An Open Letter to the One-in-Nine Campaign


… in Response to the Exclusion of Transgender and Intersex Persons in the Feminist Political Education Training

The divisions in an already fragile women’s movement in South African are not helpful.

Dear colleagues

It is with great disappointment that we learnt about the exclusion of transgender and intersex persons from a feminist political education training, presented by the One in Nine Campaign. We were truly shocked when a colleague forwarded to us an invitation for the Feminist Political Education 2013 Programme, which set out, amongst others, the following requirement:

The course is open to female-born people who are not male-identified.

This requirement effectively sets out to exclude transgender and intersex individuals from the course. Asked about this blatant exclusion, 1 in 9 campaign director, Carrie Shelver responded as follows:

“I am glad that you raised these concerns with us directly and we welcome the opportunity to respond and share with you our ideas and thinking. I need to forward your email to the board of the Campaign so that we can collectively respond to the issues raised with the seriousness they warrant. I am cc’ing Pumla Gqola, One in Nine Campaign Chair of the board. I hope you will give us a few days to do this. Once we have sent this through we would also be happy to meet and discuss it in person with you and others who may be interested”.

The final response from the One in Nine Campaign came on 23 February 2013 from which we drew two very disturbing implications:

“The organisation (One in Nine) is not an LGBT organisation, even though many of the active members identify as lesbian, bisexual and gender non-conforming. Based on our analysis of social oppression and our capacity to respond, the campaign focuses its limited resources on developing leadership of female born people who are socialized as women and who live their lives within the social category women and whose access to resources and spaces are accordingly determined and so frequently under attack”.

The interpretation of this sentiment wishes to imply privilege on the part of transgender and intersex women in South Africa. This is not a true reflection of the lived experiences of this group of vulnerable women often excluded from mainstream personal development opportunities, and the denial of basic human rights such as education, exacerbate this context for transgender and intersex women in South Africa.

“The criteria for the One in Nine Feminist Political Education Program is an articulation of patriarchal values. As a woman, I was born intersex, socialized as a woman and lived within the social category of woman. Intersex women also experience limited access to resources, their lives and health are frequently under attack, and therefore, you can never imply privilege on my part”. – Nthabiseng Mokoena, Transgender and Intersex Africa (TIA).

“On 13 April 2013, the One in Nine Campaign is called all on LGBTI persons to gather for a public mass meeting to discuss Joburg Pride. As much as we don’t support the privatisation of our sexual identities, as has been the case with Joburg Pride. We find it ironic that Transgender and Intersex person affected by Joburg Pride is called upon to support this initiative, however, the One in Nine Campaign in not clear on its partnerships in a broader feminist agenda that advances all women and feminists irrespective of how society has biologically imposed an identity. The One in Nine Campaign seems to affirm this very state construction of gender which goes against the human rights approach taking place in other countries”. – Jabulani Perreira – Iranti-org.

Carrie went on to explain that in the past “One in Nine Campaign had very successful collaborations with a broad range of progressive organisations – including those that work with men, including gay and transgender men and women”.

This statement echoes the very problematic categorization of gender, gender identities and sexual orientations. From where we are, this seems to echo the conglomeration of both gender identities and sexual orientations into one big category of masculinity and masculine identities. This does not speak to the autonomy of transgender people as an identity separate from those of both cisgender and gay men. Moreover, this places transgender women on a very masculine spectrum of identities. With all due respect, no feminist, no women and no person can determine the gender identity of another human being, least of all, the expression thereof. Says Liesl Theron of Gender DynamiX: “This is an articulation of 1970’s, second wave feminism characterised by a very transphobic attitude”.

S.H.E, the social, health and empowerment FEMINIST collective of transgender and intersex women of Africa is an organisation established in 2010 to address the concerns and issues of transgender and intersex women through feminist analysis. We have organised and established ourselves to advocate against the very attitude portrayed by the One in Nine campaign.

