Health Benefits of Legal Services for Criminalized Populations: The Case of People Who Use Drugs,Sex Workers and Sexual and Gender Minorities

Constitution of the World Health Organization, Adopted 1946 by the International Health Conference, as amended in UN docs WHA 26.37, WHA 29,38, WHA 39.6 and WHA 51.23, version of October 2006, at 1.

WHO Commission on Social Determinants of Health, Achieving Health Equity: From Root Causes to Fair Outcomes, Interim Statement, October 2007, at 2.

We use the terms “men who have sex with men” and “women who have sex with women” as United Nations agencies do, in recognition of the fact that not all persons who engage in homosexual sex identify themselves as gay, lesbian, or bisexual. Regardless of self-identification, all these persons are criminalized in places where homosexual activity is illegal.

International Development Law Organization, Joint United Nations Programme on HIV/AIDS and United Nations Development Program, Toolkit: Scaling Up HIV-Related Legal Services, Draft for comment (July 2009).

Joint United Nations Programme on HIV/AIDS (UNAIDS), Joint UNAIDS statement on HIV prevention and care strategies for drug users (2005), available at <http://data.unaids.org/UNA-docs/CCO_IDUPolicy_en.pdf> (last visited September 28, 2010).

Joint United Nations Programme on HIV/AIDS (UNAIDS), AIDS Epidemic Update 2009 (2009), available at <http://data.unaids.org/pub/Report/2009/2009_epidemic_update_en.pdf> (last visited September 28, 2010).

Hunt P. (then UN Special Rapporteur on the Right to Health), “Human Rights, Health and Harm Reduction: States' Amnesia and Parallel Universes,” speech to the 19th International Conference on Reduction of Drug-Related Harm, Barcelona, Spain, May 11, 2008.

Csete J. Cohen J. , “Lethal Violations: Human Rights Abuses Faced by Injection Drug Users in the Era of HIV/AIDS,” in Malinowska-Sempruch K. Gallagher S. , eds., War on Drugs, HIV/AIDS and Human Rights (New York: International Debate Education Association, 2004): at 212–226.

Friedmann P. D. Lemon S. C. Stein M. D. D'Aunno T. A. , “Accessibility of Addiction Treatment: Results from a National Survey of Outpatient Substance Abuse Treatment Organizations,” Health Services Research 38, no. 3 (2003): 887–903.

Parfitt T. , “Vladimir Mendelevich: Fighting for Drug Substitution Treatment,” The Lancet 368, no. 9532 (2006): 279.

Wolfe D. Saucier R. , “In Rehabilitation's Name? Ending Institutionalised Cruelty and Degrading Treatment of People Who Use Drugs,” International Journal of Drug Policy 21, no. 3 (2010): 145–148.

Mauer M. King R. S. , A 25-year Quagmire: The War on Drugs and Its Impact on American Society (Washington, D.C.: Sentencing Project, 2007): At 7–9, available at <http://www.sentencingproject.org/doc/publications/dp_25yearquagmire.pdf> (last visited September 28, 2010).

Sarang A. Rhodes T. Piatt L. , “Drug Injecting and Syringe Use in the HIV Risk Environment of Russian Penitentiary Institutions: Qualitative Study,” Addiction 101, no. 12 (2006): 1787–1796.

European Monitoring Centre for Drugs and Drug Addiction, Prevalence of Drug Use “within Prison among Prisoners, 2000–2008, available at <http://www.emcdda.europa.eu/stats09/duptab3> (last visited September 28, 2010).

Burris S. Blankenship K. M. Donoghoe M. Sherman S. Vernick J. S. Case P. Lazzarini Z. Koester S. , “Addressing the 'Risk Environment for Injection Drug Users: The Mysterious Case of the Missing Cop,” The Milbank Quarterly 82, no. 1 (2004): 125–156; Carey C. , “Providing Legal Assistance to Drug Users in Eastern Europe,” unpublished report for Open Society Institute Law and Health Initiative (2006).

Wolfe D. , “Paradoxes in Antiretroviral Treatment for Injecting Drug Users: Access, Adherence and Structural Barriers in Asia and the Former Soviet Union,” International Journal of Drug Policy 18, no. 4 (2007): 246–254.

