Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

Human rights violations against sex workers: Burden and effect on HIV

TitleHuman rights violations against sex workers: Burden and effect on HIV
Publication TypeJournal Article
Year of Publication2014
AuthorsDecker, MR, Crago, AL, Chu, SKH, Sherman, SG, Seshu, MS, Buthelezi, K, Dhaliwal, M, Beyrer, C
JournalThe Lancet
ISBN Number01406736 (ISSN)
Keywordsarticle, climate, condom, HIV test, Homicide, human, Human immunodeficiency virus infection, human rights abuse, justice, law enforcement, physical abuse, Police, priority journal, Prostitution, sexual abuse, syringe, work environment

We reviewed evidence from more than 800 studies and reports on the burden and HIV implications of human rights violations against sex workers. Published research documents widespread abuses of human rights perpetrated by both state and non-state actors. Such violations directly and indirectly increase HIV susceptibility, and undermine effective HIV-prevention and intervention efforts. Violations include homicide; physical and sexual violence, from law enforcement, clients, and intimate partners; unlawful arrest and detention; discrimination in accessing health services; and forced HIV testing. Abuses occur across all policy regimes, although most profoundly where sex work is criminalised through punitive law. Protection of sex workers is essential to respect, protect, and meet their human rights, and to improve their health and wellbeing. Research findings affirm the value of rights-based HIV responses for sex workers, and underscore the obligation of states to uphold the rights of this marginalised population.