Women

Rape and Domestic Violence: Rape is a criminal offense, with punishment for conviction that ranges from a minimum of 10 to 25 years in prison and a fine, to the death penalty. The penalty for conviction of gang rape is death or life imprisonment. The law does not explicitly criminalize spousal rape and defines rape as a crime committed by a man against a woman. Although rape was frequent, prosecutions were rare. The law provides for collection of DNA evidence and includes nondisclosure of a rape victim’s name, the right to legal representation of rape victims, relaxed reporting requirements for female victims, and enhanced penalties for rape of victims with mental or physical disabilities.

The government did not effectively enforce the 2006 Women’s Protection Act, which brought the crime of rape under the jurisdiction of criminal rather than Islamic courts. The law prohibits police from arresting or holding a female victim overnight at a police station without a civil court judge’s consent. The law requires a victim to complain directly to a sessions court, which tries heinous offenses. After recording the victim’s statement, the sessions court judge files a complaint, after which police may make arrests. NGOs reported the procedure created barriers for rape victims who could not travel to or access the courts. NGOs continued to report that rape was a severely underreported crime.

The Punjab Protection of Women against Violence Act provides legal protections for domestic abuse victims, including judicial protective orders and access to a new network of district-level women’s shelters. Centers provide women a range of services including assistance with the completion of first information reports regarding the crimes committed against them, first aid, medical examinations, posttrauma rehabilitation, free legal services, and a shelter home. The Punjab government funds four women’s career centers in Punjab universities, 12 crisis centers that provide legal and psychological services to women, and emergency shelters for women and children. The Punjab government established 16 women’s hostel authority in 12 districts to assist women in finding safe, affordable, temporary lodging while looking for work. They also established 68 additional day-care centers, bringing the total to 137 by year’s end. The provincial government also launched other economic empowerment programs, including the Punjab Small Industry cooperation Development Bank and the Kisan Ki Beti project, which aim to improve living standards of rural women through skill development.

Lahore uses a special court designed to focus exclusively on gender-based violence (GBV) crimes. The Lahore Gender-Based Violence Court receives the most serious cases in the district, such as aggravated rape, and offers enhanced protections to women and girls.

Khyber Pakhtunkhwa lacks a comprehensive law addressing domestic violence.

There were no reliable national, provincial, or local statistics on rape due to underreporting and no centralized law-enforcement data collection system.

Prosecutions of reported rapes were rare, although there were reports that prosecution rates increased in response to police capacity building programs and public campaigns to combat the lack of awareness regarding rape and GBV. Police and NGOs reported individuals involved in other types of disputes sometimes filed false rape charges, reducing the ability of police to identify legitimate cases and proceed with prosecution. NGOs reported police sometimes accepted bribes from perpetrators, abused or threatened victims, and demanded victims drop charges, especially when suspected perpetrators were influential community leaders. Some police demanded bribes from victims before registering rape charges, and investigations were often superficial. Furthermore, accusations of rape were often resolved using extrajudicial measures, with the victim frequently forced to marry her attacker. Women who reported or spoke up against violence against women often faced pushback and harassment, including by police officials, which, according to civil society, discouraged victims from coming forward.

In the early morning of September 9, two men broke into the vehicle of a woman who, with her two children, had stalled on the road outside of Lahore. The men robbed the family and then raped the woman in front of her children. The woman was initially blamed by a top police official, who, based on his comments, implied the victim had been out too late at night. Police later apprehended one of the suspects.

The use of rape medical testing increased, but medical personnel in many areas did not have sufficient training or equipment, which further complicated prosecutions. Most victims of rape, particularly in rural areas, did not have access to the full range of treatment services. There were a limited number of women’s treatment centers, funded by the federal government and international donors. These centers had partnerships with local service providers to create networks that delivered a full spectrum of essential services to rape victims.

