Abstract

BackgroundThere is growing interest in the ways in which legal and human rights issues related to sex work affect sex workers’ vulnerability to HIV and abuses including human trafficking and sexual exploitation. International agencies, such as UNAIDS, have called for decriminalisation of sex work because the delivery of sexual and reproductive health services is affected by criminalisation and social exclusion as experienced by sex workers. The paper reflects on the connections in various actors’ framings between sex workers sexual and reproductive health and rights (SRHR) and the ways that international law is interpreted in policing and regulatory practices.MethodsThe literature review that informs this paper was carried out by the authors in the course of their work within the Paulo Longo Research Initiative. The review covered academic and grey literature such as resources generated by sex worker rights activists, UN policy positions and print and online media. The argument in this paper has been developed reflectively through long term involvement with key actors in the field of sex workers’ rights.ResultsInternational legislation characterises sex work in various ways which do not always accord with moves toward decriminalisation. Law, policy and regulation at national level and law enforcement vary between settings. The demands of sex worker rights activists do relate to sexual and reproductive health but they place greater emphasis on efforts to remove the structural barriers that limit sex workers’ ability to participate in society on an equal footing with other citizens.Discussion and conclusionThere is a tension between those who wish to uphold the rights of sex workers in order to reduce vulnerability to ill-health and those who insist that sex work is itself a violation of rights. This is reflected in contemporary narratives about sex workers’ rights and the ways in which different actors interpret human rights law. The creation of regulatory frameworks around sex work that support health, safety and freedom from abuse requires a better understanding of the broad scope of laws, policies and enforcement practices in different cultural contexts and economic settings, alongside reviews of UN policies and human rights conventions.

Highlights

  • There is growing interest in the ways in which legal and human rights issues related to sex work affect sex workers’ vulnerability to HIV and abuses including human trafficking and sexual exploitation

  • Paulo Longo Research Initiative (PLRI) is a collaboration between the Global Network of Sex Work Projects, the Institute of Development Studies at the University of Sussex, the Michael Kirby Centre for Public Health and Human Rights at Monash University Medical School and the Centre for Advocacy on Stigma and Marginalisation (CASAM) in India

  • Selling sex is not directly criminalised in many countries worldwide, there are widespread reports that sex workers are treated as criminals where activities around sex work itself are criminalised, or through the use of pre-existing laws to harass, intimidate or justify the use of force against sex workers [8]

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Summary

Introduction

There is growing interest in the ways in which legal and human rights issues related to sex work affect sex workers’ vulnerability to HIV and abuses including human trafficking and sexual exploitation. It is only recently that the international community, and the UN, have seriously “In many countries, laws, policies and practices against sex workers limit their right to basic social economic rights such as access to education, health care, housing, banking facilities, inheritance, property and legal services. They may lack of [sic] citizenship or legal status, resulting from migration or unfavourable regulations.” [1]. Is it unethical not to protect these groups: it makes no sense from a health perspective.”

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