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The anti-prostitution pledge is an organization-wide policy opposing
prostitution Prostitution is a type of sex work that involves engaging in sexual activity in exchange for payment. The definition of "sexual activity" varies, and is often defined as an activity requiring physical contact (e.g., sexual intercourse, no ...
and sex-trafficking that the
federal government of the United States The Federal Government of the United States of America (U.S. federal government or U.S. government) is the Federation#Federal governments, national government of the United States. The U.S. federal government is composed of three distinct ...
requires certain
non-governmental organization A non-governmental organization (NGO) is an independent, typically nonprofit organization that operates outside government control, though it may get a significant percentage of its funding from government or corporate sources. NGOs often focus ...
s (NGOs) to adopt in order for them to receive federal anti-
HIV/AIDS The HIV, human immunodeficiency virus (HIV) is a retrovirus that attacks the immune system. Without treatment, it can lead to a spectrum of conditions including acquired immunodeficiency syndrome (AIDS). It is a Preventive healthcare, pr ...
or anti-
trafficking Smuggling is the illegal transportation of objects, substances, information or people, such as out of a house or buildings, into a prison, or across an international border, in violation of applicable laws or other regulations. More broadly, soc ...
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 The sex industry (also called the sex trade) consists of businesses that either directly or indirectly provide sex-related products and services or adult entertainment. The industry includes activities involving direct provision of sex-related se ...
in the fight against AIDS. 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.


Legislation and implementation

U.S. President The president of the United States (POTUS) is the head of state and head of government of the United States. The president directs the Federal government of the United States#Executive branch, executive branch of the Federal government of t ...
George W. Bush George Walker Bush (born July 6, 1946) is an American politician and businessman who was the 43rd president of the United States from 2001 to 2009. A member of the Bush family and the Republican Party (United States), Republican Party, he i ...
announced the five-year $15 billion President's Emergency Plan for AIDS Relief in January 2003;
Congress A congress is a formal meeting of the representatives of different countries, constituent states, organizations, trade unions, political parties, or other groups. The term originated in Late Middle English to denote an encounter (meeting of ...
passed it in May 2003 under the name "United States Leadership against HIV/AIDS,
Tuberculosis Tuberculosis (TB), also known colloquially as the "white death", or historically as consumption, is a contagious disease usually caused by ''Mycobacterium tuberculosis'' (MTB) bacteria. Tuberculosis generally affects the lungs, but it can al ...
, and
Malaria Malaria is a Mosquito-borne disease, mosquito-borne infectious disease that affects vertebrates and ''Anopheles'' mosquitoes. Human malaria causes Signs and symptoms, symptoms that typically include fever, Fatigue (medical), fatigue, vomitin ...
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. The act states: * "No funds ... may be used to promote or advocate the legalization or practice of prostitution or sex trafficking." * "No funds ... may be used to provide assistance to any group or organization that does not have a policy explicitly opposing prostitution and sex trafficking." * nothing in the anti-prostitution clause "shall be construed to preclude" services to prostitutes, including testing, care and prevention services, including condoms. In December 2003 Congress passed the Trafficking Victims Protection Reauthorization Act which provided for funding of anti-trafficking activities, subject to the following restrictions. * "No funds ... may be used to promote, support, or advocate the legalization or practice of prostitution." * "No funds ... may be used to implement any program ... through any organization that has not stated in either a grant application, a grant agreement, or both, that it does not promote, support, or advocate the legalization or practice of prostitution. The anti-prostitution pledge language in both acts was authored by Representative Chris Smith, Republican from
New Jersey New Jersey is a U.S. state, state located in both the Mid-Atlantic States, Mid-Atlantic and Northeastern United States, Northeastern regions of the United States. Located at the geographic hub of the urban area, heavily urbanized Northeas ...
. 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 World Health Organization (WHO) is a list of specialized agencies of the United Nations, specialized agency of the United Nations which coordinates responses to international public health issues and emergencies. It is headquartered in Gen ...
, the International AIDS Vaccine Initiative and any
United Nations The United Nations (UN) is the Earth, global intergovernmental organization established by the signing of the Charter of the United Nations, UN Charter on 26 June 1945 with the stated purpose of maintaining international peace and internationa ...
agency from having to sign the anti-prostitution pledge. 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.U.S. Backs Off Stipulation on AIDS Funds
''
The Washington Post ''The Washington Post'', locally known as ''The'' ''Post'' and, informally, ''WaPo'' or ''WP'', is an American daily newspaper published in Washington, D.C., the national capital. It is the most widely circulated newspaper in the Washington m ...
'', 18 May 2005
In September 2004, a letter from Assistant Attorney General Daniel Levin reversed this opinion, and the U.S. Agency for International Development issued a directive in June 2005 that expanded the pledge requirement to all NGOs.Implementation of the United States Leadership Against HIV/AIDS, Tuberculosis and Malaria Act of 2003 – Eligibility Limitation on the Use of Funds and Opposition to Prostitution and Sex Trafficking.
, (9 June 2005). Retrieved 5 September 2008
A document issued by the
CDC The Centers for Disease Control and Prevention (CDC) is the national public health agency of the United States. It is a United States federal agency under the Department of Health and Human Services (HHS), and is headquartered in Atlanta, ...
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.