No specific federal law prohibits domestic violence, which was widespread. Police may charge acts of domestic violence as crimes pursuant to the penal code’s general provisions against assault and bodily injury. Provincial laws also prohibit acts of domestic violence. Forms of domestic violence reportedly included beating, physical disfigurement, shaving of women’s eyebrows and hair, and–in extreme cases–homicide. Dowry and other family-related disputes sometimes resulted in death or disfigurement by burning or acid.

Women who tried to report abuse often faced serious challenges. Police and judges were sometimes reluctant to act in domestic violence cases, viewing them as family problems. Instead of filing charges, police often responded by encouraging the parties to reconcile. Authorities routinely returned abused women to their abusive family members. Government officials reported a 25 percent increase in domestic violence incidents during COVID-19 lockdowns in eastern Punjab.

To address societal norms that disapprove of victims who report GBV, the government established women’s police stations, staffed by female officers, to offer women a safe place to report complaints and file charges. There was an inadequate number of women’s police stations, and they faced financial shortfalls and appropriate staffing shortages.

The government continued to operate the Crisis Center for Women in Distress, which referred abused women to NGOs for assistance. Numerous government-funded Shaheed Benazir Bhutto Centers for Women across the country provided legal aid, medical treatment, and psychosocial counseling. These centers served women who were victims of exploitation and violence. Officials later referred victims to dar–ul–amans, shelter houses for abused women and children, of which there were several hundred around the country. The dar-ul-amans also provided access to medical treatment. According to NGOs, the shelters did not offer other assistance to women, such as legal aid or counseling, and often served as halfway homes for women awaiting trial for adultery, but who in fact were victims of rape or other abuse.

Government centers lacked sufficient space, staff, and resources. Many overcrowded dar-ul-amans did not meet international standards. Some shelters did not offer access to basic needs such as showers, laundry supplies, or feminine hygiene products. In some cases individuals reportedly abused women at the government-run shelters, and staff severely restricted women’s movements or pressured them to return to their abusers. There were reports of women exploited in prostitution and sex trafficking in shelters. Some shelter staff reportedly discriminated against the shelter residents, assuming that if a woman fled her home, it was because she was a woman of ill repute.

Female Genital Mutilation/Cutting (FGM/C): No national law addresses the practice of FGM/C. According to human rights groups and media reports, many Dawoodi Bohra Muslims practiced various forms of FGM/C. Some Dawoodi Bohras spoke publicly and signed online petitions against the practice. Some other isolated tribes and communities in rural Sindh and Balochistan also reportedly practiced FGM/C.

Other Harmful Traditional Practices: Women were victims of various types of societal violence and abuse, including so-called honor killings, forced marriages and conversions, imposed isolation, and used as chattel to settle tribal disputes.

A 2004 law on honor killings, the 2011 Prevention of Antiwomen Practices Act, and the 2016 Criminal Law Amendment (Offenses in the Name or Pretext of Honor) Act criminalize acts committed against women in the name of traditional practices. Despite these laws, hundreds of women reportedly were victims of so-called honor killings, and many cases went unreported and unpunished. In many cases officials allowed the male involved in the alleged “crime of honor” to flee. Because these crimes generally occurred within families, many went unreported. Police and NGOs reported increased media coverage enabled law enforcement officers to take some action against these crimes.

In May, three men killed two teenage sisters in North Waziristan, Khyber Pakhtunkhwa, after a video showing them kissing a man circulated online. According to media reports, police arrested the victims’ father and brother for the crime and later apprehended a third suspect. They also arrested the 28-year-old man in the video, whose life was also in danger under tribal custom, on the grounds of “vulgarity.” Police conducted a swift investigation, over objections of tribal leadership and local elected officials. As of September the cases were pending with the trial court.

A Sindh police study publicized in February stated 769 persons, including 510 women, were victims of so-called honor killings in Sindh between 2014 and 2019. According to the report, police brought charges in 649 cases the courts awarded sentences in 19 cases, while the accused in 136 cases were acquitted; as of September, 494 cases were still pending trial. The conviction rate stood at 2 percent against the acquittal rate of 21 percent. On June 27, police found the mutilated body of a 24-year old woman named Wazeera Chacchar, who was stoned to death in a so-called honor killing case in Jamshoro, Sindh. Her post mortem report revealed she was gang raped before being killed and was pregnant at the time of the incident. Her father alleged her husband was behind the killing.

