Intersexuality: What Parents, Guardians and Communities Should Know and Do to Care and Protect Infants and Children Born with Intersex Variations’ Rights in Tanzania

S. Kamazima
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Abstract

Tanzania lags behind in the course of ending stigma and discrimination against persons born with intersex variations. To date, the Tanzania Government has not enacted any law outlawing cosmetic surgeries, stigma and discrimination against persons born with intersex variations as per demands and calls from, among others, The First African Intersex Meeting, 2017 and The African Commission on Human and Peoples’ Rights, 2023. Undoubtedly, this legal/policy silence is not at all unprejudiced. It facilitates harmful practices to take place unnoticed and uncontrolled. Primary and specialized healthcare providers, parents, traditional and religious leaders, therefore, continue performing harmful normalization surgeries and treatment, tradition-led mutilations and killings of infants and children born with intersex variations. In this context, I use scanty evidence available in the country and experience from other parts of the globe to highlight on what parents, guardians and communities should know and do to care and protect infants and children born with intersex variations’ human and citizenship rights in Tanzania. I recommend parents, guardians and community members to better understand who infants and children born with intersex variations are and their (health) needs. Intersex variations are not disorders requiring immediate or emergency (medical) interventions. ‘Normalization’ surgeries should wait until the children are mature enough to make informed consent to alter their physical appearances. Whenever possible, parents and guardians should seek, share support and correct intersex information from parents/guardians with similar experiences and adult persons born with intersex variations, media, internet and intersex-led groups and organizations and institutions within and outside Tanzania. Importantly, parents, guardians, persons born with intersex variations, intersex movements, activists and persons born with intersex variations-led organizations should ........
雌雄同体:在坦桑尼亚,父母、监护人和社区应了解什么,做什么,以照顾和保护出生时有双性变异的婴儿和儿童的权利
坦桑尼亚在消除对先天雌雄同体者的侮辱和歧视方面落后了。迄今为止,坦桑尼亚政府尚未按照 2017 年第一届非洲双性人会议和 2023 年非洲人权和人民权利委员会等机构的要求和呼吁,颁布任何法律,取缔整容手术以及对天生双性人的侮辱和歧视。毫无疑问,这种法律/政策上的沉默并非毫无偏见。它助长了有害做法的发生而不被注意和控制。因此,初级和专业医疗服务提供者、父母、传统和宗教领袖继续对先天雌雄同体的婴儿和儿童实施有害的正常化手术和治疗、传统残割和杀害。在这种情况下,我利用坦桑尼亚现有的稀缺证据和全球其他地区的经验,强调父母、监护人和社区应该了解什么、做什么,以关爱和保护坦桑尼亚先天雌雄同体婴儿和儿童的人权和公民权利。我建议父母、监护人和社区成员更好地了解天生双性变异婴儿和儿童的身份及其(健康)需求。双性变异并不是需要立即或紧急(医疗)干预的疾病。正常化 "手术应等到儿童足够成熟,能够在知情的情况下同意改变其外貌时再进行。在可能的情况下,父母和监护人应向坦桑尼亚境内外具有类似经历的父母/监护人、天生具有双性变异的成年人、媒体、互联网和由双性人领导的团体、组织和机构寻求支持并分享正确的双性人信息。重要的是,父母、监护人、天生双性变异者、双性运动、活动家和天生双性变异者领导的组织应 ........。
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