One of the few bright spots in the global response to the HIV/AIDS epidemic has been PEPFAR, the United States government’s program to fund treatment and prevention for vulnerable populations across the Global South. But several years ago, lawmakers singled out one group of people as less worthy of that care. In fact, aid groups must publicly denounce them—or risk losing U.S. funding.
That’s the basic idea behind the “anti-prostitution loyalty oath” embedded in the global AIDS initiative legislation. As a condition of receiving federal funds, organizations must adhere to avaguely worded anti-prostitution pledge, essentially swearing to the government that they do not support or promote prostitution.