Rationale and reactions

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." In February 2005, a group of non-profit organizations including
CARE Care may refer to: Organizations and projects * CARE (New Zealand), Citizens Association for Racial Equality, a former New Zealand organisation * CARE (England) West Midlands, Central Accident Resuscitation Emergency team, a team of doctors & ...
, the
International Rescue Committee The International Rescue Committee (IRC) is a global humanitarian aid, relief, and development nongovernmental organization. Founded in 1933 as the International Relief Association, at the request of Albert Einstein, and changing its name in 1 ...
,
Save the Children The Save the Children Fund, commonly known as Save the Children, is an international non-governmental organization. It was founded in the UK in 1919; its goal is to improve the lives of children worldwide. The organization raises money to imp ...
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. 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." 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 Focus on the Family (FOTF or FotF) is an American Christian fundamentalism, Evangelical Protestant organization founded in 1977 in Southern California by James Dobson, based in Colorado Springs, Colorado. The group is one of a number of Evangel ...
, National Association of Evangelicals, Southern Baptist Ethics & Religious Liberty Commission, Sex Industry Survivors, The Medical Institute,
The Salvation Army The Salvation Army (TSA) is a Protestantism, Protestant Christian church and an international charitable organisation headquartered in London, England. It is aligned with the Wesleyan-Holiness movement. The organisation reports a worldwide m ...
, World Hope International and World Relief. Supporters of the pledge requirement argued that prostitution is inherently harmful and needs to be abolished, rejected
harm reduction Harm reduction, or harm minimization, refers to a range of intentional practices and public health policies designed to lessen the negative social and/or physical consequences associated with various human behaviors, both legal and illegal. H ...
approaches, and held that legalized prostitution increases demand for sex trafficking. In May 2005, the
Brazil Brazil, officially the Federative Republic of Brazil, is the largest country in South America. It is the world's List of countries and dependencies by area, fifth-largest country by area and the List of countries and dependencies by population ...
ian 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?" 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. The Sonagachi Project is a prostitutes' cooperative in
Calcutta Kolkata, also known as Calcutta (List of renamed places in India#West Bengal, its official name until 2001), is the capital and largest city of the Indian States and union territories of India, state of West Bengal. It lies on the eastern ba ...
,
India India, officially the Republic of India, is a country in South Asia. It is the List of countries and dependencies by area, seventh-largest country by area; the List of countries by population (United Nations), most populous country since ...
, that supports sex workers' rights and works to stop the spread of HIV; it has received strong positive evaluations from both
UNAIDS The Joint United Nations Programme on HIV and AIDS (UNAIDS; , ONUSIDA) is the main advocate for accelerated, comprehensive and coordinated global action on the HIV/AIDS pandemic. The mission of UNAIDS is to lead, strengthen and support an ex ...
and the
World Bank The World Bank is an international financial institution that provides loans and Grant (money), grants to the governments of Least developed countries, low- and Developing country, middle-income countries for the purposes of economic development ...
, and has been cited by UNAIDS as a "best-practice" model of working with prostitutes. 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. 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, and that all relevant organizations already strongly oppose sex trafficking. 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 An escort agency is a company that provides escorts for clients, usually for sexual services. The agency typically arranges a meeting between one of its escorts and the client at the customer's house or hotel room (outcall), or at the escort' ...
. Some sex worker organizations and commentators called the situation "ironic" and Tobias "hypocritical". The 2012 final report of
UNDP The United Nations Development Programme (UNDP) is a United Nations agency tasked with helping countries eliminate poverty and achieve sustainable economic growth and human development. The UNDP emphasizes on developing local capacity towar ...
's Global Commission on HIV and the Law denounced the anti-prostitution pledge and included the recommendation


Lawsuits

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 District courts are a category of courts which exists in several nations, some call them "small case court" usually as the lowest level of the hierarchy. These courts generally work under a higher court which exercises control over the lower co ...
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. The second case (''AOSI v. USAID'') involved the plaintiffs Alliance for Open Society International, its affiliate the
Open Society Institute Open Society Foundations (OSF), formerly the Open Society Institute, is an American grantmaking network founded by business magnate George Soros. Open Society Foundations financially supports civil society groups around the world, with the s ...
, and
Pathfinder International Pathfinder International is a global non-profit organization that focuses on sexual and reproductive health and rights, including reproductive health, family planning, HIV/AIDS prevention and care, and maternal and newborn health. The organization ...
. In May 2006, a District Court in New York issued a
preliminary injunction An injunction is an equitable remedy in the form of a special court order compelling a party to do or refrain from doing certain acts. It was developed by the English courts of equity but its origins go back to Roman law and the equitable reme ...
, 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. 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." 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. 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. 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.


See also

* Mexico City policy, forbidding U.S. funding of organizations performing
abortion Abortion is the early termination of a pregnancy by removal or expulsion of an embryo or fetus. Abortions that occur without intervention are known as miscarriages or "spontaneous abortions", and occur in roughly 30–40% of all pregnan ...
services


References

{{reflist, 2


External links


Implications of U.S. Policy Restrictions for Programs Aimed at Commercial Sex Workers and Victims of Trafficking Worldwide
Center for Health and Gender Equity
''AOSI v. USAID'' resources
Brennan Center for Justice
"Friends of the court" document in support of plaintiffs in ''AOSI v. USAID''

Taking the Pledge
video of sex worker and anti-HIV activists describing the effects of the funding restrictions (Network of Sex Work Projects) Prostitution HIV/AIDS Sex workers' rights United States domestic policy United States foreign policy