The anti-prostitution pledge is an organization-wide policy opposing prostitution and sex-trafficking that the federal government of the United States requires certain non-governmental organizations (NGOs) to adopt in order for them to receive federal anti-HIV/AIDS or anti-trafficking funds. This requirement has been in place since 2003.
The policy has been criticized as counterproductive, as it hampers enlisting those involved in the sex industry in the fight against AIDS. [1]
Initially the requirement was only applied to foreign-based NGOs, but in 2005 the Bush administration began applying it to U.S.-based organizations as well, resulting in legal challenges on First Amendment grounds. These challenges were ultimately successful before the Supreme Court, with the 2013 decision in the case Agency for International Development v. Alliance for Open Society International. The requirement remains in effect for foreign-based NGOs that receive U.S. funds.
U.S. President George W. Bush announced the five-year $15 billion President's Emergency Plan for AIDS Relief in January 2003; Congress passed it in May 2003 under the name "United States Leadership against HIV/AIDS, Tuberculosis, and Malaria Act (Global AIDS Act)". The act identifies prostitution and sex trafficking as contributing to the spread of HIV and explicitly advances a new U.S. policy goal: the eradication of prostitution. [2] The act states:
In December 2003 Congress passed the Trafficking Victims Protection Reauthorization Act which provided for funding of anti-trafficking activities, subject to the following restrictions.
The anti-prostitution pledge language in both acts was authored by Representative Chris Smith, Republican from New Jersey. [4]
The Consolidated Appropriations Act of 2004 amended the AIDS Authorization to exempt the Global Fund to Fight AIDS, Tuberculosis and Malaria, the World Health Organization, the International AIDS Vaccine Initiative and any United Nations agency from having to sign the anti-prostitution pledge. [5]
While the language of the legislation does not distinguish between foreign and U.S.-based organizations, the pledge was initially only enforced for the former, as the Justice Department had expressed First Amendment concerns. [6] [7] In September 2004, a letter from Assistant Attorney General Daniel Levin reversed this opinion, [6] and the U.S. Agency for International Development issued a directive in June 2005 that expanded the pledge requirement to all NGOs. [5]
A document issued by the CDC in May 2005 sought to extend the pledge requirement to the large group of organizations that receive funding through the multilateral Global Fund to Fight AIDS, Tuberculosis and Malaria (to which the U.S. contributes). This was quickly overturned by US Director of Foreign Assistance Randall L. Tobias. [6]
In a February 2002 National Security Presidential Directive, President George W. Bush wrote: "The United States opposes prostitution and any related activities, including pimping, pandering, and/or maintaining brothels as contributing to the phenomenon of trafficking in persons. These activities are inherently harmful and dehumanizing. The United States Government's position is that these activities should not be regulated as a legitimate form of work for any human being." [8]
In February 2005, a group of non-profit organizations including CARE, the International Rescue Committee, Save the Children and the International Center for Research on Women protested the anti-prostitution pledge policy in a letter to US Director of Foreign Assistance Randall L. Tobias. [6] This was followed by a May 2005 protest letter to President Bush, signed by hundreds of organizations worldwide, stating that the pledge "makes it extremely difficult, if not impossible, to establish the trust necessary to provide services to these hard-to-reach groups" and it will "exacerbate stigma and discrimination against already marginalized groups." [9]
This was countered in August 2005 by a letter to the President supporting the policy, signed by over 100 groups, including the Christian Medical Association, Concerned Women for America, Family Research Council, Focus on the Family, National Association of Evangelicals, Southern Baptist Ethics & Religious Liberty Commission, Sex Industry Survivors, The Medical Institute, The Salvation Army, World Hope International and World Relief. [10] Supporters of the pledge requirement argued that prostitution is inherently harmful and needs to be abolished, rejected harm reduction approaches, [11] and held that legalized prostitution increases demand for sex trafficking. [6]
In May 2005, the Brazilian government turned down $40 million in anti-HIV/AIDS funding from the U.S. government because of the anti-prostitution pledge. Brazil's AIDS commissioner Pedro Chequer was quoted as saying "Sex workers are part of implementing our AIDS policy and deciding how to promote it. They are our partners. How could we ask prostitutes to take a position against themselves?" [4]