We are familiar with this mentality of exclusion and have long been advocating against it. What is particularly disappointing about this instance is that it plays off against the backdrop of an already very fragile women’s sector.
At S.H.E, we advocate for women, all women, despite the fact that our name mentions only transgender and intersex women. We advocate for transgender and cisgender sex workers alike. Our work in the Amanitare coalition on sexual and reproductive health rights had a broad focus and as an organisation, we particularly voiced for rural, HIV+, transgender & intersex women, and sex workers. Our focus has always been to create an enabling legal and policy environment for all women.

“If you can recall, I was one of the women in the audience at a presentation on the IPAS tool used in surgical abortions at the People’s Healthy Assembly during July 2012. This was not because I want to force myself and the organisation I represent in cisgender women spaces but because abortion rights is a cross cutting issue in all our communities. Again, with women at the centre of this problem, as a transgender woman, I fully support abortion rights for ALL women, even those gender non-conforming. The same goes for all the other women issues like breast cancer, domestic violence, discrimination in employment and high HIV rates amongst women. These issues and many others we support for transgender and cisgender women alike. We do this because we don’t believe in the creation of categories of women. This is the very tendency that creates hierarchies of power, the same hierarchies of power visible in patriarchy. What we need, as a country right now, is to look beyond our differences and recognise the bigger issues that oppress and marginalise women”.– Leigh Ann van der Merwe – S.H.E

An interesting question on which we are pondering is whether this sentiment is supported by all the members of the One in Nine Campaign? We do believe that your membership comprise some transgender and intersex supportive organisations and it would be interesting to find out whether or not they support the sentiment uttered by the secretariat.

“On 13 April 2013, the One in Nine Campaign has called all on LGBTI persons and organisations to gather for a public mass meeting to discuss Joburg Pride. As much as we don’t support the privatisation of our sexual identities, as has been the case with Joburg Pride. We find it ironic that Transgender and Intersex person affected by Joburg Pride is called upon to support this initiative, however, the One in Nine Campaign in not clear on its partnerships in relation to its broader feminist agenda that advances all women and feminists irrespective of how society has biologically imposed an identity. The One in Nine Campaign seems to affirm this very State construction of gender which goes against the human rights approach taking place in other countries,” says Jabu Pereira, Director of Iranti-Org.

We believe this attitude is merely taking us backward and breaks down an already fragile feminist and human rights movement.

We urge the One in Nine Campaign to do away with this discriminatory requirement for participation in this training course. It echoes inequality and discrimination, the very qualities that we see in the transphobic societies in which we live and survive each day of our lives. I am ending my letter with a quote from the transgender feminist, Julia Serano:

“Feminism is based on the conviction that women are far more than merely the sex of the bodies that we are born into, and our identities and abilities are capable of transcending the restrictive nature of gender socialization we endure in our childhoods”. Love and kinship are two of the most central tenets of feminism.

We trust our words will find a place in your hearts and minds. Moreover, we hope this letter will set off some much needed dialogue to bridge the divide that exists.

We shall await a response from you.

Best regards
Leigh Ann van der Merwe – coordinator S.H.E

This letter is endorsed by the following organisations:
Gender DynamiX
Transgender and Intersex Africa

International Transgender Day of Rememberance

For Immediate Release

The 14th International Transgender Day of Remembrance (TDOR) is being held on 20 November 2012. TDOR occurs annually on November 20 to memorialize those who have been killed as a result transphobia. The day is also used to raise public awareness of hate crimes against transgender and gender non-conforming people. Transgender Europe’s Trans Murder Monitoring project has revealed a total of 265 cases of reported killings of transgender people from November 15th 2011 to November 14th 2012 worldwide.

The project’s preliminary results reveal 1083 reports of murdered trans* people in 56 countries since January 2008. Sadly, this year saw an exponential increase in the number of hate crimes such as physical assaults and murders against transgender and gender non-conforming people in South Africa. We paid farewell to Vuyisa Dayisi from East London and Sasha lee Gordon from Wynberg who were both brutally murdered because of their gender identity. Many other cases were not reported as the victims and their families feared secondary victimization from the police.

