Fostering Enabling Legal and Policy Environments to Protect the Health and Human Rights of Sex Workers
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Fostering Enabling Legal and Policy Environments to Protect the Health and Human Rights of Sex Workers Johannesburg, South Africa June 22-24, 2006 Report of a meeting co-sponsored by the Sexual Health and Rights Project & Law and Health Initiative Fostering Enabling Legal and Policy Environments to Protect the Health and Human Rights of Sex Workers Sexual Health and Rights Project (SHARP) Law and Health Initiative (LAHI) June 2006 The opinions expressed in this document reflect discussions held among a diverse group of advocates from around the world and do not necessarily reflect the views of OSI. 1 TABLE OF CONTENTS ACKNOWLEDGEMENTS ..................................................................................................3 PREFACE..............................................................................................................................4 NOTE ON TERMINOLOGY................................................................................................6 INTRODUCTION .................................................................................................................7 DISCUSSIONS, DEBATES AND INSIGHTS.....................................................................7 A. LESSONS FROM SEX WORKER ORGANIZING..................................................... 7 B. LAW AND LEGAL FRAMEWORKS AT THE COUNTRY LEVEL......................... 8 C. MOBILIZING HUMAN RIGHTS TOOLS AND STANDARDS................................ 10 D. HARM REDUCTION, HEALTH AND HUMAN RIGHTS ........................................ 12 E. ISSUES IN FOCUS....................................................................................................... 13 F. CREATIVE, ETHICAL AND POWERFUL ADVOCACY ......................................... 15 CREATING THE SPACES AND GATHERING THE RESOURCE TO ACT...................16 A. BEST PRACTICES ...................................................................................................... 16 B. CAPACITY BUILDING MATERIALS ....................................................................... 17 C. RESEARCH AND ANALYSIS.................................................................................... 17 D. CONVENINGS AND SUPPORT FOR ALLIANCE BUILDING ............................... 18 APPENDIX A: PANEL SUMMARIES..............................................................................19 APPENDIX B: MEETING CONCEPT PAPER .................................................................26 APPENDIX C: SEX WORK LAW AND POLICY CASE STUDIES...............................31 APPENDIX D: HARM REDUCTION, HEALTH AND HUMAN RIGHTS ....................50 APPENDIX E: SEX WORK LAW AND POLICY FRAMEWORK CHART ..................56 APPENDIX F: SUGGESTED AREAS FOR RESEARCH................................................60 APPENDIX G: MEETING AGENDA................................................................................61 APPENDIX H: PANELIST BIOGRAPHIES .....................................................................67 APPENDIX I: PROGRAM ORGANIZERS.......................................................................78 2 ACKNOWLEDGEMENTS This meeting was jointly organized by the Sexual Health and Rights Project (SHARP) and the Law and Health Initiative (LAHI) of the Open Society Institute. Many thanks are due to Zohra Dawood, Executive Director of the Open Society Foundation for South Africa (OSF-SA) and her staff, as well as to Aiste Slabokaite of the Open Society Fund- Lithuania and Terry Robinson of OSF-SA whose logistical support made the meeting possible. Rachel Thomas, Project Associate for SHARP, provided overall support for the meeting. This report was written by Alice M. Miller, Law and Health Advisor to SHARP, based on minutes taken at the meeting by Stephen Heynes, with substantial contributions from SHARP Director Sue Simon and LAHI Director Jonathan Cohen, and comments from meeting participants Joanne Csete, Catherine Healy, Katarina Jiresova, Noluthando Ntlokwana, Claire Thiboutot and Petra Timmerman. The coordinating author of the case studies (Appendix B) and the primary author of the analysis on harm reduction, health, and human rights (Appendix C) was Penelope Saunders, PhD. Substantial research support for the meeting materials was provided by Jennifer Friedman, MSW/MPH. Most important to the content of this report is the work, ideas, voices, and passion of the more than thirty participants at the meeting, who brought their experiences and insights from around the world. These participants reflect at least four key groups: sex workers, service providers, legal and policy experts, and human rights activists. Participants contributed their experience and expertise