HIVAIDS Destigmatizing Sex Work Harm Reduction Prevention and Treatment in the Field of Sex Work M DANTE for PROJECT SAFE SWOP PHILLY 16th Annual Prevention amp Outreach Summit at ID: 636676
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Sex Work PERSPECTIVE & HIV/AIDS Destigmatizing Sex Work: Harm Reduction, Prevention and Treatment in the Field of Sex Work
M. DANTE for PROJECT SAFE / SWOP PHILLY
16th
Annual Prevention & Outreach Summit
at
the
End AIDS 2015
Conference Philadelphia
Discussion on the Importance of Maintaining a Voice and Advocacy in Legislative Policy Connecting Essential Services to Sex Workers and Sex Workers to Services.Slide2
CITY of BROTHERLY LOVE30,654 HIV/AIDS cases were confirmed by the Philadelphia Department of Health in 2013The data in this report reflect cases diagnosed
through
December
2013
and reported through June
2014Slide3
HUMAN BIOHAZARDAs a sex worker, you may believe I am exposed to HIV/AIDS more than any other “at risk” groups in the C
ity of Philadelphia, or even in the worldSlide4
SEX WORK & HIV TRANSMISSIONAVERT - an HIV and AIDS charity based in the UK - determined sex workers may be more vulnerable to HIV due to multiple factors:large numbers of sex partners
unsafe working conditions
barriers to negotiating condom use
social stigma &
marginalization
criminalized
work environments.
http://www.avert.org/fact-sheet-hiv-sex-
work.htm
2014Slide5
PRACTICING SAFER SEXActually - I have amazing access to community resources and supportPLUSfree, confidential testing, and condom packs
Each season I get an STI/HIV TEST
As an activist for decriminalization I believe sex workers deserve clean, pleasant working environments where they can be safe, bathe, use condoms, and have aftercareSlide6
EXCEPTNot everyone in the sex industry is able to practice safe sexNot everyone in the sex industry is able to access STI/HIV testing.Slide7
ANDMost sex buyers are not demanding safe sexMost sex buyers are not regularly – if ever - tested Slide8
Sex Workers are ResponsibleSex workers are responsible for their own medical safetySlide9
The Global PledgeThe AIDS ACT aka U.S. Leadership on HIV/AIDS, Tuberculosis, and Malariain affiliation with the
President’s Emergency Plan for AIDS Relief (PEPFAR)
REQUIRED A PLEDGESlide10
ANTI-PROSTITUTION LOYALTY OATH& THE CONSCIOUS CLAUSEANTI PROSTITUTION LOYALTY OATH (APLO) - 2003 AIDS ACT Sections
Prohibit the use of funds to promote or advocate the legalization or practice of prostitution or sex
trafficking
301(E)
Prohibit funding to organizations that do not have a policy explicitly opposing prostitution and sex trafficking
301(F)
Slide11
ANTI-PROSTITUTION LOYALTY OATH& THE CONSCIOUS CLAUSEANTI PROSTITUTION LOYALTY OATH (APLO) –
TRAFFICKING VICTIMS PROTECTION
REAUTHORIZATION
ACT o
f 2003 (TVPA)
Prohibit the use of State Department Anti-Trafficking funds to promote, support, or advocate the legalization or practice of prostitution
Section 113 (g)(1)
P
rohibit
funding to any organization that has not stated, in a grant application or grant agreement that it does not promote or support or advocate the legalization or practice of
prostitution
Section 113 (g)
(2) Slide12
ANTI-PROSTITUTION LOYALTY OATH& THE CONSCIOUS CLAUSE2008 PRESIDENT’S EMERGENCY PLAN FOR AIDS RELIEF (PEPFAR) included a “CONSCIENCE CLAUSE”:Allowing organizations with moral or religious objectives to opt out of providing services to patients with sexual orientation of which they disapprove
Host countries – declared the clause - must support activities promoting:
abstinence, delay of sexual debut, monogamy, and fidelitySlide13
