During a support group meeting for transgender women – held in a tiny, two-bedroom RDP house in the rural North West town of Schweizer-Reneke – one of the women started coughing violently.

“We were all really concerned for her,” says Seoketsi Mooketsi, the trans rights activist who established the group. “I advised her to go to the local clinic, but all she said was: ‘It’s not that easy, chommie.’”

It being her hometown, Mooketsi knows all too well what makes accessing this service “not that easy”.

“There is still a lot of stigma,” she says.