Carey C. Tolopilo A. , “Tipping the Balance: Why Legal Services Are Essential to Health Care for Drug Users in Ukraine,” Open Society Institute, 2008, at 35, available at <http://www.soros.org/initiatives/health/focus/law/articles_publications/publications/balance_20080624/tippingthebalance.pdf> (last visited September 28, 2010).

Public Association Aman Plus, Observance of the Rights of Injecting Drug Users in the Public Health Care System (Bishkek: Soros Foundation-Kyrgyzstan and Open Society Institute, 2008): at 16–22.

Patients‘ rights in Kyrgyzstan are enumerated in four principal statutes: On Citizens’ Health, on Medical Insurance, on Health Organisations, and on Sanitary-Epidemiologic Weil-Being; Newton S. , “Health Rights Advocacy in Kyrgyzstan,” unpublished report for the Open Society Institute (January 2007).

See Carey Tolopilo , supra note 19, at 17–18.

Id., at 43–46.

Id., at 10.

See Carey , supra note 17, at 3–4.

See Carey Tolopilo , supra note 19, at 24.

Gathumbi A. Csete J. , “Emerging Urgency: Unmet Health Needs and Human Rights of People Who Use Heroin in East Africa, Symposium Presentation,” International Conference on the Reduction of Drug-Related Harm, Bangkok, Thailand, May 2009.

Pivot Legal Society, “Statement for Police,” available at <http://www.pivotlegal.org/Publications/rightscards.htm> (last visited September 28, 2010).

Davis M. , “Street Lawyering in Jakarta,” commentary for Asia Catalyst, February 2009, available at <http://asiacatalyst.org/blog/2009/02/street-lawyering-in-jakarta.html> (last visited September 28, 2010).

See Carey , supra note 17

See, e.g., “hand-help.ru,” a special website of the Moscow-based Institute for Human Rights, available at <http://www.hand-help.ru/> (last visited September 28, 2010).

See Davis , supra note 30.

Pivot Legal Society, Pivot Complaint Forces VPD Policy Changes, Press Release, October 19, 2005, available at <http://www.pivotlegal.org/pdfs/05-10-19-Reforms.pdf> (last visited September 28, 2010).

Demchenko M. , “Legal Aid Works! Harm Reduction and Legal Services in Poltava, Ukraine,” HIV/AIDS Policy and Law Review 12, nos. 2/3 (December 2007): 67–69.

See Carey Tolopilo , supra note 19, at 32.

Id., at 44.

Id., at 18.

Wodak A. Cooney A. , Effectiveness of Sterile Syringe and Needle Programming in Reducing HIV/AIDS among Injecting Drug Users, Evidence for Action Technical Paper, 2004, available at <http://www.who.int/hiv/pub/prev_care/effectivenesss-terileneedle.pdf> (last visited September 28, 2010).

See Demchenko , supra note 35, at 68.

See Carey Tolopilo , supra note 19, at 26.

Lowman J. , “Violence and the Outlaw Status of (Street) Prostitution in Canada,” Violence Against Women 6, no. 9 (2000): 987–1011.

Csete J. Seshu M. , “Still Underground: Searching for Progress in Realizing the Rights of Women in Prostitution,” HIV/AIDS Policy and Law Review 9, no. 3 (2004): 8–13, at 8.

Winter S. Roganda-Sasot S. King M. , “Transgendered Women of the Philippines,” International Journal of Transgenderism 10, no. 2 (2007): 79–90; Wilson E. C. Garofalo R. Harris R. D. Herrick A. Martinez M. Martinez J. , M. Beizer, and the Transgender Advisory Committee and the Adolescent Medicine Trails Network for HIV/AIDS Interventions, “Transgender Female Youth and Sex Work: HIV Risk and a Comparison of Life Factors Related to Engagement in Sex Work,” AIDS and Behavior 13, no. 5 (2009): 902–913; Crago A.-L. Arnott J. , Rights Not Rescue: A Report on Female, Trans and Male Sex Workers' Human Rights in Namibia, Botswana and South Africa (New York: Open Society Institute, 2008), available at <http://www.soros.org/initiatives/health/focus/sharp/articles_publications/publications/rights_20081114/summary_20081114.pdf> (last visited May 1, 2010).