The anti-prostitution pledge has been criticized as counterproductive, because projects that work with and support prostitutes are often seen as instrumental in fighting the spread of HIV/AIDS. The Brazilian anti-AIDS program, which employs prostitutes to hand out information and free condoms, is considered by the United Nations to be the most successful in the developing world. [12] The Sonagachi Project is a prostitutes' cooperative in Calcutta, India, that supports sex workers' rights and works to stop the spread of HIV; it has received strong positive evaluations from both UNAIDS and the World Bank, and has been cited by UNAIDS as a "best-practice" model of working with prostitutes. [13]
Ronald Weitzer has described the anti-prostitution pledge as a symptom of what he calls the "moral crusade" against sex trafficking, resulting in a broad attack against all forms of commercial sex acts. [14] The language of the policy juxtaposes the words "prostitution" and "sex trafficking"; it has been pointed out that it is important to clearly distinguish between these two concepts, [15] and that all relevant organizations already strongly oppose sex trafficking. [16]
Randall L. Tobias, the U.S. administration's foreign aid chief who was responsible for implementation of the anti-prostitution pledge, resigned in April 2007 over allegations that he had used an escort service. Some sex worker organizations and commentators called the situation "ironic" and Tobias "hypocritical". [17] [18]
The 2012 final report of UNDP's Global Commission on HIV and the Law denounced the anti-prostitution pledge and included the recommendation
3.2.8 Repeal punitive conditions in official development assistance—such as the United States government's PEPFAR anti-prostitution pledge and its current anti-trafficking regulations—that inhibit sex workers' access to HIV services or their ability to form organisations in their own interests. [19]
In response to the 2005 decision to apply the policy also to U.S.-based organizations, two lawsuits were filed, alleging that the policy compels or prohibits speech in violation of the First Amendment, and also prohibits actions that are exclusively privately funded.
In the first case (DKT v. USAID), the non-profit DKT International prevailed in District Court but lost on appeal, at the U.S. Court of Appeals for the D. C. Circuit. The February 2007 appeals court ruling was based on the assumption that the government would allow speech regarding prostitution as long as it is done through an affiliate that doesn't receive federal funding. [20]
The second case (AOSI v. USAID) involved the plaintiffs Alliance for Open Society International, its affiliate the Open Society Institute, and Pathfinder International. In May 2006, a District Court in New York issued a preliminary injunction, preventing the government from requiring these organizations to sign the anti-prostitution pledge. The government appealed this injunction to the Second Circuit Court. During the oral arguments in the case, the government stated that it would allow legally and physically separate affiliates to engage in the prohibited speech. [16] The government issued guidelines to this effect in July 2007. In November 2007, the Appeals Court rebuffed the government and let the preliminary injunction stand, returning the case to the District Court. Global Health Council and InterAction joined the case, and the District Court extended the injunction to all U.S.-based members of these organizations in August 2008. The Appeals Court, in a 2-1 decision in July 2011, affirmed the injunction and held that the anti-prostitution policy requirement "likely violates the First Amendment." [21] [22]
In September 2012, the Brennan Center for Justice obtained a ruling forcing the Department of Justice's Office of Legal Counsel to hand over the original February 2004 memorandum which had argued that the pledge, as applied to U.S.-based organizations, was unconstitutional. [23]
In a 6-2 decision, the Supreme Court ruled in 2013 that the anti-prostitution pledge violated the First Amendment: the government may not leverage funding to regulate an American-based recipient's speech outside of the funded program. [24] [25] Later, a case regarding the pledge in the context of foreign-based recipients was heard by the Supreme Court; it ruled in 2020 that foreign-based recipients can be subject to the pledge, given the inapplicability of Amendment I to foreign nationals. [26]
The Mexico City policy, sometimes referred to by its critics as the global gag rule, is a former United States government policy that blocked U.S. federal funding for non-governmental organizations (NGOs) that provided abortion counseling or referrals, advocated to decriminalize abortion, or expanded abortion services. When in effect, the Mexico City policy is a U.S. government policy that requires foreign non-governmental organizations to certify that they will not "perform or actively promote abortion as a method of family planning" with non-U.S. funds as a condition for receiving U.S. global family planning assistance, and during its January 23, 2017 implementation any other U.S. global health assistance, including U.S. global HIV and maternal and child health (MCH) assistance.