The law makes maiming or killing using a corrosive substance a crime and imposes stiff penalties against perpetrators. There were reports that the practice of disfigurement–including cutting off a woman’s nose or ears or throwing acid in their face, in connection with domestic disputes or so-called honor crimes–continued and that legal repercussions were rare.

The 2016 Sindh Hindu Marriage Act and the 2017 Hindu Marriage Act (applying to all other provinces) codify the legal mechanisms to formally register and prove the legitimacy of Hindu marriages. The 2017 Hindu Marriage Act allows for the termination of the marriage upon the conversion of one party to a religion other than Hinduism. Some activists claimed the latter provision weakens the government’s ability to protect against forced marriage and conversion. The 2016 Sindh Hindu Marriage Act also applies to Sikh marriages. The Punjab Sikh Anand Karaj Marriage Act 2018 allows local government officials to register marriages between a Sikh man and Sikh woman solemnized by a Sikh Anand Karaj marriage registrar.

The 2011 Prevention of Antiwomen Practices Amendment Act criminalizes and punishes the giving of a woman in marriage to settle a civil or criminal dispute; depriving a woman of her rights to inherit movable or immovable property by deceitful or illegal means; coercing or in any manner compelling a woman to enter into marriage; and compelling, arranging, or facilitating the marriage of a woman with the Quran, including forcing her to take an oath on the Quran to remain unmarried or not to claim her share of an inheritance. Although prohibited by law, these practices continued in some areas.

The 2012 National Commission on the Status of Women Bill provides for the commission’s financial and administrative autonomy to investigate violations of women’s rights.

On October 8, the minister of religious affairs banned the use of dowry, with the exception of bridal clothing and bedsheets.

Sexual Harassment: Although several laws criminalize sexual harassment in the workplace and public sphere, the problem was reportedly widespread. The law requires all provinces to have provincial-level ombudsmen. All provinces and Gilgit-Baltistan had established ombudsmen. During the year the Khyber Pakhtunkhwa Assembly passed its provincial law for the prevention of the harassment of women.

Meesha Shafi and eight others accused pop singer Ali Zafar of sexual harassment in 2018. He denied the accusations and filed suit against the women. In September the accusers were charged with defamation; if convicted, they faced up to three years in prison.

Reproductive Rights: Couples and individuals have the right to decide the number, spacing, and timing of children, but often lacked access to information and the means to make informed decisions. Couples and individuals did not have the ability to attain the highest standard of reproductive health, free from discrimination, coercion, and violence. The government provided regular access to sexual and reproductive health services for survivors of sexual violence. All sexual violence cases reported in a public facility are also reported to the police. Survivors of sexual violence are provided with a clinical exam and treatment; female survivors are offered emergency contraceptives. Other services provided to survivors of sexual violence vary by province. During the year the Lahore High Court declared virginity tests illegal and of no forensic value in cases of sexual violence.

Young girls and women were especially vulnerable to problems related to sexual and reproductive health and reproductive rights, and often lacked information and means to access care. Spousal opposition also contributed to the challenges women faced in obtaining contraception or delaying pregnancy. Women, particularly in rural areas, faced difficulty in accessing education on health and reproductive rights due to social constraints, which also complicated data collection.

The Khyber Pakhtunkhwa Provincial Assembly passed the Khyber Pakhtunkhwa Reproductive Healthcare Rights Bill in July 2020, requiring the provincial government to provide reproductive healthcare information, to provide quality family planning services including short-term, long-term, and permanent methods of contraception, and to enable local access to contraceptives. The Sindh Assembly passed the Sindh Reproductive Healthcare Rights Bill in November 2019 to strengthen access to rural health centers and family planning resources, and to reduce the complications related to pregnancy and childbirth.

