Experiences and Challenges of Hijra (Transgender) People in Accessing Healthcare Services: A Qualitative Study in Rajshahi City Corporation

Authors

  • Md. Mahmud Hasan Department of Political Science, University of Rajshahi, Bangladesh.
  • S. M. Mokhlasur Rahman Department of Political Science, University of Rajshahi, Bangladesh.
  • Md. Yeasir Arafat Department of Political Science, University of Rajshahi, Bangladesh.

DOI:

https://doi.org/10.61166/interdisiplin.v2i6.128

Keywords:

Hijra, Discrimination, Healthcare Access, Rajshahi

Abstract

In South Asia, Hijras are transgender, intersex, or eunuch people who live in close communities. In Bangladesh, they remain socially excluded and stigmatized. Although their gender identity is legally recognized, studies show they still face barriers in accessing healthcare. This research explores the healthcare experiences of Hijras in different service sectors. It is based on 79 in-depth interviews and 3 key-informant interviews, analyzed through thematic analysis. Findings show that public hospitals only provide male- and female-focused facilities, with no separate arrangements for Hijra patients. Many faced verbal harassment, blame for their illnesses, and unequal treatment. Health providers also lacked awareness of Hijra identity and culture. The study recommends formally including Hijra as a gender category in the healthcare system to reduce discrimination and ensure fair healthcare access for them.

References

Al-Mamun, M., Hossain, M. J., Alam, M., Parvez, M. S., Dhar, B. K., & Islam, M. R. (2022). Discrimination and social exclusion of third-gender population (Hijra) in Bangladesh: A brief review. Heliyon, 8(10), e10840. https://doi.org/10.1016/j.heliyon.2022.e10840

Alhawary, M. T., & Benmamoun, E. (2005). Perspectives on Arabic linguistics XVII-XVIII: Papers from the seventeenth and eighteenth annual symposia on Arabic linguistics. John Benjamins Publishing Company.

Amanullah, A. S. M., Abir, T., Husain, T., Lim, D., Osuagwu, U. L., et al. (2022). Human rights violations and associated factors of the Hijras in Bangladesh: A cross-sectional study. PLOS ONE, 17(7), e0269375. https://doi.org/10.1371/journal.pone.0269375

Arafat, M. Y. (2024a). Student politics, Bangladesh and solutions. International Journal of Academic Multidisciplinary Research, 8(9), 230–236. http://ijeais.org/wp-content/uploads/2024/9/IJAMR240932.pdf

Arafat, M. Y. (2024b). Research ethics: Meaning and principles. International Journal of Academic Multidisciplinary Research, 8(1). https://doi.org/10.2139/ssrn.4887943

Arafat, M. Y., & Fahmida. (2025). History, agendas, and anomalies of Bangladesh politics. DIROSAT: Journal of Education, Social Sciences & Humanities, 3(2), 323–341. https://doi.org/10.58355/dirosat.v3i2.158

Arafat, M. Y., Alam, M. M., Raz, N. H., Opee, M. F. S., Tabassum, N., & Fahmida. (2025). Exploring the determinants and barriers of national integrity in the context of Bangladesh. INTERDISIPLIN: Journal of Qualitative and Quantitative Research, 2(4), 291–310. https://doi.org/10.61166/interdisiplin.v2i4.121

Aziz, A., & Azhar, S. (2019). Social exclusion and official recognition for Hijra in Bangladesh. Journal of Research on Women and Gender, 9(1), 3–19.

Barua, A., & Khan, S. A. (2023). Addressing violence against transgender people in Bangladesh: A call for policy intervention. Frontiers in Sociology, 7, 995448. https://doi.org/10.3389/fsoc.2022.995448

Creswell, J. W. (2014). Research design: Qualitative, quantitative, and mixed methods. SAGE Publications.

Dhaka Tribune. (2015, May 19). Hijras to be recruited as traffic police. Retrieved May 25, 2025, from https://www.dhakatribune.com/bangladesh/bangladesh-others/101305/hijras-to-be-recruited-as-traffic-police

Doussantousse, S., & Keovongchith, B. (2005, July). Male sexual health: Kathoeys in the Lao PDR, South East Asia – exploring a gender minority. Paper presented at the Sexualities, Genders and Rights in Asia: 1st International Conference of Asian Queer Studies, Bangkok, Thailand. AsiaPacifiQueer Network, Mahidol University; Australian National University. http://hdl.handle.net/1885/8663

Evje, J., Fluit, S., & von Soest, T. (2024). Transgender people experience more discrimination and violence than cisgender lesbian, gay, or bisexual people: A multilevel analysis across 30 European countries. International Journal of Transgender Health, 1–15. https://doi.org/10.1080/26895269.2024.2440856

Goffman, E. (1963). Stigma: Notes on the management of spoiled identity. London: Penguin Books.

Hossen, M. L. (2019). Challenges of right to employment faced by transgender Hijra in Bangladesh (Master’s thesis, Mahidol University, Thailand).

