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This research study explores the central issues facing the black lesbian, gay, bisexual, transgender and intersex (LGBTI) communities in townships and semi-urban areas around Johannesburg. The findings show that despite the promise of full constitutional rights, there remains a great deal of socialised and institutionalised homophobia in South Africa. The LGBTI community receives little support or acknowledgement from government programmes, health and social services, educational institutions, and even family and heterosexual peers. There is very little communication around LGBTI issues, and many LGBTI people, especially those living in townships, feel extremely isolated and alone. The research also presents findings on hate crimes and violence against LGBTI people, homophobia within the police force and health system, substance abuse, the role of the family and religion, HIV and AIDS, and LGBTI rights. Main recommendations from the report include: