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The
Federal government of the United States The federal government of the United States (U.S. federal government or U.S. government) is the national government of the United States, a federal republic located primarily in North America, composed of 50 states, a city within a fede ...
requires certain
non-governmental organization A non-governmental organization (NGO) or non-governmental organisation (see spelling differences) is an organization that generally is formed independent from government. They are typically nonprofit entities, and many of them are active in h ...
s (NGOs) that receive federal anti-
HIV/AIDS Human immunodeficiency virus infection and acquired immunodeficiency syndrome (HIV/AIDS) is a spectrum of conditions caused by infection with the human immunodeficiency virus (HIV), a retrovirus. Following initial infection an individual ...
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. There are various ...
funds to adopt an organization-wide policy opposing
prostitution Prostitution is the business or practice of engaging in Sex work, 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, n ...
and
sex-trafficking Sex trafficking is human trafficking for the purpose of sexual exploitation. It has been called a form of modern slavery because of the way victims are forced into sexual acts non-consensually, in a form of sexual slavery. Perpetrators of the ...
. This requirement, known as the anti-prostitution pledge, 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. 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 First or 1st is the ordinal form of the number one (#1). First or 1st may also refer to: *World record, specifically the first instance of a particular achievement Arts and media Music * 1$T, American rapper, singer-songwriter, DJ, and rec ...
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 of America. The president directs the executive branch of the federal government and is the commander-in-chief of the United States ...
George W. Bush George Walker Bush (born July 6, 1946) is an American politician who served as the 43rd president of the United States from 2001 to 2009. A member of the Republican Party, Bush family, and son of the 41st president George H. W. Bush, he ...
announced the five-year $15 billion
President's Emergency Plan for AIDS Relief The United States President's Emergency Plan For AIDS Relief (PEPFAR) is a United States governmental initiative to address the global HIV/AIDS epidemic and help save the lives of those suffering from the disease. Launched by U.S. President Geor ...
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 a ...
passed it in May 2003 under the name "United States Leadership against HIV/AIDS,
Tuberculosis Tuberculosis (TB) is an infectious disease usually caused by '' Mycobacterium tuberculosis'' (MTB) bacteria. Tuberculosis generally affects the lungs, but it can also affect other parts of the body. Most infections show no symptoms, in ...
, and
Malaria Malaria is a mosquito-borne infectious disease that affects humans and other animals. Malaria causes symptoms that typically include fever, tiredness, vomiting, and headaches. In severe cases, it can cause jaundice, seizures, coma, or death. S ...
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 The Victims of Trafficking and Violence Protection Act of 2000 (TVPA) is a federal statute passed into law in 2000 by the U.S. Congress and signed by President Clinton. The law was later reauthorized by presidents Bush, Obama, and Trump. In additi ...
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 Republican can refer to: Political ideology * An advocate of a republic, a type of government that is not a monarchy or dictatorship, and is usually associated with the rule of law. ** Republicanism, the ideology in support of republics or agains ...
from
New Jersey New Jersey is a state in the Mid-Atlantic and Northeastern regions of the United States. It is bordered on the north and east by the state of New York; on the east, southeast, and south by the Atlantic Ocean; on the west by the Delaware ...
. The Consolidated Appropriations Act of 2004 amended the AIDS Authorization to exempt the
Global Fund to Fight AIDS, Tuberculosis and Malaria The Global Fund to Fight AIDS, Tuberculosis and Malaria (or simply the Global Fund) is an international financing and partnership organization that aims to "attract, leverage and invest additional resources to end the epidemics of HIV/AIDS, t ...
, the
World Health Organization The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level of h ...
, the
International AIDS Vaccine Initiative The International AIDS Vaccine Initiative (IAVI) is a global not-for-profit, public-private partnership working to accelerate the development of vaccines to prevent HIV infection and AIDS. IAVI researches and develops vaccine candidates, conduct ...
and any
United Nations The United Nations (UN) is an intergovernmental organization whose stated purposes are to maintain international peace and international security, security, develop friendly relations among nations, achieve international cooperation, and be ...
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 A justice ministry, ministry of justice, or department of justice is a ministry or other government agency in charge of the administration of justice. The ministry or department is often headed by a minister of justice (minister for justice in a ...
had expressed First Amendment concerns.U.S. Backs Off Stipulation on AIDS Funds
''
The Washington Post ''The Washington Post'' (also known as the ''Post'' and, informally, ''WaPo'') is an American daily newspaper published in Washington, D.C. It is the most widely circulated newspaper within the Washington metropolitan area and has a large nati ...
'', 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 The United States Agency for International Development (USAID) is an independent agency of the U.S. federal government that is primarily responsible for administering civilian foreign aid and development assistance. With a budget of over $27 ...
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, and is headquartered in Atlanta, Georgi ...
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 The Global Fund to Fight AIDS, Tuberculosis and Malaria (or simply the Global Fund) is an international financing and partnership organization that aims to "attract, leverage and invest additional resources to end the epidemics of HIV/AIDS, t ...
(to which the U.S. contributes). This was quickly overturned by US Director of Foreign Assistance
Randall L. Tobias Randall L. Tobias (born March 20, 1942) is an American governmental figure and former chief executive officer of Eli Lilly and Company. A Republican Party (United States), Republican, he was appointed the first United States Director of Foreign As ...
.


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 (relief agency), "Cooperative for Assistance and Relief Everywhere", an international aid and ...
, 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 19 ...
,
Save the Children The Save the Children Fund, commonly known as Save the Children, is an international non-governmental organization established in the United Kingdom in 1919 to improve the lives of children through better education, health care, and economic ...
and the
International Center for Research on Women The International Center for Research on Women (ICRW) is a non-profit organization headquartered in Washington, D.C., United States, with regional offices in New Delhi, India, Nairobi, Kenya, and Kampala, Uganda. ICRW has project offices in Mumba ...
protested the anti-prostitution pledge policy in a letter to US Director of Foreign Assistance
Randall L. Tobias Randall L. Tobias (born March 20, 1942) is an American governmental figure and former chief executive officer of Eli Lilly and Company. A Republican Party (United States), Republican, he was appointed the first United States Director of Foreign As ...
. 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 The Christian Medical & Dental Associations (CMDA) is made up of the Christian Medical Association and the Christian Dental Association. As of 2018, CMDA had over 19,000 members. It is the United States affiliate of the International Christian Me ...
,
Concerned Women for America Concerned Women for America (CWA) is a socially conservative, evangelical Christian non-profit women's legislative action committee in the United States. Headquartered in Washington D.C., the CWA is involved in social and political movements, t ...
,
Family Research Council The Family Research Council (FRC) is an American evangelical activist group and think-tank with an affiliated lobbying organization. FRC promotes what it considers to be family values. It opposes and lobbies against: access to pornography, emb ...
,
Focus on the Family Focus on the Family (FOTF or FotF) is a fundamentalist Protestant organization founded in 1977 in Southern California by James Dobson, based in Colorado Springs, Colorado. The group is one of a number of evangelical parachurch organizations ...
,
National Association of Evangelicals The National Association of Evangelicals (NAE) is an association of evangelical denominations, organizations, schools, churches and individuals, member of the World Evangelical Alliance. The association represents more than 45,000 local churches ...
, Southern Baptist Ethics & Religious Liberty Commission, Sex Industry Survivors, The Medical Institute,
The Salvation Army The Salvation Army (TSA) is a Protestant church and an international charitable organisation headquartered in London, England. The organisation reports a worldwide membership of over 1.7million, comprising soldiers, officers and adherents col ...
, World Hope International and
World Relief World Relief (officially, World Relief Corporation of National Association of Evangelicals) is an Evangelical Christian humanitarian nongovernmental organization, the humanitarian arm of the National Association of Evangelicals and a leading refuge ...
. 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 public health policies designed to lessen the negative social and/or physical consequences associated with various human behaviors, both legal and illegal. Harm reduction is used to de ...
approaches, and held that legalized prostitution increases demand for sex trafficking. In May 2005, the
Brazil Brazil ( pt, Brasil; ), officially the Federative Republic of Brazil (Portuguese: ), is the largest country in both South America and Latin America. At and with over 217 million people, Brazil is the world's fifth-largest country by area ...