According to the most recent UN research, the maternal mortality ratio was 140 deaths per 100,000 live births in 2017, a rate attributed to a lack of health information and services. Few women in rural areas had access to skilled attendants during childbirth, including essential obstetric and postpartum care. UNICEF estimated that direct and indirect effects of COVID-19 led to a 14.5 percent increase in child mortality and a 21.3 percent increase in maternal mortality in 2020.

According to the National Institute of Population Studies’ 2017-18 Demographic and Health Survey, 86 percent of women received prenatal care. UNICEF data stated that skilled healthcare providers delivered 71 percent of births in 2019. The World Health Organization, citing 2010-2018 data, reported an adolescent birth rate of 46 per 1,000 women aged 15-19 years.

Coercion in Population Control: There were no reports of coerced abortion or involuntary sterilization on the part of government authorities.

Discrimination: Women faced legal and economic discrimination. The law prohibits discrimination based on sex, but authorities did not enforce it. Women also faced discrimination in employment, family law, property law, and the judicial system. Family law provides protection for women in cases of divorce, including requirements for maintenance, and sets clear guidelines for custody of minor children and their maintenance. Many women were unaware of these legal protections or were unable to obtain legal counsel to enforce them. Divorced women often were left with no means of support, as their families ostracized them. Women are legally free to marry without family consent, but society frequently ostracized women who did so, or they risked becoming victims of honor crimes.

The law entitles female children to one-half the inheritance of male children. Wives inherit one-eighth of their husbands’ estates. Women often received far less than their legal entitlement. In addition, complicated family disputes and the costs and time of lengthy court procedures reportedly discouraged women from pursuing legal challenges to inheritance discrimination. During the year Khyber Pakhtunkhwa passed a law for the protection of women’s inheritance rights and appointed a female independent ombudsperson charged with hearing complaints, starting investigations, and making referrals for enforcement of inheritance rights.

Media reported that imams and other marriage registrars illegally meddled with nikah namas, Islamic marriage contracts that often detail divorce rights, to limit rights of women in marriage. In other instances, women signing the contracts were not fully informed of their contents.

During the year civil society actors reported that only 7 percent of women had access to financial inclusion services in Pakistan and that women had limited access to credit.

Birth Registration: Citizenship is generally derived by birth in the country, although children born abroad after 2000 may derive their citizenship by descent if either the mother or the father is a citizen and the child is registered with the proper authorities. Children of refugees and stateless persons do not derive citizenship by birth.

Education: The constitution mandates compulsory education, provided free of charge by the government, to all children between ages five and 16. Despite this provision, government schools often charged parents for books, uniforms, and other materials.

The most significant barrier to girls’ education was the lack of access. Public schools, particularly beyond the primary grades, were not available in many rural areas, and those that existed were often too far for a girl to travel unaccompanied. Despite cultural beliefs that boys and girls should be educated separately after primary school, the government often failed to take measures to provide separate restroom facilities or separate classrooms, and there were more government schools for boys than for girls. The attendance rates for girls in primary, secondary, and postsecondary schools were lower than for boys. Additionally certain tribal and cultural beliefs often prevented girls from attending schools.

Medical Care: Boys and girls had equal access to government facilities, although families were more likely to seek medical assistance for boys than for girls.

Child Abuse: In March the government passed the Zainab Alert Law, which criminalizes child abuse and mandates life imprisonment for individuals convicted of child abuse. Child abuse was widespread. Employers, who in some cases were relatives, abused young girls and boys working as domestic servants by beating them and forcing them to work long hours. In the first six months following its passage, 1,489 cases were registered under the new law; however, there were fewer than 20 prosecutions.

An employer and his wife confessed to beating an eight-year-old girl, their illegally employed domestic servant, on May 31. She died of her injuries the following day. The employer claimed they had beaten her for having released their pet parrots. The Rawat police station FIR recorded that the girl had injuries on her face, hands, legs, legs, thighs–indicating potential sexual assault–and below her rib cage.

Many such children were human trafficking victims. In some circumstances trafficked children were forced to beg to gain money for their employers.

Local authorities subjected children to harmful traditional practices, treating girls as chattel to settle disputes and debts.

In 2016 the government updated its definition of statutory rape and expanded the previous definition, which was sexual intercourse with a girl younger than 16, to include boys.

Child, Early, and Forced Marriage: Despite legal prohibitions, child marriages occurred. Federal law sets the legal age of marriage at 18 for men and 16 for women. According to UNICEF, 21 percent of girls were married by the age of 18. The 2014 Sindh Child Marriage Restraint Act sets 18 as the legal age of marriage for both girls and boys in Sindh Province. A 2017 amendment to the penal code substantially increased punishment for conviction of violating the law. A convicted individual may be imprisoned for up to 10 years and no less than five years (up from imprisonment of up to one month) and may also be fined up to one million Pakistani rupees ($6,430), up from 1,000 Pakistani rupees (six dollars). At times men would evade Sindh child marriage law by traveling to a different province for the marriage.

In 2014 the Council of Islamic Ideology declared child marriage laws to be un-Islamic and noted they were “unfair and there cannot be any legal age of marriage.” The council stated that Islam does not prohibit underage marriage since it allows the consummation of marriage after both partners reach puberty. Decisions of the council are nonbinding.

In rural areas, poor parents sometimes sold their daughters into marriage, in some cases to settle debts or disputes. Although forced marriage is a criminal offense, in many filed cases prosecution remained limited.

On January 15, Mehek Kumari, 15-year-old Hindu girl, went missing and later appeared in a video with Ali Raza, a Muslim man. In the video the couple claimed they had both willingly married and that Kumari had voluntarily converted to Islam. In February Kumari retracted her video statement, indicating Raza had forced her to convert, and requested to be returned to her family. In response to the retraction, some radical clerics called for the girl to face the death penalty. Later in the month a court in Jacobabad ruled that the marriage between Kumari and Raza was illegal under the 2013 Sindh Child Marriage Restraint Act, which states children cannot marry until they reach 18.

A 13-year-old Christian girl from Karachi, identified as Arzoo Raja, was allegedly abducted, forcibly converted to Islam, and married to a 44-year-old man on October 13. The Sindh High Court, on October 27, upheld the validity of Raja’s marriage, citing the marriage certificate that indicated Raja was age 18 and ruling Raja had converted to Islam and married of her own free will. Following petitions by human rights groups to enforce the provisions of the 2013 Sindh Child Marriage Restraint Act, which imposes restrictions on underage marriage, on November 2, the Sindh High Court ordered the arrest of the husband and ordered Raja to be placed in a shelter pending an investigation.

Sexual Exploitation of Children: Various local laws exist to protect children from child pornography, sexual abuse, seduction, and cruelty, but federal laws do not prohibit using children for prostitution or pornographic performances, although child pornography is illegal under obscenity laws. Legal observers reported that authorities did not regularly enforce child protection laws. For example, according to media reports, a seminary teacher, Ghulam Abbas Sehto, was accused of molesting a 12-year-old boy at a mosque but granted bail after arrest. In a separate rape allegation against Sehto, no action was taken because no official complaint was made.

Infanticide or Infanticide of Children with Disabilities: Parents occasionally abandoned unwanted children, most of whom were girls. By law, anyone found to have abandoned an infant may be imprisoned for seven years, while anyone guilty of secretly burying a deceased child may be imprisoned for two years. Conviction of murder is punishable by life imprisonment, but authorities rarely prosecuted the crime of infanticide.

Displaced Children: According to civil society sources, it was difficult for children formerly displaced by military operations to access education or psychological support upon their return to former conflict areas. Nonetheless, the Khyber Pakhtunkhwa government reconstructed some of the 1,800 schools in the former FATA districts, where large numbers of internally displaced persons had returned. The government prioritized rehabilitating schools and enrolling children in these former conflict areas, and the overall number of out-of-school children decreased, according to international organizations.

International Child Abductions: The country is a party to the 1980 Hague Convention on the Civil Aspects of International Child Abduction. See the Department of State’s Annual Report on International Parental Child Abduction at https://travel.state.gov/content/travel/en/International-Parental-Child-Abduction/for-providers/legal-reports-and-data/reported-cases.

