A transgender person in Pakistan surrounded by shadows, symbolizing hope and resilience.

Beyond the Binary: Understanding the Challenges Faced by Transgender People in Pakistan

"A deep dive into the social exclusion, violence, and lack of opportunities that impact the transgender community in Rawalpindi and Islamabad."


In societies globally, deeply ingrained beliefs about gender as a binary concept - strictly male or female - often overshadow the existence and experiences of transgender individuals. These societal norms lead to the marginalization, misunderstanding, and outright rejection of those who identify as transgender. In Pakistan, the term 'Hijra' encompasses a diverse group of individuals who defy conventional gender roles, including cross-dressers, homosexuals, bisexuals, hermaphrodites, eunuchs, transsexuals, transvestites, genderqueer youth, and drag queens.

However, this already vulnerable group faces immense challenges, including injustice, poverty, illiteracy, social and cultural boycotts, and a severe lack of opportunities. The weight of societal disapproval and the struggle to align their inner selves with external expectations places an extraordinary burden on their lives, often pushing them into desperate situations.

Research indicates that social exclusion can drive transgender individuals toward high-risk behaviors as a means of survival. These may include sex work, begging, substance abuse, and other activities that further endanger their well-being. Recognizing the factors that lead to such behaviors and implementing effective interventions are crucial to improving the lives and protecting the rights of transgender people.

What unique struggles do transgender individuals in Pakistan encounter?

A transgender person in Pakistan surrounded by shadows, symbolizing hope and resilience.

A cross-sectional study was conducted in Rawalpindi and Islamabad, Pakistan, involving 189 transgender individuals. The study aimed to investigate the relationship between social exclusion, victimization, and high-risk behaviors within this community. Data was collected through direct interviews using a standardized questionnaire, carefully translated and adapted to ensure cultural relevance and clarity.

The findings revealed a harsh reality: widespread experiences of physical attacks (77.8%) and institutional discrimination (91.5%). Many participants reported engaging in commercial sex work (39.2%) and substance abuse (37.6%) as means of survival. Alarmingly, a significant percentage had contemplated suicide (38.6%), with some having attempted it (18.5%).

  • Physical Violence: A staggering 77.8% of participants had experienced physical attacks, highlighting the vulnerability of transgender individuals to violence and abuse.
  • Institutional Discrimination: An overwhelming 91.5% reported facing discrimination in various institutions, including healthcare, education, and employment.
  • Economic Hardship: Facing limited opportunities, 39.2% engaged in commercial sex work and 37.6% turned to substance abuse as coping mechanisms.
  • Suicidal Thoughts: The study revealed a high prevalence of suicidal ideation (38.6%) and attempted suicide (18.5%), underscoring the urgent need for mental health support within the community.
Multivariate logistic regression analysis revealed that physical attacks significantly increased the odds of both attempting suicide (OR=2.18) and engaging in commercial sex work (OR=4.10). Moreover, institutional victimization based on gender identity or expression had a substantial impact on suicidal behavior (AOR = 6.20, CI = 1.58-24.29, p=0.009). These findings underscore the urgent need to address the systemic discrimination and violence faced by the transgender community in Pakistan.

Taking Action: How can we create a more inclusive society?

The transgender community in Pakistan faces significant social exclusion, experiencing high levels of physical abuse and discriminatory behavior. These conditions contribute to risky behaviors, including commercial sex work, substance abuse, and suicidal ideation. Creating inclusive environments, reducing gender-based prejudice, and ensuring access to quality medical care are essential steps toward supporting transgender populations and preventing further harm. Addressing these systemic issues is crucial for fostering a society where transgender individuals can live with dignity, respect, and equal opportunities.

About this Article -

This article was crafted using a human-AI hybrid and collaborative approach. AI assisted our team with initial drafting, research insights, identifying key questions, and image generation. Our human editors guided topic selection, defined the angle, structured the content, ensured factual accuracy and relevance, refined the tone, and conducted thorough editing to deliver helpful, high-quality information.See our About page for more information.

This article is based on research published under:

DOI-LINK: 10.11604/pamj.2018.30.96.12818, Alternate LINK

Title: Challenges Faced By Marginalized Communities Such As Transgenders In Pakistan

Subject: General Medicine

Journal: Pan African Medical Journal

Publisher: Pan African Medical Journal

Authors: Hassan Bin Usman, Farah Rashid, Iffat Atif, Muhammad Zafar Hydrie, Muhammad Waleed Bin, Hafiz Zeeshan Muzaffar, Abdul Rehman, Sohail Anjum, Muhammad Bin Mehroz, Ali Haider, Ahmed Hassan, Hassaan Shukar

Published: 2018-01-01

Everything You Need To Know

1

What does the term 'Hijra' encompass in the context of Pakistan?

In Pakistan, 'Hijra' is a term used to describe a diverse group of individuals who do not conform to conventional gender roles. This encompasses a broad spectrum, including cross-dressers, homosexuals, bisexuals, hermaphrodites, eunuchs, transsexuals, transvestites, genderqueer youth, and drag queens. The term reflects a wide range of gender identities and expressions, representing a significant segment of the transgender community in the region.

2

What specific challenges were identified in the study conducted in Rawalpindi and Islamabad concerning transgender individuals?

The study conducted in Rawalpindi and Islamabad revealed significant challenges faced by transgender individuals. Key findings included widespread physical attacks (77.8%), institutional discrimination (91.5%), high rates of commercial sex work (39.2%), substance abuse (37.6%), suicidal ideation (38.6%), and attempted suicide (18.5%). These statistics highlight the severe social exclusion, violence, and lack of opportunities experienced by the transgender community.

3

How does societal marginalization contribute to high-risk behaviors among transgender individuals?

Social exclusion significantly contributes to high-risk behaviors among transgender individuals. Faced with societal disapproval, discrimination, and limited opportunities, individuals may turn to high-risk behaviors as a means of survival. The study highlights the correlation between social exclusion and engaging in commercial sex work, substance abuse, and suicidal ideation. These behaviors are often coping mechanisms in response to the harsh realities of marginalization and lack of support.

4

What are the implications of the findings regarding physical attacks and institutional discrimination on suicidal behavior?

The research underscores the severe impact of physical attacks and institutional discrimination on suicidal behavior within the transgender community. The multivariate logistic regression analysis revealed that physical attacks significantly increased the likelihood of attempting suicide. Furthermore, institutional victimization based on gender identity or expression had a substantial impact on suicidal behavior. These findings highlight the urgent need to address systemic discrimination and violence to protect the mental health and well-being of transgender individuals.

5

What steps can be taken to create a more inclusive society for transgender people in Pakistan?

Creating a more inclusive society requires multifaceted efforts. Addressing the systemic issues includes reducing gender-based prejudice, ensuring access to quality medical care, and creating inclusive environments. Supporting the transgender community involves implementing policies that protect their rights, promote education and awareness to combat societal stigma, and providing access to mental health support. These measures are crucial for fostering a society where transgender individuals can live with dignity, respect, and equal opportunities, and also preventing further harm.

Newsletter Subscribe

Subscribe to get the latest articles and insights directly in your inbox.