Betteridge G. , Sex, Work, Rights: Changing Canada's Criminal Laws to Protect Sex Workers' Health and Human Rights (Toronto: Canadian HIV/AIDS Legal Network), 2005, available at <http://www.aidslaw.ca/publications/interfaces/downloadFile.php?ref=203> (last visited May 4, 2010).

Shannon K. Strathdee S. A. Shoveller J. Rusch M. Kerr T. Tyndall M. , “Structural and Environmental Barriers to Condom Use Negotiation with Clients among Female Sex Workers: Implications for HIV-Prevention Strategies and Policy,” American Journal of Public Health 99, no. 4 (2009): 659–665.

See Betteridge , supra note 47.

See Csete Seshu , supra note 45.

Soderlund G. , “Running from the Rescuers: New U.S. Crusades against Sex Trafficking and the Rhetoric of Abolition,” NWSA Journal 17, no. 3 (2005): 64–87; Weitzer R. , “The Social Construction of Sex Trafficking: Ideology and Institutionalization of a Moral Crusade,” Politics and Society 35, no. 3 (2007): 447–475.

Jordan A. , “Human Rights or Wrongs? The Struggle for a Rights-Based Response to Trafficking in Human Beings,” Gender and Development 10, no. 1 (2002): 28–37

See Crago Arnott , supra note 46.

Onyango-Ouma W. Birungi H. Geibel S. , Understanding the HIV/STI Prevention Needs of Men Who Have Sex with Men in Kenya: Horizons Research Summary (Washington, D.C.: Population Council, 2006).

Public Association Musaada, Observance of the Rights of Sex Workers to Obtain Health Care: Monitoring of Human Rights in Medical Institutions in Osh City in the Kyrgyz Republic (Bishkek: Soros Foundation-Kyrgyzstan and Open Society Institute, 2008): 14–19.

Central and Eastern European Harm Reduction Network, Sex Work, HIV/AIDS and Human Rights in Central and Eastern Europe and Central Asia (New York: Open Society Institute, July 2005): at 66.

Crago A-L. , Our Lives Matter: Sex Workers Unite for Health and Rights (New York: Open Society Institute, 2008): At 41, available at <http://www.soros.org/initiatives/health/focus/sharp/articlespublications/publications/ourlivesmat-ter_20080724/Our%20Lives%20Matter%20%20Sex%20Workers%20Unite%20for%20Health%20and%20Rights.pdf> (last visited May 2, 2009).

Alexander C. Choi H. Cohen J. Croce-Galis M. Doyle H. Eyakuze C. Ezer T. Girard F. Howe E. Kowalski S. Liu E. Pinkham S. Silva P. Vivero A. , “The Law: What Have You Done for Sex Workers Lately?” in Croce-Galis M. , ed., Strategies for Change: Breaking Barriers to HIV Prevention, Treatment, and Care for Women (New York: Open Society Institute 2008): at 45.

See Central and Eastern European Harm Reduction Network, supra note 57

See Crago , supra note 58, at 49.

Coalition on Violence Against Women and Kenyatta National Hospital, Enhancing the Health Management of Sexual Violence in Kenya by Integrating Legal and Rights Services into Post Rape Care Centers: Brief of COVAW-KNH Partnership (June 2008) (on file with Open Society Institute); Rural AIDS and Development Action Research Programme (RADAR), School of Public Health, University of the Witwatersrand, Population Council and Tshwaranang Legal Advocacy Centre, Developing an Integrated Model for Post-Rape Care and HIV Post-Exposure Prophylaxis in Rural South Africa (November 2007) (on file with Open Society Institute).

Jenkins C. Rahman H. , “Rapidly Changing Conditions in the Brothels of Bangladesh: Impact of HIV/STD,” AIDS Education and Prevention 14, Supp. A (2002): 97–106, at 99.

South Asia Regional Initiative/Equity Support Program, “Landmark Judgments on Violence against Women and Children from South Asia,” 2007, at 15–16, available at <http://www.childtrafficking.com/Docs/judge_woman_childvio_0607.pdf> (last visited May 2, 2010).

