I fear for those needing USAID transformer support in Africa
Gender Affirming Hormone Therapy In Crisis After USAID Funding Cuts
Nneka Mahote, 32, is excited about her evolving body. Her breasts, now a C-cup bra size, have grown fuller, and her skin feels softer. Her hips, too, are beginning to take shape.
For the past four years, she has been transitioning to a woman, undergoing gender affirming hormone therapy with oestrogen and anti-androgen medication to suppress masculine traits and promote more feminine characteristics.
She has successfully changed her name and identifies as female on her official identity documents.
But now, all of her progress hangs in the balance. It’s been two months since the Nelson Mandela Bay clinic she was receiving treatment at, run by the Wits Reproductive Health & HIV Institute (Wits RHI), shut down.
The Wits Trans Health Centre is one of several non-profit organizations that closed their doors in January after US President Donald Trump froze US foreign aid —
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