The United States President's Emergency Plan For AIDS Relief (PEPFAR) is the global health funding by the United States to address the global HIV/AIDS epidemic and help save the lives of those suffering from the disease. The U.S. allocation of over $110 billion marks the largest investment by any country has ever made towards combating a single disease. Launched by U.S. President George W. Bush in 2003, as of May 2020, PEPFAR has provided cumulative funding for HIV/AIDS treatment, prevention, and research since its inception, making it the largest global health program focused on a single disease in history until the COVID-19 pandemic. PEPFAR is implemented by a combination of U.S. government agencies in over 50 countries and overseen by the Global AIDS Coordinator at the United States Department of State. As of 2023, PEPFAR has saved over 25 million lives, primarily in sub-Saharan Africa.
Prostitution in Thailand is not itself illegal, but public solicitation for prostitution is prohibited if it is carried out "openly and shamelessly" or "causes nuisance to the public". Due to police corruption and an economic reliance on prostitution dating back to the Vietnam War, it remains a significant presence in the country. It results from poverty, low levels of education and a lack of employment in rural areas. Prostitutes mostly come from the northeastern (Isan) region of Thailand, from ethnic minorities or from neighbouring countries, especially Cambodia, Myanmar, and Laos. In 2019, the Joint United Nations Programme on HIV/AIDS (UNAIDS) estimated the total population of sex workers in Thailand to be 43,000.
Randall L. Tobias is an American governmental figure and former chief executive officer of Eli Lilly and Company. A Republican, he was appointed the first United States Director of Foreign Assistance, and served concurrently as the administrator of the U.S. Agency for International Development (USAID), with the rank of ambassador.
Phil Harvey was an American entrepreneur, philanthropist and libertarian who set up large-scale programs that delivered subsidized contraceptives in poor countries. Harvey was the founder and former president of DKT International, the Washington, D.C.–based charity that implements family planning and HIV/AIDS prevention programs in 57 countries across Africa, Asia and Latin America. He was the chief sponsor of the DKT Liberty Project which raised awareness about freedom of speech issues in the U.S. Harvey was also the president of Adam & Eve, the North Carolina–based company that sells sex toys, adult films and condoms. Consequently, he has been called "one of the most influential figures in the American sex industry today".
Human trafficking and the prostitution of children has been a significant issue in the Philippines, often controlled by organized crime syndicates. Human trafficking is a crime against humanity.
The first AIDS case identified in Brazil was in 1982. Infection rates climbed exponentially throughout the 1980s, and in 1990 the World Bank famously predicted 1,200,000 cases by 2000, approximately double the actual number that was later reported by the Brazilian Ministry of Health and most international organizations. South and Southeast have 75% or more of this infection. The Northeast has 33% of the population but only 10% of AIDS.
Prostitution in the Czech Republic is legal, but organized prostitution is prohibited. Ever since the Czechoslovak Velvet Revolution (1989) led to the creation of two independent states – the Czech Republic and Slovakia – prostitution has been flourishing and has contributed its share to the region's booming tourist economy. Prostitution is widespread in Prague and areas near the Republic's western borders with Germany and Austria. In 2002, the Czech Statistical Bureau estimated the trade to be worth six billion crowns a year. UNAIDS estimate there are 13,000 prostitutes in the country.