with transgender, lesbian, gay, women’s rights, and HIV/AIDS issues from research, advocacy, and policy perspectives. We thank them for their commitment and hope this report contributes to the work they and others do to protect and ensure the rights, health, and dignity of the millions of people working in sex work around the world. Contact: Sexual Health and Rights Project or Law and Health Initiative Open Society Institute 400 W. 59th St. New York, NY 10036 212-548-0600 www.soros.org/initiatives/health/focus/sharp Jonathan Cohen, Project Director, LAHI, [email protected] Sue Simon, Project Director, SHARP, [email protected] Rachel Thomas, Project Associate, SHARP, [email protected] 3 PREFACE This report synthesizes 2.5 days of lively presentations and discussions at a meeting organized on 22-24 June 2006 in Johannesburg, South Africa by the Sexual Health and Rights Project (SHARP) and Law and Health Initiative (LAHI) of the Open Society Institute (OSI). The meeting brought together sex workers, service providers, human rights advocates, researchers, and other constituencies to discuss how legal and regulatory environments affect sex workers’ health and human rights. The meeting was organized to address the growing backlash against approaches to sex work that focus on the dignity and human rights of sex workers. Many countries in recent years have moved to toughen anti-prostitution laws, largely in response to a supposed link between sex work and transnational trafficking in human beings. The current attack on rights and empowerment of sex workers ranges from older, failed attempts to eliminate sex work through criminal penalties, rescue and the “rehabilitation” of sex workers to the undermining of strategies that aim to empower sex workers to protect their health and human rights. Some countries have discouraged or de-funded HIV-prevention strategies that seek to empower sex workers to use condoms and otherwise protect their health and rights. But there is little evidence-based research regarding the effect of anti-prostitution laws as a means of protecting women’s rights and prevent HIV. There is even less evidence regarding the impact of non-criminal laws, such as those governing immigration, employment, taxation, public health, and child custody, on the health and human rights of sex workers, yet repressive laws and policies have been developed in all of these arenas. One of the aims of this meeting was to describe research gaps in these areas in order to guide the eventual development of a research agenda to address these issues. The meeting was also motivated by the desire to build connections between sex worker groups and among allies to advocate on their behalf. Sex workers’ issues are often misunderstood by those who do not share their experience, and even within ‘progressive’ movements, sex workers face discrimination. While various local, regional, and international sex worker groups have been building their expertise in law, health and human rights issues, their work does not always reach other actors, often because of limited resources for distribution. In this context, the objectives of the Johannesburg meeting were: 1. To reach a common understanding of the key laws and regulations governing prostitution and sex work globally, and to map, through sharing on-the-ground knowledge and experience, the elements of various regimes of official control and regulation of sex work and prostitution and to assess how they impact sex workers’ health and rights; 2. To formulate the core principles of various approaches to sex work such as “public health,” “human rights,” and “harm reduction” approaches, and to better understand how these approaches work in practice; 3. To foster dialogue both within and among various sex worker-related interest groups, with an eye to reducing barriers and expanding areas of common principles and goals; and 4. To develop connections from the meeting as part of building a global network of advocates with expertise on sex worker’s health and human rights that will facilitate 4 continued dialogue, better and more responsive research, and joint advocacy toward more rights-promoting policy development. Summary highlights from each meeting presentation are attached as Appendix A. This report is not an attempt to track all the discussions or reflect all viewpoints presented at the meeting. Instead, we highlight specific issues in the debates and areas of substantial agreement for action and advocacy. The report also seeks to make visible the complexity and diversity of viewpoints among participants. Ignoring differences can lead to ineffective and even harmful interventions and lost opportunities for policy change. A commitment to the health and human rights of sex workers requires not only good laws, policies, and programs, but also a willingness to listen