INTRODUCTION Transgender communities historically exist in many cultural contexts, known as bakla in the Philippines, xaniths in Oman, serrers among the Pokot people of Kenya, and hijra, jogappas, jogtas, or shiv-shaktis in South Asia. The hijra, also called 'third gender' or eunuch-transvestites, have existed for centuries in the Indian sub-continent (1,2). They do not conform to conventional notions of male or female gender but combine or move between the two. Their vulnerabilities, frustrations, and insecurities have been historically overlooked by mainstream society. In Bangladesh, mainstream society does not accept others beyond the male-female gender norm. Those who live beyond this continuum are subject to harassments and abuses.
