Serving the Lesbian, Gay, Bisexual and Transgender community since 1994

The second-oldest LGBT organisation in South Africa, OUT provides stigma-free HIV, sexual health and other services to gay, bisexual and MSM communities. We also work to eradicate LGBT+ hate crimes and discrimination while assisting and supporting victims.

healthcare discrimination OUT

LGBT community still faces healthcare discrimination in South Africa

It is based on research conducted in 2018 and 2019 among 408 respondents from LGBT communities. The findings reveal that 20% of LGBT individuals reported that they have faced stigmatisation and bad treatment when accessing public healthcare services.

Even more alarming, 11% of the respondents revealed that they’d actually been deprived of healthcare services. In addition, 25% said they’d been subjected to moral and religious-based lectures by public health staff when disclosing their sexuality and/or gender identity.

It’s therefore not surprising that LGBT community members are often uncomfortable in disclosing their sexual orientation/gender identity, fearing discrimination and stigma (22% of those surveyed did not disclose).

“This deters LGBT individuals from accessing public healthcare services which can be detrimental to their health,” says Moude Maodi-Swartz, Paralegal Officer at OUT LGBT Well-being. “This is especially concerning when considering that 84% of the South African population is solely dependent on public health services.”

In addition to an overburdened healthcare system, subjective beliefs and norms based on patriarchal and religious views are also cited as contributing factors to the stigma and exclusion experienced by LGBT individuals.

“The report highlights the continued need for civil society organisation interventions to respond to the high rate of violations within the overburdened public healthcare system and ensure that marginalised communities receive the care and services they require; discriminatory-free, competent and patient centralised,” says Maodi-Swartz.

The full Quality Through Inclusion? report can be downloaded here. For more information, please contact Moude Maodi-Swartz on

Have you been threatened, hit, raped or had your property damaged or stolen because you are gay, lesbian, bisexual, transgender or intersex (LGBTI)? Then you have been a victim of a hate crime.
OUT offers exciting training to mainstream service providers and other interested parties. The training assists individuals to understand themselves as sexual beings.
Currently OUT distributes safer sex packs to a range of venues in Tshwane that are utilised by gay men and lesbian women. These packs also include responsible sex messaging, appropriate barrier methods and lube.
OUT's Engage Men’s Health project offers free and confidential sexual health services to gay, bisexual and other men who have sex with men (MSM).