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 Sonagachi is a neighbourhood in Kolkata, India, located in North Kolkata near the intersection of Jatindra Mohan Avenue (north of C.R. Avenue) with Beadon Street and Sovabazar, about one kilometer north of the Marble Palace area.} Sonagachi is ...
Project is a prostitutes' cooperative in
Calcutta Kolkata (, or , ; also known as Calcutta , List of renamed places in India#West Bengal, the official name until 2001) is the Capital city, capital of the Indian States and union territories of India, state of West Bengal, on the eastern ba ...
,
India India, officially the Republic of India (Hindi: ), is a country in South Asia. It is the seventh-largest country by area, the second-most populous country, and the most populous democracy in the world. Bounded by the Indian Ocean on the so ...
, that supports
sex workers' rights Sex workers' rights encompass a variety of aims being pursued globally by individuals and organizations that specifically involve the human, health, and labor rights of sex workers and their clients. The goals of these movements are diverse, but ...
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 e ...
and the
World Bank The World Bank is an international financial institution that provides loans and grants to the governments of low- and middle-income countries for the purpose of pursuing capital projects. The World Bank is the collective name for the Interna ...
, and has been cited by UNAIDS as a "best-practice" model of working with prostitutes.
Ronald Weitzer Ronald Weitzer (born 1952) is a sociologist specializing in criminology and a professor at George Washington University, known for his publications on police- minority relations and on the sex industry. Research and views Prostitution and sex ...
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 Randall L. Tobias (born March 20, 1942) is an American governmental figure and former chief executive officer of Eli Lilly and Company. A Republican Party (United States), Republican, he was appointed the first United States Director of Foreign As ...
, 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's ...
. 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)french: Programme des Nations unies pour le développement, PNUD is a United Nations agency tasked with helping countries eliminate poverty and achieve sustainable economic growth and human dev ...
'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 DKT International (DKT) is a charitable non-profit organization that promotes family planning and HIV prevention through social marketing. The Washington, D.C.-based DKT was founded in 1989 by Phil Harvey and operates in 90 countries in Africa, ...
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. The second case (''AOSI v. USAID'') involved the plaintiffs
Alliance for Open Society International Alliance for Open Society International, Inc. (AOSI) is a U.S. public charity organized in 2003 under the laws of the State of Delaware.Open Society Institute Open Society Foundations (OSF), formerly the Open Society Institute, is a grantmaking network founded and chaired by business magnate George Soros. Open Society Foundations financially supports civil society groups around the world, with a sta ...
, and
Pathfinder International Pathfinder International, based in Watertown, Massachusetts, US, is a global non-profit organization 501(c)(3) that focuses on reproductive health, family planning, HIV/AIDS prevention and care, and maternal health. The organization operates in m ...
. In May 2006, a District Court in New York issued a
preliminary injunction An injunction is a legal and equitable remedy in the form of a special court order that compels a party to do or refrain from specific acts. ("The court of appeals ... has exclusive jurisdiction to enjoin, set aside, suspend (in whole or in par ...
, 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 The Global Health Council is a United States-based non-profit leading networking organization "supporting and connecting advocates, implementers and stakeholders around global health priorities worldwide". The Council is the world's largest membe ...
and
InterAction Interaction is action that occurs between two or more objects, with broad use in philosophy and the sciences. It may refer to: Science * Interaction hypothesis, a theory of second language acquisition * Interaction (statistics) * Interactions o ...
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 The Brennan Center for Justice at New York University School of Law (NYU Law) is a nonprofit law and public policy institute. The organization is named after Supreme Court Justice William J. Brennan Jr. Generally considered Modern liberalism in th ...
obtained a ruling forcing the Department of Justice's
Office of Legal Counsel The Office of Legal Counsel (OLC) is an office in the United States Department of Justice that assists the Attorney General's position as legal adviser to the President and all executive branch agencies. It drafts legal opinions of the Attorney ...
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 termination of a pregnancy by removal or expulsion of an embryo or fetus. An abortion that occurs without intervention is known as a miscarriage or "spontaneous abortion"; these occur in approximately 30% to 40% of pregn ...
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 The Brennan Center for Justice at New York University School of Law (NYU Law) is a nonprofit law and public policy institute. The organization is named after Supreme Court Justice William J. Brennan Jr. Generally considered Modern liberalism in th ...

"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