Most of the historic Jewish community has emigrated. Anti-Semitic sentiments were widespread in the vernacular press. Hate speech used by some politicians and broadcast in some print media and through social media used derogatory terms such as “Jewish agent” to attack individuals and groups or referred to “Zionist conspiracies.”

See the Department of State’s Trafficking in Persons Report at https://www.state.gov/trafficking-in-persons-report/.

The law provides for equal rights for persons with disabilities, and provincial special education and social welfare offices are responsible for protecting the rights of persons with disabilities; nonetheless, authorities did not always implement its provisions. Each province has a department or office legally tasked with addressing the educational needs of persons with disabilities. Despite these provisions, most children with disabilities did not attend school, according to civil society sources.

Employment quotas at the federal and provincial levels require public and private organizations to reserve at least 2 percent of jobs for qualified persons with disabilities. Authorities only partially implemented this requirement due to lack of adequate enforcement mechanisms. Organizations that did not wish to hire persons with disabilities could instead pay a fine to a disability assistance fund. Authorities rarely enforced this obligation. The National Council for the Rehabilitation of the Disabled provided job placement and loan facilities as well as subsistence funding. Access to polling stations was challenging for persons with disabilities because of severe difficulties in obtaining transportation. The Elections Act 2017 allows for absentee voting for persons with disabilities. In order to register for an absentee ballot, however, persons with disabilities were required to obtain an identification card with a special physical disability symbol. According to disability rights activists, the multistep process for obtaining the special identification symbol was cumbersome and challenging.

In June the NGO HRCP condemned the government’s decision to abolish the 2 percent public and private company employment quota for persons with disabilities by deleting Section 459 of the Companies Act of 2017. The Ministry of Human Rights explained that the deletion of this section from the Companies Act would not jeopardize the job-quota guarantee. Disability rights groups criticized the hasty manner in which the ordinance was promulgated, without stakeholder feedback and parliamentary debate and oversight.

In July the Supreme Court ordered the federal and provincial governments to facilitate jobs, transport, housing, and access at public places for persons with disabilities. It also asked the government to advertise vacant posts for disability employment and ensure successful candidates were appointed against regional quotas. In another verdict in August, the Supreme Court ordered the federal and provincial governments to discontinue the use of words “disabled,” “physically handicapped,” and “mentally retarded” in official correspondence, since these words offend the dignity of persons with disabilities.

On March 17, Fayyaz ul Hassan, provincial minister of Punjab for information and culture, called persons with disabilities “punishment” for parents. He claimed that traders who unethically hoard coronavirus response equipment would be punished by having children with disabilities.

Some Sindhi and Baloch nationalist groups claimed that authorities detained their members based on political affiliation or belief. Nationalist parties in Sindh further alleged that law enforcement and security agencies kidnapped and killed Sindhi political activists. Pashtuns accused security forces of committing extrajudicial killings, disappearances, and other human rights abuses targeting Pashtuns.

On May 29, a mob in Quetta’s Hazara town killed a young Pashtun man and seriously injured two others. Accounts varied regarding the cause of the attack. According to one version, the Pashtun men were harassing Hazara women, while another attributed the violence to a monetary dispute. Authorities arrested 12 suspects for their alleged involvement in the attack.

Sectarian militants continued to target members of the Hazara ethnic minority, who are largely Shia Muslim, in Quetta, Balochistan. Hazaras also continued to face discrimination and threats of violence. According to press reports and other sources, Hazara were unable to move freely outside of Quetta’s two Hazara-populated enclaves. Community members complained that increased security measures had turned their neighborhoods into ghettos, resulting in economic exploitation. Consumer goods in those enclaves were available only at inflated prices, and Hazaras reported an inability to find employment or pursue higher education.