See Jenkins Rahman , supra note 63, at 99.

Dovkants K. , “Soho Brothel to Re-open After Judge Throws Out Police Case,” Evening Standard (London), February 18, 2009, available at <www.prostitutescollective.net> (last visited September 28, 2010).

Silverman J. , “Sex Workers Say ‘Let Us Stay,’” BBC News, February 18, 2003, available at <http://news.bbc.co.uk/1/hi/uk/2754019.stm> (last visited September 28, 2010).

See Crago , supra note 58, at 31.

Bonthuys E. , “Women's Sexuality in the South African Constitutional Court,” Feminist Legal Studies 14, no. 3 (2006): 391–406.

See Betteridge , supra note 47

Pivot Legal Society, Sex Worker Charter Challenge Denied, Press Release, December 16, 2008, available at <http://www.pivotlegal.org/News/08-12-16-sexworkchallenge.html> (last visited September 28, 2010).

See Crago , supra note 58, at 15.

Mumma C. M. Lukera M. , Documenting Human Rights Violations of Sex Workers in Kenya: A Report Based on Findings of a Study Conducted in Nairobi, Kisumu, Busia, Nanyuki, Mombasa and Malindi Towns in Kenya (Nairobi: FIDA-Kenya, 2008): at 31.

Ottosson D. , State-Sponsored Homophobia: A World Survey of Laws Prohibiting Same Sex Activity between Consenting Adults (Brussels, ILGA, May 2010), available at <http://old.ilga.org/Statehomophobia/ILGA_State_Sponsored_Homophobia_2010.pdf> (last visited September 28, 2010).

O'Flaherty M. Fisher J. , “Sexual Orientation, Gender Identity and Human Rights Law: Contextualizing the Yogyakarta Principles,” Human Rights Law Review 8, no. 2 (2008): 207–248; see also reports of the LGBT Rights Program of Human Rights Watch, for example, available at <http://www.hrw.org/en/category/topic/lgbt-rights> (last visited September 28, 2010).

Schleifer R. , Hated to Death: Homophobia, Violence and Jamaica's HIV/AIDS Epidemic (New York: Human Rights Watch, 2004), available at <http://www.hrw.org/reports/2004/jamaica1104/> (last visited September 28, 2010).

Chu S. K. , “Nepal: Supreme Court Makes Landmark Decisions on LGBTI Rights and the Right to Confidentiality,” HIV/AIDS Policy and Law Review 13, no. 1 (2008): 62–64.

Wood J. Simon S. Anmeghichean M. , LGBT Health and Rights in East Africa: A Snapshot of Successes and Challenges for the Advocacy Community (New York: Open Society Institute, 2007), available at <http://www.soros.org/initiatives/health/focus/sharp/articlespublications/publications/lgbteas-tafrica_20070930/LGBT%20Health%20and%20Rights%20in%20East%20Africa.pdf> (last visited September 29, 2010).

Alisheva D. Aleshkina J. Buhuceanu F. Shields A. , Access to Health Care for LGBT People in Kyrgyzstan (New York: Open Society Institute, 2007), available at <http://www.soros.org/initiatives/health/focus/sharp/articlespublications/publications/kyrgyzstan_20070731/kyrgyzstan_20071030.pdf> (last visited September 29, 2010).

Naz Foundation v. Government of NCT of Delhi and Others , WP (C) No. 7455/2001 (High Court of Delhi at New Delhi, July 2, 2009), available at <http://lawprofessors.typepad.com/files/india-sodomy-law.pdf> (last visited September 29, 2010).

Csete J. , Epidemic of Abuse: Police Harassment of HIV/AIDS Outreach Workers in India (New York, Human Rights Watch, 2002), available at <http://www.hrw.org/reports/2002/india2/> (last visited September 29, 2010).

See Winter , supra note 46.

Nieto J. C. , Not Worth a Penny: “Human Rights Abuses against Transgender People in Honduras (New York: Human Rights Watch, 2009).