Prostitution in Turkey is legal and regulated. The secularization of Turkish society allowed prostitution to achieve legal status during the early 20th century. Known as "general houses" (genelevler) in the country, these are state run brothels which must receive permits from the government to operate. In turn, the regulatory agencies issue identity cards to sex workers that give them rights to some free medical care and other social services. However, many local governments now have a policy of not issuing new registrations, and in some cities, such as Ankara and Bursa, brothels have been demolished by court order. In 2012, it was estimated there are 100,000 unliscenced prostitutes in Turkey, half of whom are foreign born.
Prostitution in South Africa is illegal for both buying and selling sex, as well as related activities such as brothel keeping and pimping. However, it remains widespread. Law enforcement is poor.
Prostitution in Costa Rica is legal. Costa Rica's legal system is based on Roman law rather than common law, and so for prostitution to be illegal it would have to be explicitly stated as such in a penal code, and it is not. Nevertheless, many of the activities surrounding it are illegal, as the law forbids promoting or facilitating the prostitution of another, and therefore pimping, brothels, or prostitution rings are illegal. Prostitution is common and is practiced openly throughout the country, particularly in popular tourism destinations.
Prostitution in Ukraine is illegal but widespread and largely ignored by the government. In recent times, Ukraine has become a popular prostitution and sex trafficking destination. Ukraine is a source, transit, and destination country for women and children trafficked transnationally for the purposes of commercial sexual exploitation. Ukraine's dissolution from the Soviet Union, saw the nation attempt to transition from a planned economy to a market economy. The transition process inflicted economic hardship in the nation, with nearly 80% of the population forced into poverty in the decade that followed its independence. Unemployment in Ukraine was growing at an increasing rate, with female unemployment rising to 64% by 1997. The economic decline in Ukraine made the nation vulnerable and forced many to depend on prostitution and trafficking as a source of income. Sex tourism rose as the country attracted greater numbers of foreign tourists.
Prostitution in Haiti, although illegal, continues to be a widespread problem for the country, particularly in the form of street prostitution, as well as in bars, hotels and brothels. UNAIDS estimate there to be 70,000 prostitutes in the country. Law enforcement is generally lax.
Alliance for Open Society International, Inc. (AOSI) is a U.S. public charity organized in 2003 under the laws of the State of Delaware.
Cases of HIV/AIDS in Peru are considered to have reached the level of a concentrated epidemic.
The Dominican Republic has a 0.7 percent prevalence rate of HIV/AIDS, among the lowest percentage-wise in the Caribbean region. However, it has the second most cases in the Caribbean region in total web|url=http://www.avert.org/caribbean-hiv-aids-statistics.htm |title=Caribbean HIV & AIDS Statistics|date=21 July 2015}}</ref> with an estimated 46,000 HIV/AIDS-positive Dominicans as of 2013.
Prostitution in Kosovo is illegal, and can incur a prison sentence of up to sixty days. The Global Fund to Fight AIDS, Tuberculosis and Malaria's HIV Program in Kosovo estimated there to be 5,037 prostitutes in the country. Many women turn to prostitution through poverty.
Migrant sex work is sex work done by migrant workers. It is significant because of its role as a dominant demographic of sex work internationally. It has common features across various contexts, such as migration from rural to urban areas and from developing to industrialized nations, and the economic factors that help to determine migrant status. Migrant sex workers have also been the subject of discussions concerning the legality of sex work, its connection to sex trafficking, and the views of national governments and non-governmental organizations about the regulation of sex work and the provision of services for victims of sex trafficking.
Agency for International Development v. Alliance for Open Society International, Inc., 570 U.S. 205 (2013), also known as AOSI I, was a United States Supreme Court decision in which the court ruled that conditions imposed on recipients of certain federal grants amounted to a restriction of freedom of speech and violated the First Amendment.
Agency for International Development v. Alliance for Open Society International, Inc., 591 U.S. ___ (2020), also known as AOSI II, was a United States Supreme Court case in which the Court held that compelled speech required as a condition for funding on foreign non-governmental affiliates of U.S. non-government organizations does not violate First Amendment rights.