Hughto, J. M. W., Reisner, S. L., & Pachankis, J. E. (2015). Transgender stigma and health: A critical review of stigma determinants, mechanisms, and interventions. Social Science & Medicine, 147, 222–231. https://doi.org/10.1016/j.socscimed.2015.11.010

Human Rights Watch. (2016, December 23). “I want to live with my head held high”: Abuses in Bangladesh’s legal recognition of Hijras. Human Rights Watch. Retrieved from: https://www.hrw.org/report/2016/12/23/i-want-live-my-head-held-high/abuses-bangladeshs-legal-recognition-hijras

Islam, S. (2019). A theoretical analysis of the legal status of transgender: Bangladesh perspective. International Journal of Research and Innovation in Social Science, 3, 117–119.

Jebin, L., & Umme, F. (2015). The rights of Hijra in Bangladesh: An overview. Journal of Nazrul University, 3(1&2). Trishal, Mymensingh. https://ssrn.com/abstract=3028057

Jebin, L. (2018). Status of transgender people in Bangladesh: A socio-economic analysis. South Asian Journal of Policy and Governance, 42, 49–63.

Khan, S. I., Hussain, M. I., Parveen, S., Bhuiyan, M. I., Gourab, G., Sarker, G. F., Arafat, S. M., & Sikder, J. (2009). Living on the extreme margin: Social exclusion of the transgender population (Hijra) in Bangladesh. Journal of Health, Population, and Nutrition, 27(4), 441–451. https://doi.org/10.3329/jhpn.v27i4.3388

Lee, H., & Turney, K. (2012). Investigating the relationship between perceived discrimination, social status, and mental health. Society and Mental Health, 2(1), 1–20. https://doi.org/10.1177/2156869311433067

Mamun, A. A., Heyden, M. L. M., & Yasser, Q. R. (2016). Transgender individuals in Asian Islamic countries: An overview of workplace diversity and inclusion issues in Pakistan, Bangladesh, and Malaysia. In T. Köllen (Ed.), Sexual orientation and transgender issues in organizations (pp. 147–162). Springer. https://doi.org/10.1007/978-3-319-29623-4_10

Millar, K., & Brooks, C. V. (2021). Double jeopardy: Minority stress and the influence of transgender identity and race/ethnicity. International Journal of Transgender Health, 23(1–2), 133–148. https://doi.org/10.1080/26895269.2021.1890660

Ministry of Social Welfare, Government of the People’s Republic of Bangladesh. (n.d.). Living standard development program for Hijra community [Web page]. Retrieved September 6, 2025, from https://msw.gov.bd/site/page/a3498c96-c94a-4fba-9518-13497bdfb46f

Nanda, S. (1999). Neither man nor woman: The Hijras of India (2nd ed.). Wadsworth Publishing.

Nanda, S. (2008). Sex-gender diversity: A cross-cultural perspective. Retrieved from: https://samwinter.org/paper_sex-gender%20diversity.htm

Quinn, D. M., & Chaudoir, S. R. (2009). Living with a concealable stigmatized identity: The impact of anticipated stigma, centrality, salience, and cultural stigma on psychological distress and health. Journal of Personality and Social Psychology, 97(4), 634–651. https://doi.org/10.1037/a0015815

Rahman, S., & Irani, A. T. (2022, April 20). Transgender rights: Progress made, but still a long way to go. The Business Standard. Retrieved from: https://www.tbsnews.net/thoughts/transgender-rights-progress-made-still-long-way-go-406354

Reddy, G. (2005). With respect to sex: Negotiating Hijra identity in South India. University of Chicago Press.

Roberts, T. K., & Fantz, C. R. (2014). Barriers to quality health care for the transgender population. Clinical Biochemistry, 47(10–11), 983–987. https://doi.org/10.1016/j.clinbiochem.2014.02.009

Sarker, M. G. F. (2019). Discrimination against Hijra (transgender) in accessing Bangladesh public healthcare service. Retrieved from: https://www.researchgate.net/publication/355666926_Discrimination_against_Hijra_Transgender_in_Accessing_Bangladesh_Public_Healthcare_Services

Shuvo, S. H. (2018). Life of Hijra in Bangladesh: Challenges to accept in mainstream. International Journal of Natural and Social Sciences, 5(3), 60–67.

Srivastava, A., Sivasubramanian, M., & Goldbach, J. T. (2020). Mental health and gender transitioning among Hijra individuals: A qualitative approach using the minority stress model. Culture, Health & Sexuality, 23(6), 757–771. https://doi.org/10.1080/13691058.2020.1727955

United Nations Development Programme. (2013). Bangladesh advocacy framework: HIV, human rights and sexual orientation and gender identity. Bangkok: United Nations Development Programme. Retrieved from: https://www.undp.org/sites/g/files/zskgke326/files/migration/asia_pacific_rbap/rbap-hhd-2013-bangladesh-advocacy-framework.pdf

Downloads

Published

2025-11-13

How to Cite

Md. Mahmud Hasan, S. M. Mokhlasur Rahman, & Arafat, M. Y. (2025). Experiences and Challenges of Hijra (Transgender) People in Accessing Healthcare Services: A Qualitative Study in Rajshahi City Corporation. INTERDISIPLIN: Journal of Qualitative and Quantitative Research, 2(6), 415–434. https://doi.org/10.61166/interdisiplin.v2i6.128

Issue

Section

Articles