On March 25, the Balochistan chief secretary announced, that these two enclaves, Hazara-town and Marribad, were to be sealed off in light of the COVID-19 pandemic, alleging that residents of the enclaves had contracted the virus in greater numbers. Although no Hazara government employee had at the time tested positive for COVID-19, according to media sources, he further furloughed all Balochistan government “staff … belong(ing) to the Hazara tribe.” Hazaras, who are largely Shia, were harassed online by social media users who referred to the virus as the “Shia virus” and alleged that Hazara migrants from Iran had introduced the virus to the country.

Community members also alleged government agencies discriminated against Hazaras in issuing identification cards and passports. Authorities provided enhanced security for Shia religious processions but confined the public observances to the Hazara enclaves.

Consensual same-sex sexual conduct is a criminal offense. The penalty for conviction of same-sex relations is a fine, two years’ to life imprisonment, or both. Lesbian, gay, bisexual, male transgender, and intersex persons rarely revealed their sexual orientation or gender identity in the public sphere. There were communities of openly transgender women, but they were marginalized and were frequently the targets of violence and harassment.

Violence and discrimination continued against lesbian, gay, bisexual, transgender, and intersex (LGBTI) persons. The crimes often went unreported, and police generally took little action when they did receive reports.

In 2019 the inspector general of police announced that the government would provide 0.5 percent of the office jobs in the Sindh police force to members of the transgender community. In May, Rawalpindi police launched a pilot project to protect transgender individuals. The project, called the Tahafuz Center, opened on May 12, and included the first transgender victim-support officer, also a member of the transgender community.

In July a video was shared online that depicted men in Rawalpindi assaulting a group of transgender women, who were held at gunpoint and raped after being forced to strip. A local NGO reported that prison officials in Khyber Pakhtunkhwa housed transgender prisoners separately and that the provincial government formed a jail oversight committee to improve the prison situation. Khyber Pakhtunkhwa police stations began offering a dedicated intake desk for transgender persons along with addition of transgender rights education in police training courses. Local NGOs working in the Islamabad Capital Territory and Punjab conducted transgender sensitization training for police officers.

According to a wide range of LGBT NGOs and activists, society generally shunned transgender women, eunuchs, and intersex persons, who often lived together in slum communities and survived by begging and dancing at carnivals and weddings. Some also were prostitutes. Local authorities often denied transgender individuals their share of inherited property and admission to schools and hospitals. Property owners frequently refused to rent or sell property to transgender persons. The 2018 landmark Transgender Persons (Protection of Rights) Act addresses many of these problems. The law accords the right of transgender individuals to be recognized according to their “self-perceived gender identity,” provides for basic rights, prohibits harassment of transgender persons, and outlaws discrimination against them in employment, housing, education, health care, and other services. No such law, however, protects the rights of lesbian, gay, or bisexual individuals.

A 2012 Supreme Court ruling allows transgender individuals to obtain national identification cards listing a “third gender.” Because national identity cards also serve as voter registration, the ruling enabled transgender individuals to participate in elections, both as candidates and voters.

A concentrated HIV epidemic persisted among injecting drug users, while the estimated prevalence in the general population was less than 0.1 percent. The epidemic was concentrated among injecting drug users (21 percent). Stigma and discrimination by the general population and by health-care providers against persons with HIV in particular remained a significant barrier to treatment access. An estimated 14 percent of persons with HIV knew their status, and approximately one-tenth of them were on antiretroviral treatment, according to the 2018 Joint UN Program on HIV/AIDS report. Transgender advocacy organizations and activists reported that HIV was particularly prevalent in their community, with little medical help.

Societal violence due to religious intolerance remained a serious problem. There were occasionally reports of mob violence against religious minorities, including Christians, Ahmadi Muslims, and Hindus. Shia Muslim activists reported continuing instances of targeted killings and enforced disappearances in limited parts of the country.

Women’s rights groups faced threats of violence from religious groups. On February 25, the political party JUI-F threatened to disrupt the Sukkur’s women’s (Aurat) march on March 8, saying the march promotes vulgarity and is against Islamic values. The march was held amid strict government security, but many NGOs did not participate in the event after receiving direct threats. In Islamabad several individuals were injured after men hurled bricks and stones at the women during the march.