address it.
“The LGBTQIA+ community has historically been a site of erasure, silencing and marginalization in many of our communities. This erasure has been normalized over the history of civilization, particularly in the context of Africa, where most countries still criminalize same-sex desiring. Through this study we see a problematic trajectory regarding this erasure even in contemporary South African societies,” reads the study.
The study notes 50 percent respondents “have reported to have been forced to convert by their families, while 43 percent (of respondents) had a session with a religious representative or institution as intervention by parents, families, or communities.”
“Despite the visible efforts to call out the practices of conversion by LGBTQIA+ pressure groups, these practices are still prevalent. The impact is even more detrimental, with most of our participants directly having experienced discrimination, prejudice, homophobia, transphobia or stigma in the hands of their families, churches, psychosocial service providers, schools, and the rest of the community,” it reads.
A total of 303 respondents participated in an online survey, and the study’s findings were shared with a variety of LGBTQ civil society organizations and on social media platforms.
The respondents came from nine provinces: 149 from Gauteng, nine from Mpumalanga, 36 from Free State, 24 from North-West, two from Northern Cape, seven from KwaZulu-Natal, 42 from Eastern Cape, 28 from Western Cape and 14 from Limpopo. Seven respondents identified themselves as White, while five identified as Colored and 209 identified as Black African.
A total of 144 respondents identified as lesbian, while 91 described themselves as gay. Twenty-five respondents identified themselves as bisexual and 31 said they are heterosexual. 183 respondents described themselves as Christian, while 74 said they practice a traditional African religion. Forty respondents said they do not associate with any religion, while one said they are Hindu and one described themselves as Muslim.
“Parents are the main perpetrators of conversion practices and initiators of external sources to fix individuals whose sexual orientation does not align with heterosexuality,” notes the study. “Parents maintain that same-sex sexual and romantic desires is not inborn and therefore engage in efforts to change their child’s sexual orientation or gender identity. Some seek professional therapies or religious interventions for a child’s same-sex sexual orientation or non-heterosexual gender identity while other consider traditional remedies. The study raised distinct ethical concerns concerning appropriate consent because parents and authority figures would exert pressure over minors.”
“Despite parental reliance of religion to fix the non-normative sexual orientation and gender expressions, churches outside the request of the family continue to police gender expressions. Participants reported that they were constantly harassed because of the manner of dressing, expression of identity and attractions that did not align with their gender assigned at birth,” it adds. “They could not be open about their romantic partners and LGBTQIA+ friendships. Community members from the same religious organizations would report members who are seen with LGBTQIA+ individuals, and their religious and spiritual standing would instantly be questioned. Participants who pointed out that they had a particular spiritual gift be it singing in the worship team, praying for others or an usher was recalled from such positions as their lifestyles were deemed demonic.”
The study further notes many respondents experienced “engagement with professional psychological services that subjected them to conversion practices.”
“Those who were subjected to psychological services were forced by parents to attend. They reported that parents claimed that it was normal to experience a phase of confusion about sexual orientation and non-normative gender identity and that therapy could help. Participants also reported how therapist appeared to be under pressure to have them fixed as these services are costly. Those who attended therapeutic interventions were subjected to the confusion narrative and at one stage were desperate to be healed from it,” it says. “Families also sought help from traditional healers.”
The study’s respondents reported “they had to be immersed in rivers and dams to be cleansed while others were fed with potions that would enable the release of the demonic spirit.”
“The traditional practices would continue at home with frequent follow up consultations at traditional practitioners,” it says. “While participants were aware that the focus was to heal them from their abnormal sexual orientation, they were not always aware of what substances they were given. Participants were also subjected to violence such as beatings and slaps while undergoing healing processes with traditional healers. They reported that they were put under spells and were not fully aware of all things they were subjected to.”
“Participants, particularly lesbian-identifying individuals, also reported how they live in fear as they are continuously subjected to threats of rape and even killings. As a result, many Lesbian couples cannot embrace their true self and cannot openly and in a safe way express public affection. Participants mentioned the common practice and spades of LGBTQIA+ murders in South Africa and how it forces them to live a hidden lifestyle.”
The study, which is a notable breakthrough in the research for conceptualizing conversion therapy in the context of South Africa and also the first official evidence of the harmfulness of conversion practices across the country, further highlighted on the impact of the conversion therapies, recommendations and on how to avert the despicable acts.
“Participants in this study showed that there are various psychosocial effects on LGBTQIA+ people who were subjected to conversion practices. Social factors such as discrimination, prejudice, homophobia, transphobia and stigma can create hostile and stressful social environments for LGBTQIA+ people,” it notes. “It left individuals experiencing social rejection and feeling forced to hide their identity. In some instances, individuals also adopted unhealthy coping processes and their mental health negatively impacted. Some of the impacts of conversion practices on mental health include depression, social anxiety, substance abuse, thoughts and attempts of suicide, an altered body image as well as other mental health issues. Individuals also experienced shame, guilt, hopelessness, helplessness, increased self-hatred and social withdrawal. Conversion practices are also known too often lead to severe emotional damage.