Farrior S. , “Human Rights Advocacy on Gender Issues: Challenges and Opportunities,” Journal of Human Rights Practice no. 1 (2009): 83–100, at 93.

Amnesty International, “LGBTQ, success story - Lambda Istanbul,” January 21, 2009, available at <http://www.amnesty.org.au/nsw/comments/20131/> (last visited September 28, 2010).

Funders for Lesbian and Gay Issues, “A Global Gaze: Lesbian, Gay, Bisexual, Transgender and Intersex Grant-Making in the Global South and East (2007),” <http://www.lgbtfunders.org/files/FLGI%20LGBTI_GFRprWeb.pdf> (last visited September 29, 2010).

Canadian HIV/AIDS Legal Network, “Reaching the Millions: HIV/AIDS and Human Rights Education for Men Who Have Sex with Men in the People's Republic of China - Final Report to the HIV/AIDS Small Grants Fund of the Canadian International Development Agency” (June 2007) (on file with J. Csete.)

Roper M. Richardson E. , Durban Lesbian and Gay Community and Health Centre: Gender HIV/AIDS Analysis (Sydney: Oxfam Australia, 2005), available at <http://www.oxfam.org.au/world/africa/south_africa/DurbanGenderAnalysis.pdf> (last visited September 29, 2010).

Legal Lambda , “Cooperating Attorney Network,” available at <www.lambdalegal.org/take-action/cooperating-attorney-network/> (last visited September 29, 2010).

Legal Lambda , “Barros v. Riggall,” 2007, “Social Security Administration to Provide Benefits in Lambda Legal Case Representing Gay Father's Children,” 2009, and “Lambda Legal, HIV and Medical Groups Urge Rescission of Bush-Era Regulations Threatening Health Care Access,” 2009, available through <www.lambdalegal.org/news> (last visited September 29, 2010).

GLAD, “In re Nancy Walsh,” 2004, and “D'Amico v. Cranston School Department,” 2009, available through <www.glad.org> (last visited September 29, 2010).

Helem , “Human Rights in Lebanon,” available at <www.helem.net/node/126> (last visited May 2, 2010).

International Gay and Lesbian Human Rights Commission, “Africa: Lawyers and Activists Attend Groundbreaking Meeting,” February 6, 2009, available at <http://www.iglhrc.org/cgi-bin/iowa/article/takeaction/resourcecenter/853.html> (last visited September 29, 2010).

International Commission of Jurists - Kenya, “Statement on the Situation of Human Rights Violations and Abuses Based on Sexual Orientation and Gender Identity in Africa,” May 13, 2009, available at <http://www.iglhrc.org/cgi-bin/iowa/article/takeaction/resourcecenter/926.html> (last visited September 29, 2010).

“Africa: Homophobia Fuelling the Spread of HIV,” IRIN News , July 23, 2009, available at <http://www.irinnews.org/Report.aspx?ReportId=79397> (last visited September 29, 2010).

International Gay and Lesbian Human Rights Commission, Africa: LGBTI People Demand a Strong Response to AIDS , Press Release, December 5, 2008, available at <http://www.iglhrc.org/cgi-bin/iowa/article/pressroom/pressrelease/818.html> (last visited September 29, 2010).

Id. (International Gay and Lesbian Human Rights Commission). Peek C. , “Breaking Out of the Prison Hierarchy: Transgender Prisoners, Rape, and the Eighth Amendment,” Santa Clara Law Review 44, no. 4 (2004): 1211–1248.

American Civil Liberties Union, “Lesbian Gay Bisexual and Transgender Project,” available at <http://www.aclu.org/lgbt-rights> (last visited September 29, 2010).

Gay and Lesbian Advocates and Defenders, “Transgender Rights Project,” available at <http://www.glad.org/work/initiatives/c/transgender-rights-project/> (last visited September 29, 2010).

International Gay and Lesbian Human Rights Commission, “Philippines: Commission and Court Send Mixed Messages on Transgender Rights,” August 9, 2001, available at <http://www.iglhrc.org/cgi-bin/iowa/article/pressroom/pressrelease/743.html> (last visited September 29, 2010).