CENTERS for DISEASE CONTROL(CDC) & The Anti Prostitution Loyalty (APLO) 2005 - Centers for Disease Control and Prevention (CDC) publishes a request for applications (RFA), revising AIDS funding restrictions and requiring all sub-recipient Non-Governmental Agencies (NGOs) of the Global Fund, World Health Organization (WHO), and United Nation (UN) Agencies to have policy opposing both prostitution and sex trafficking
Also in 2005 - Global AIDS Coordinator Ambassador Randall Tobias rescinds the CDC policy modification after overwhelming backlash regarding the funding restrictionsSlide14
PEPFAR & APLO Necessary bed-fellows? Or detrimental policy conflation?"The anti-prostitution loyalty oath has done nothing to reduce the numbers of women and men who, for economic or other reasons, engage in commercial sex work. It has, however, impeded access to vital HIV prevention services among commercial sex workers and has had a chilling effect on organizations that work with them. In fact, some organizations have foregone PEPFAR grant monies rather than sign the
oath. Sexual
activities remain the main route of HIV transmission, and commercial sex workers and their clients continue to be at increased risk for contracting HIV
.”
2010
PLRI.org
(Paulo Longo Research Initiative)Slide15
IT IS UNCONSTITUTIONALIn 2013 The U.S. Supreme Court declared the “Anti-Prostitution Loyalty Oath” UNCONSTITUTIONAL & ILLEGAL“At issue, the Loyalty Oath required all organizations receiving U.S. funds designated for International HIV/AIDS work to denounce prostitution in order to be eligible to receive earmarked funds. The policy prohibits organizations from engaging in activities inconsistent with the U.S. Government views on prostitution, even if financed by private funds.”
Engender Health 2013
The ruling does not extend to organizations outside of the United States who receive fundsSlide16
EXPORTING REPRESSIVE IDEOLOGIES re: sexuality & reproduction Despite the 2013 U.S. Supreme Court decisionAPLO continued to endanger the lives of sex workers- until -
2015 Judge Victor Marrero confirmed that the
First Amendment prohibits the U.S. Government
from imposing APLO on U.S. organizations, and affiliates
regardless of where affiliates are locatedSlide17
THEN CAME: THE SWIT In 2013, The WHO together with UNFPA, UNAIDS, UNDP the Global Network of Sex Work Projects (NSWP) and the World Bank published the SWIT:Implementing Comprehensive HIV/STI Programs with Sex Workers:
Practical Approaches from Collaborative Interventions
The
SWIT reaffirms that the health of sex workers doesn’t happen in a vacuum, and that countries should work towards the
decriminalization
of sex work, and the empowerment and self-determination of sex working communities, as a fundamental part of the fight against
HIVSlide18
BACK in the PHILLYAs a sex worker in Philadelphia I have amazing access to community resources
PLUS
free
, confidential testing, and condom
packs
Regardless of global policies or legislative trends
e
ach
season I
go for
STI/
HIV TEST
+ an
annual
gynecologic exam + a general physicalSlide19
IT’S UP TO US TO KEEP IT CLEANSafe Sex Saves Lives: START THE CONVERSATION
!Slide20
BUT REMEMBER: The system fights DIRTY!In some U.S. cities you may actually be arrested for carrying single condomsGOOGLE: “CONDOMS AS EVIDENCE”
So not only is it is up to us to keep it clean, but also to fight
the good fight, for rational laws
that work with – and for –
the safety and health of sex workers!!Slide21
SWOP KEEPS PHILLY SAFEThank you for supporting:
PROJECT SAFE/SWOP
PHILLY
copy update 7/31/2015
M. DANTESlide22
NEW articles since May 2015 PPPShould sex workers be involved in HIV policy?http://www.thebody.com/content/76254/thanks-for-the-mention-sex-work-and-the-national-h.html