Participants who experienced conversion while at school mentioned that learning was affected to the point that some dropped out of school. Others indicated risky behaviors such as unprotected sex to develop a sense of belonging while some indulged in excessive alcohol drinking. These experiences left participants vulnerable even in their young adult developments.”
The study also found those who undergo conversion therapy are at higher risk of depression and anxiety and are more likely to die by suicide.
“This study could not identify a single participant that could confirm that conversion therapy has been effective,” it reads.
The study further notes that despite the fact South Africa has “one of the most progressive Constitutions and LGBTQIA+-inclusive legislation in the world, the social reality depicts the complete opposite.”
“Religious, cultural, professional and social scripts still uphold, produce and perpetuate compulsory heteronormativity hence, conversion practices could pass as normal and acceptable in all domains,” it reads. “Conversion practices emanates directly from privileging heterosexuality as the norm and natural. All other forms of expression are deemed unacceptable, sinful and un-African. This is despite the Constitution that affirms and protects diverse sexual orientations, sex and gender expressions.”
“We therefore, call on legislation that would place an urgent ban on conversion practices in the South African context,” said Access-Chapter 2. “Professional institutions such as the medical and psychological fraternity should be educated about the damaging effects of conversion practices. This form of education should form part of in-service and pre-service training. All civil society organizations should be empowered to support individuals who have been subjected to conversion practices. Supported services for recipients of conversion practices should be widely published to create awareness of interventions, care and support.”
Daniel Itai is the Washington Blade’s Africa Correspondent.
Ghana
Ghanaian lawmakers approve anti-LGBTQ bill
Measure that would criminalize allyship awaits president’s signature
Ghanaian lawmakers on Friday approved a bill that would, among other things, criminalize LGBTQ allyship.
Reuters reported MPs approved the Human Sexual Rights and Family Values Bill, 2025, in a voice vote after parliament’s Constitutional and Legal Affairs Committee backed it.
MPs in 2024 approved a similar bill, but it faced legal challenges and then-President Nana Akufo-Addo didn’t sign it. Lawmakers last year reintroduced the measure after President John Dramani Mahama took office.
The bill awaits his signature.
Rightify Ghana, a Ghanaian LGBTQ advocacy group, in a series of social media posts notes MPs passed the bill days before the 4th African Inter-Parliamentary Conference on Family Values and Sovereignty will take place in Accra, the country’s capital.
Kenya
Kenyan High Court issues landmark transgender rights ruling
Government ordered to allow trans people to amend ID documents
Kenya’s High Court has ruled the country’s government cannot refuse requests to amend gender markers on birth certificates and other ID documents.
Audrey Mbugua, a prominent transgender activist, and two other people in 2020 sued Attorney General Dorcas Oduor, the Registrar of Births and Deaths, the National Registration Bureau, and Immigration Services Director General Evelyn Cheluget after they did not receive amended birth certificates.
The Washington Blade previously reported the three plaintiffs argued documents that do not correspond with their gender identity “has denied them opportunities and rights.” Oduor, for her part, in response to the plaintiffs’ claims argued “a person’s gender is based on fact — not feelings — and the plaintiffs at birth were registered and named based on their gender status.”
High Court Justice Bahati Mwamuye ruled on May 20.
“The silence and delay cannot defeat rights,” ruled the court, according to the Daily Nation, a Kenyan newspaper. “Constitutional rights cannot be delayed over administrative convenience.”
The court in 2014 ordered the Kenya National Examinations Council to change Mbugua’s name on her academic diplomas and to remove the male gender marker from them.
Kenya’s intersex rights law took effect in 2022. The government in February 2025 announced intersex people can receive birth certificates with an “I” gender marker.
The Daily Nation notes Mwamuye ordered the Registrar of Deaths and Births and other government agencies to “begin receiving and considering applications for gender-marker changes within” 60 days.
“Access to legal identity documentation is not just a human rights issue; it is a foundational pillar of socio-economic inclusion,” said the Initiative for Equality and Non-Discrimination, a Kenyan advocacy group, in response to the ruling. Without accurate IDs or passports, individuals face severe barriers to employment, financial systems, global business travel, and participation in governance and democratic processes.”
“This ruling marks a critical step forward in reducing administrative discrimination and fostering an inclusive environment where every Kenyan citizen’s legal identity aligns with their dignity,” added INEND.
Outright International, a New York-based global LGBTQ and intersex advocacy group, in a statement described Mwamuye’s ruling as “a meaningful shift towards aligning Kenya’s legal framework with constitutional guarantees of equality, privacy, and human dignity. Outright International also applauded Mbugua and other activists who fought for this change.
“Today, we celebrate a milestone — one achieved through resilience, solidarity, and an unwavering belief in justice,” said the group. “Outright International stands with transgender and intersex Kenyans in honoring this victory and reaffirming our commitment to advancing rights, recognition, and equality for all.”