Pant S. , “Vulnerable Populations in Nepal Face Hostile Environment,” HIV/AIDS Policy and Law Review 11, no. 2/3 (2006): 87–88.

High Court of New Delhi, decision WP(C) no. 7455/2001, 2 July 2009, para. 71, pp. 58–59, available at <http://lobis.nic.in/dhc/APS/judgement/02-07-2009/APS02072009CW74552001.pdf> (last visited September 29, 2010).

Modise O. , “Botswana: Lesbians Demand Their Day in Court,” AllAfrica.com, April 30, 2009, available at <allafrica.com/stories/printable/200905040876.html> (last visited September 29, 2010).

Aral S. O. St. Lawrence J. S. Dyatlov R. Kozlov A. , “Commercial Sex Work, Drug Use, and Sexually Transmitted Infections in St. Petersburg, Russia,” Social Science and Medicine 60, no. 10 (2005): 2181–2190; Mayhew S. Collumbien M. Qureshi A. Piatt L. Rafiq N. Faisel A. Lalji N. Hawkes S. , “Protecting the Unprotected: Mixed-Method Research on Drug Use, Sex Work and Rights in Pakistan's Fight against HIV/AIDS,” Sexually Transmitted Infections 85, Supp. II (2009): ii31–ii36.

Csete J. Gathumbi A. Wolfe D. Cohen J. , “Lives to Save: PEPFAR, HIV and Injecting Drug Use in Africa,” The Lancet 373, no. 9680 (2009): 2006–2007

Commission on AIDS in Asia, Redefining AIDS in Asia: Crafting an Effective Response (New Delhi: Oxford University Press, 2008): At 111–116; see also, Asia Pacific Network of People Living with HIV/AIDS, Research Finding Highlights: Access to HIV-Related Health Services in Positive Women, Men Who Have Sex with Men (MSM), Transgender (TG) and Injecting Drug Users (IDU), August 2009.

Miller N. S. Sheppard L. M. Colenda C. C. Magen J. , “Why Physicians Are Unprepared to Treat Patients Who Have Alcohol- and Drug-Related Disorders,” Academic Medicine 76, no. 5 (2001): 410–418.

Leaning J. , “Human Rights and Medical Education: Why Every Medical Student Should Learn the Universal Declaration of Human Rights,” BMJ 315, no. 7120 (1997): 1390–1391.

National Center for Medical Legal Partnership, “What Is MLP: The Medical-Legal Partnership Model,” available at <www.medical-legalpartnership.org/about-us/what-is-mlp> (last visited September 29, 2010).

Zuckerman B. Sandel M. Lawton E. Morton S. , “Medical-Legal Partnerships: Transforming Health Care,” The Lancet 372, no. 9650 (2008): 1615–1617

Retkin R. Brandfield J. Bacich C. , Impact of Legal Interventions on Cancer Survivors, LegalHealth, 2007, available at <http://www.medical-legalpartnership.org/sites/default/files/page/Impact%20of%20Legal%20Interventions%20on%20Cancer%20Survivors(2).pdf> (last visited September 29, 2010).

Zuckerman B. Lawton E. Morton S. , “From Principle to Practice: Moving from Human Rights to Legal Rights to Ensure Child Health,” Archives of Diseases of Childhood 92, no. 2 (2007): 100–101.

Lawton E. Riseberg R. Bogin-Farber G. Knight R. Cohen J. Huang C.-C. , “Disparities in Health, Disparities in Law: The Global Potential of Individual Advocacy,” in Cholewka P. A. Motlagh M. M. , eds., Health Capital and Sustainable Social Development (Boca Raton: CRC Press, 2008): at 435–36.

Dinze D. Petrov L. , “Effectiveness of Medical-Legal Partnership in Provision of Legal Aid for Frug Users,” paper prepared for Humanitarian Action Foundation, Saint Petersburg, Russia (on file with authors).

Canadian HIV/AIDS Legal Network , Open Letter to the Government of Macedonia Regarding the Detention, Compulsory Medical Testing and Criminal Prosecution of Alleged Sex Workers in November 2008, available at <http://www.aidslaw.ca/publications/interfaces/downloadFile.php?ref=1428> (last visited September 29, 2010).