Transgender and Intersex Africa would also like to highlight the increase in the number of suicide deaths by transgender people as a result of depression caused by trans* related issues. There were two reported cases of suicide deaths by transgender people this year. The cases revealed the lack of post transitioning support for trans* persons in South Africa, they also revealed the lack of justice for the trans* community in the country. One of the victims, Liyaah Star, committed suicide after she was wrongfully accused of raping a 15 year old boy and being detained in a male prison as a result of the accusations. Since TDOR is on a Tuesday this year, Transgender and Intersex Africa will host the TDOR event on the 24th of November at Constitution Hill in Johannesburg in order to make the event accessible to more people. Ironically, Constitution Hill is home to the South African Constitutional Court. Even though South Africa has a constitution that is praised around the world for its inclusion of gender and sexual diversity, the trans* community in the country is still discriminated against, the laws of the country have failed to protect and serve the trans* community.

The event will include a candle lighting ceremony and talks from key note speakers in the South African LGBTI community. “This day brings great sadness and anger for me. Transgender people take their own lives or are murdered simply because they are different. I urge South Africans to realize the value of another human being’s life. Transgender people are human beings and deserve to live too”- says Tebogo Nkoana, Executive Director at Transgender and Intersex Africa. “The increase of hate crimes against the trans* community indicates that a lot still has to be done to sensitize the African continent about gender and sexual diversity. The misguided notion that transgenderism is not African cannot be used as an excuse to discriminate against trans* people any longer. South Africa belongs to all who live in it, as the freedom charter states.” Says Nthabiseng Mokoena, Advocacy coordinator at Transgender and Intersex Africa.

For more information contact: Tebogo Nkoana Executive Director at or +2712 7972612


Nthabiseng Mokoena Advocacy Coordinator

Intersex Day of Rememberance

Today, the 8th of November, is Intersex Day of Remembrance. It is the 14th and ultimate day of The Fourteen Days of Intersex Awareness. This day marks Herculine Barbin’s birthday. Barbin lived in France in the 19th century and is regarded as the first intersex person to have written their biography. Barbin committed suicide in 1868 after legal authorities forced a transition to male.

Transgender and Intersex Africa (TIA) would like to thank activists, allies and other mainstream organizations for the help in raising awareness around intersex issues during the 14 days of Intersex. We were able to attract the attention of general society, media and government in order to highlight the key challenges of intersex people in South Africa. We urge society to keep the conversation, advocacy and activism around intersex human rights alive; this should not only be done during the 14 days of intersex but every day of the year.

Even today, as in the days of Herculin Barbin, intersex people’s rights to bodily autonomy are still not fully recognized. Intersex People are still forced into normalization processes according socially constructed binaries. Transgender and Intersex Africa recognizes the hard work that advocates and activists worldwide have done in the pursuit to bring about a better life for intersex people and raise awareness about their issues. For this reason we would like to commend the life and work of Sally Gross and other intersex activists in South Africa. Gross is the founder and director of Intersex Society of South Africa (ISSA) and is the person that ensured that the national constitution of South Africa is fully intersex inclusive. She continues to tirelessly work towards the full emancipation of intersex people in South Africa.

“A lot of work still needs to be done on the African continent to raise awareness about intersex people, their human rights and the injustices they face as a result of bigotry, sexism, heteronormativity and stereotypical gender and sex norms. It takes a lot of courage for a person to come out and say that they are intersex and still claim their place in this world. For that, I applaud intersex activists and advocates for their courage and bravery” – says Nthabiseng Mokoena, Advocacy Coordinator at Transgender and Intersex Africa

“Non-consensual, unnecessary and uniformed intersex infant genital mutilation is a human rights violation. Parents of intersex children and medical doctors should not hold the power to impose a gender and sex on the child, this decision lies with the person not the doctors”- says Tebogo Nkoana, Director at Transgender and Intersex Africa

For more information:

Nthabiseng Mokoena
Advocacy Coordinator

Tebogo Nkoana
Executive Director

Dr Franco Colin

For immediate release

Exposing one of South Africa’s “trusted” transgender health care expects, Dr. Franco Colin.