Ghana
Intersex lives, constitutional freedom, and the dangerous future of Ghana’s Human Sexual Rights and Family Values Bill
Lawmakers continue to consider draconian measure
There is a dangerous silence surrounding intersex lives in Ghana — a silence shaped by fear, misinformation, cultural misunderstanding, and institutional neglect. Today, amid discussions around the possible passage of the Human Sexual Rights and Family Values Bill, 2025, that silence risks becoming law, reinforcing exclusion and deepening the marginalization of already invisible lives.
Much of the national debate surrounding the bill has focused on LGBTQ+ identities. Yet buried within it are implications for intersex persons that many Ghanaians do not fully understand because intersex realities remain largely invisible.
Intersex persons are born with natural variations in chromosomes, hormones, reproductive anatomy, and/or genital characteristics that do not fit typical definitions of male or female bodies. Intersex is not a sexual orientation or gender identity. It is a biological reality. Ghana’s Commission on Human Rights and Administrative Justice (CHRAJ) has clearly acknowledged this distinction.
Despite this distinction, the bill mistakenly collapses intersex realities into a legal framework linked to LGBTQ+ criminalization.
Although the bill contains only limited references to intersex persons, under certain medical exceptions, these references do not amount to recognition or protection. Instead, they frame intersex bodies as abnormalities requiring regulation, correction, and institutional management. This approach is inconsistent not only with Ghana’s constitutional guarantees of dignity, equality, privacy, and liberty, but also with emerging African and international human rights standards. The African Commission on Human and Peoples’ Rights Resolution on the Promotion and Protection of the Rights of Intersex Persons in Africa – ACHPR/Res.552 (LXXIV) 2023 affirms protections relating to bodily integrity, dignity, freedom from discrimination, and against harmful medical practices. Additionally, the United Nations has repeatedly condemned medically unnecessary and non-consensual interventions on intersex children. Rather than affirming the humanity and autonomy of intersex persons, the bill risks legitimizing systems of surveillance, coercion, violence, and institutional erasure.
This is not protection.
It is managed erasure.
A child born intersex in Ghana already enters a society shaped by secrecy and stigma. Families are often pressured to hide intersex children or seek “correction” to make their bodies conform to social expectations.
The bill risks intensifying this pressure.
Clause 17 creates space for “approved service providers” to support interventions relating to intersex persons, yet offers little protection around informed consent, bodily autonomy, confidentiality, or coercive treatment. Under the language of “correction” or “support,” harmful interventions may become normalized.
The intersex community has documented painful lived experiences of intersex Ghanaians that reveal the devastating consequences of stigma and invisibility.
One heartbreaking case involved intersex twins born in Ghana’s Eastern Region in 1993, who were repeatedly forced to move from village to village because of rejection and ridicule. After losing their father, their main source of protection and support, they became even more vulnerable and reportedly experienced severe emotional distress, including suicidal thoughts linked to years of stigma and exclusion. This is what invisibility looks like in practice.
Another painful example is the story of Ativor Holali, whose lived experience exposed the cruel realities intersex persons face in sports and public life. Ativor Holali endured invasive scrutiny, public humiliation, and social suspicion because her body did not conform to rigid expectations of femininity. Rather than being protected as a Ghanaian athlete deserving dignity and privacy, she became the subject of speculation, gossip, and institutional discomfort.
Her experience reflects a broader social crisis: when society insists that every body must fit a narrow binary definition, intersex people are forced to defend their humanity in spaces where dignity should already be guaranteed.
Intersex Persons Society Of Ghana (IPSOG)’s Ŋusẽdodo research further revealed that approximately 70 percent of intersex respondents reported depression, anxiety, trauma, or severe emotional distress linked to medical mistreatment, family rejection, bullying, and social exclusion.
The bill risks transforming these existing prejudices into institutional policy. Several provisions risk deepening surveillance, restricting advocacy, weakening confidentiality, and discouraging public education around intersex realities. Intersex-led organizations providing healthcare guidance, legal referrals, psychosocial support, and community services may face serious challenges.
This places IPSOG and other intersex-led organizations in Ghana at serious risk.
For many intersex Ghanaians, these spaces are not political luxuries.
They are survival mechanisms.
Governments derive legitimacy by protecting the natural rights of all persons, including dignity, liberty, bodily autonomy, and freedom from arbitrary interference. The bill raises concerns because it risks weakening these protections for intersex persons through surveillance, coercive interventions, and restrictions on advocacy.
Ghana’s Constitution declares that “the dignity of all persons shall be inviolable.” Articles 15, 17, 18, and 21 specifically protect dignity, equality, privacy, expression, and freedom of association. These protections should apply equally to intersex persons.
Intersex persons are not threats to Ghanaian culture.
Intersex children are not moral dangers.
Intersex bodies are not political weapons.
They are human beings deserving dignity, healthcare, safety, and constitutional protection.
The true measure of a democracy is how it protects those most vulnerable to exclusion. At this moment, Ghana faces a choice: deepen fear and silence, or uphold dignity, bodily autonomy, and constitutional freedom for intersex persons.
History will remember the choice we make.
Fafali Delight Akortsu is the founder and president of the Intersex Persons Society of Ghana (IPSOG).
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