Reports

Bans on Gender-Affirming Care for Transgender Youth in the US

The 98-page report, “‘They’re Ruining People’s Lives’: Bans on Gender-Affirming Care for Transgender Youth in the US,” documents the devastating consequences of these bans for transgender youth, including increased anxiety, depression, and, in seven reported instances, suicide attempts. Human Rights Watch found that these laws contribute to an increasingly hostile, anti-trans climate, compelling youth to hide their identities and socially withdraw. The bans also destabilize health care systems and undermine civil society and create geographic and financial challenges in accessing care. The impact has intensified since early 2025, when the administration of President Donald Trump took a series of executive actions escalating federal attacks on transgender rights.

Gender dysphoria illustration
A woman looks out of the window of a damaged building

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  • January 3, 2012

    Prison Conditions for Youth Offenders Serving Life without Parole Sentences in the United States

    This 47-page report draws on six years of research, and interviews and correspondence with correctional officials and hundreds of youth offenders serving life without parole. Human Rights Watch found that nearly every youth offender serving life without parole reported physical violence or sexual abuse by other inmates or corrections officers.
  • December 6, 2011

    Child Labor, Mercury, and Artisanal Gold Mining in Mali

    This 108-page report reveals that children as young as six dig mining shafts, work underground, pull up heavy weights of ore, and carry, crush, and pan ore. Many children also work with mercury, a toxic substance, to separate the gold from the ore. Mercury attacks the central nervous system and is particularly harmful to children.

  • October 11, 2011

    Arbitrary Detention, Physical Abuse, and Suicide inside a Lao Drug Detention Center

    This report examines conditions in the Somsanga Treatment and Rehabilitation Center, which has received a decade of international support from the United States, the United Nations, and other donors. Detainees are held without due process, and many are locked in cells inside barbed wire compounds.

  • September 7, 2011

    Forced Labor and Other Abuses in Drug Detention Centers in Southern Vietnam

    The 121-page report documents the experiences of people confined to 14 detention centers under the authority of the Ho Chi Minh City government. Refusing to work, or violating center rules, results in punishment that in some cases is torture.

  • August 19, 2011

    Failure to Protect Women’s and Girls’ Right to Health and Security in Post-Earthquake Haiti

    This documents the lack of access to reproductive and maternal care in post-earthquake Haiti, even with unprecedented availability of free healthcare services. The report also describes how hunger has led women to trade sex for food and how poor camp conditions exacerbate the impact of sexual violence because of difficulties accessing post-rape care.
  • August 8, 2011

    Accountability for Maternal Health Care in South Africa

    This report documents maternity care failures that include abuse of maternity patients by health workers and substandard care in Eastern Cape Province, putting women and their newborns at high risk of death or injury. It examines shortcomings in the tools used by health authorities to identify and correct health system failures that contribute to poor maternal health.

  • July 18, 2011

    Attacks against Medics, Injured Protesters, and Health Facilities

    This report documents serious government abuses, starting in mid-February 2011. These include attacks on health care providers; denial of medical access to protesters injured by security forces; the siege of hospitals and health centers; and the detention, ill-treatment, torture, and prosecution of medics and patients with protest-related injuries.
  • July 14, 2011

    Health, Hard Labor, and Abuse in Ugandan Prisons

    This 80-page report documents routine physical abuse and the failure of the criminal justice system to protect the rights of prisoners. Prisoners at rural prisons, including the elderly, individuals with disabilities, and pregnant women, are frequently caned, or are even stoned, handcuffed to a tree, or burned, when they refuse to perform hard labor.

  • June 15, 2011

    A Public Health Crisis in Four Chinese Provinces

    This 75-page report draws on research in heavily lead-contaminated villages in Henan, Yunnan, Shaanxi, and Hunan provinces. The report documents how, despite increasing regulation and sporadic enforcement targeting polluting factories, local authorities are ignoring the urgent and long-term health consequences of a generation of children continuously exposed to life-threatening levels of lead.

  • June 13, 2011

    Kuwaiti Bidun and the Burden of Statelessness

    This 63-page report describes how Kuwait, one of the world’s richest countries, forces the Bidun to live under the radar of normal society, vulnerable and without protection. Many live in poverty.
  • June 2, 2011

    Access to Medicines and Palliative Care

    This 128-page report details the failure of many governments to take even basic steps to ensure that people with severe pain due to cancer, HIV, and other serious illnesses have access to palliative care, a health service that seeks to improve quality of life. As a result, millions of patients live and die in great agony that could easily be prevented, Human Rights Watch said.

  • May 12, 2011

    Ukraine’s Obligation to Ensure Evidence-Based Palliative Care

    This 93-page report describes Ukrainian government policies that make it impossible for cancer patients living in rural areas to get essential pain medications. While most cancer patients in cities have access to some medications, the treatment they receive is inadequate and provides only limited relief, Human Rights Watch found.

  • March 9, 2011

    State Response to HIV in Mississippi

    This 59-page report documents the harmful impact of Mississippi's policies on state residents, including people living with HIV and those at high risk of contracting it. Mississippi refuses to provide complete, accurate information about HIV prevention to students and threatens criminal penalties for failing to disclose one's HIV status to sexual partners.

  • September 23, 2010

    Deinstitutionalization of Persons with Intellectual or Mental Disabilities in Croatia

    This 74-page report documents the plight of the more than 9,000 persons with intellectual or mental disabilities living in institutions in Croatia and the lack of community-based programs for housing and support.