On the 30th of October TIA received an e-mail from one of our constituents based in Kwa-Zulu Natal. The constituent who had been diagnosed by Dr. Colin was refused a letter confirming that he had undergone gender reassignment therapy. The letter is one of the requirements for anyone who wishes to change their sex description on their Identity document. An e-mail had been sent to the constituent stating:

“Unfortunately Doctor Colin cannot give you this letter as your process of gender reassignment is not completed yet. He can only do this after all the hormone therapy and surgery”

TIA wrote an e-mail to Dr. Colin’s office arguing that it is unconstitutional and insulting to refuse a patient the letter with an excuse that the gender reassignment process is not completed yet. It is clear that Dr. Colin does not have a complete understanding of sex alteration laws within the country or he ignores them. Act 49 of 2003 states:

“Any person whose sexual characteristics have been altered by surgical or medical treatment or by evolvement through natural development resulting in gender reassignment, or any person who is intersex may apply to the Director-General of the National Department of Home Affairs for the alteration of the sex description on his or her birth register”.

TIA also argued that it is an individual’s decision to define what a “complete” gender reassignment process means to them. It is unethical for a doctor to enforce what their view of “complete’ means on an individual.

After the e-mail sent to Dr. Colin’s office, the constituent received his letter. The letter was well written but insulting as it continuously addressed the female to male transsexual as “she”, even though it was clear from the letter that it was for an FTM patient. TIA asked how the Department of Home Affairs would acknowledge the gender of the constituent if his own doctor does not acknowledge it.

Dr. Colin is known as a psychiatrist who discriminated against transgender patients who are not working, claiming that this “lifestyle” is expensive and that it is for people with a high income. Most black transgender individuals have been discouraged to transition through Steve Biko Academic Hospital as Dr. Colin was previously used as gate keeper for patients who wished to transition through that hospital.

“It is disappointing to learn that a highly worshipped transgender expect would do these kinds of mistakes where he does not acknowledge correct gender pronouns and is clueless of Act 49. Dr. Colin should be ashamed of his title of being a well-known transgender expect” says Tebogo Nkoana, Director at TIA

“Medical doctors should not only be concerned with the health needs of a person, but also their human rights. What is the point of assisting a person to medically transition yet refuse to acknowledge their gender identity? The state of transgender health care within the country seriously needs to be re-evaluated” says Nthabiseng Mokoena, advocacy coordinator at TIA.

TIA urges Dr. Colin to improve his approach to transgender medical and social needs. He also needs to use updated standards of care for his patients.

For more information:
Nthabiseng Mokoena (Advocacy Coordinator)
Tel: +27780210363

Tebogo Nkoana (director)
Tel: +27734324499

International Intersex Awareness Day

For immediate release

Transgender and Intersex Africa supports the International Intersex Awareness Day on the 26th of October. On this day in 1996 intersex activists carrying the sign “Hermaphrodites with attitude” and allies from Transsexual Menace held the first public intersex demonstration in Boston, USA.

TIA believes that this day is a great opportunity to break the silence and stop the ignorance about the existence of the intersex community in South Africa. It is also an opportune time to highlight the challenges and struggle that intersex individuals face in our country, such as non-consensual and unnecessary genital mutilation of intersex babies. Hundreds of intersex infants continue to be subjected to inhumane “corrective surgeries” in order to align them to stereotypical norms of sex and gender. Many intersex people continue to live in silence and isolation as a result of the prejudice and discrimination they face from society. As a result TIA aims to increase access to medical care and legal services for intersex people.

Transgender and Intersex Africa remains committed to its mission to advocate and lobby for Intersex human rights. We remain committed to empowering intersex individuals and creating safe spaces where they can share experiences and knowledge.

