Due to their identification as third gender people, khwaja sira have historically been subjected to experiences of social marginalization. However, the extant literature has not fully explored the lived experiences of stigma and discrimination against khwaja sira in the Swat Valley of Khyber Pakhtunkhwa, Pakistan. To address this gap, we conducted 45 interviews with khwaja sira in Mingora, Swat, Khyber Pakhtunkhwa to better understand their experiences of gender-nonconformity stigma and discrimination in various social contexts, including within their families, in accessing health care, and within education and work contexts. Applying Minority Stress Theory and utilizing thematic content analysis, the present study identified three dimensions of gender-nonconformity stigma: (1) internalized stigma, namely feelings of shame and embarrassment; (2) perceived stigma, namely opinions others had of khwaja sira regarding lack of employability or engagement in sex work; and (3) enacted stigma, namely exclusion from families, in educational settings, in religious spaces, and in healthcare settings. Findings should inform future social intervention and community practice engagements with khwaja sira communities in Pakistan.
Impact statementGiven recent social policy developments in Pakistan, the findings from this study can help inform future social intervention and community practice engagements with khwaja sira (third gender) communities. In 2011, the Pakistani Supreme Court passed the National Data Base Registration Act, permitting khwaja sira and other gender-nonbinary people from legally registering as a third gender on their National Identity Cards, voting registration cards, and passports. In 2018, the Transgender Persons (Protection of Rights) Act of 2018 explicitly listed inheritance, education, and the right to vote as rights, prohibited discrimination against gender-nonbinary people, and ensured khwaja sira access to public spaces and private property. However, in 2023, the Federal Shariat Court of Pakistan declared the Transgender Persons Act 2018 inconsistent with Islamic principles, striking down the self-identification of gender identity and the provision of inheritance rights as violating the tenets of the Qur'an. The Khunsa Persons (Protection of Rights) Bill was introduced with the aim of attaining "consistency with the injunctions of Islam" by denying those rights. Given the recent proposed retraction of legal rights for third gender people in Pakistan, our study findings have relevance for educators, healthcare providers, and communitybased practitioners who engage with khwaja sira communities.
Third gender identities in South AsiaKhwaja sira is the term most commonly used to identify third gender people in Pakistan (Khan, 2016), a community who are estimated to number approximately 1.5 million people (Pamment, 2010). Like the term hijra (Nanda, 1990;Reddy, 2006), khwaja sira is an umbrella term used in South Asia to identify people who have been assigned male sex at birth, but currently identify as nei...