“Intersex people should be celebrated as part of the diverse and variant human phenomenon, intersex individuals should not be forced to undergo life impacting medical procedures without their consent and the proper information.” says Nthabiseng Mokoena, Advocacy Coordinator at TIA

“The medical pathological approach to intersex is still a big concern; intersex is not a disorder and should not be seen as one” says Tebogo Nkoana, Director at TIA

“My sex, my gender, my body…. MY DECISIONS’ – TIA

For more information:
Nthabiseng Mokoena
Advocacy Coordinator
Tel: +2778 0210363

Tebogo Nkoana
Tel: +2773 432 4499

Steve Biko Academic Hospital

For immediate release

Transgender and Intersex Africa (TIA) is a black trans* and intersex organisation from South Africa focusing on black trans* and intersex issues in black townships and rural areas. We lobby and advocate for transgender and intersex human rights. TIA strives to promote tolerance, inclusion and recognition of trans* and intersex human rights.

For over a decade Steve Biko Academic Hospital has been one of the medical institutions in South Africa that provides gender reassignment therapy. However, the trans* community still experiences difficulties in accessing the hospital’s services. Many underprivileged patients have complained of unsatisfactory treatment from the hospital.

Their complaints include:
• Poor health service delivery.
• The hospital follows outdated standards of care and there are no clear medical guidelines for trans* patients.
• Denying trans* patients access to medical care by referring them to an expensive private psychiatrist for mental evaluation and diagnosis before they can be accepted as the hospital’s patients.
• Using unfair criteria to determine which trans* patient gets access to their services i.e. the “passing” get better treatment than those who do not pass according to stereotypical gender binaries. The hospital also prioritises working class in comparison to the unemployed trans* patients.
• The hospital does not recognize the importance of dispensing hormonal treatment for trans* individuals regardless of their financial background.
• The hospital does not give patients the opportunity to express themselves in their mother tongue

TIA’s arguments:

• It is unfair for a public hospital to refer underprivileged patients to a private doctor before they can be assisted by the hospital.
• Every hospital should have clear and accessible guidelines on how to deal with specific patients.
• Denying patients the opportunity to express themselves in their mother tongue impacts on the outcome and decision taken during evaluations.
• We are disappointed that Steve Biko Academic Hospital does not recognize the value and contribution of other public health practitioners by refusing referral letters from respected professionals.
• Steve Biko Academic Hospital should align their standards of care with other trans* friendly hospitals in the country such as Groote Schuure in Cape Town which has been the only hospital in South Africa that tries its best to provide and improve trans* community health care.
• A public/ Government hospital cannot prioritise patients based on employment. It is not only unconstitutional, but also further marginalises/ distances trans* people from access to services. Due to other socio-economic factors, trans* people are already the most marginalised groups, and early school drop-outs, ID book situation, and many other factors lead to unemployment for trans* people.

“ I feel like they do not make any efforts to assist me. They do not know where I come from and how it feels like to live as a trans person. Their system failed me”-says Catrecia from Mamelodi, who has been a patient at Steve Biko for 5 years without any success.

“Steve Biko Hospital is very poor towards trans people. I feel like they are undermining us by telling us that we are not in any crisis and can continue to live just fine without gender reassignment surgery”-says Revelation, outreach officer at TIA who was a patient at Steve Biko Hospital for 2 years without any success.

“ The psychiatrist used is not allowing appropriate health care for all groups, there should be staff sensitization at the hospital” –says Leighann van der Merwe, coordinator, SHE

“It is shocking that a government health institution clearly stigmatises and discriminates transgender people, they measure and decide transgender people’s access to care by different standards than they do the general population” – says Sibusiso Kheswa, Advocacy Coordinator, Gender DynamiX

We urge Steve Biko Hospital to reconsider their approach and methods of working with transgender patients. Nature chooses who will be transgender, individuals do not choose this. Transgender health care is not a privilege but a human right- says Tebogo Nkoana, the founder and executive director at TIA.

TIA is meeting with the hospital’s panel responsible for trans* patients on the 26 September 2012. We are going to encourage change and the importance of fair medical services for the trans* community.

For more information contact:
Nthabiseng Mokoena
Advocacy coordinator

Tebogo Nkoana
Executive director