By Robin E. Klabbers, Andrea Hughes, Meredith Dank, Kelli N. O’Laughlin, Mutaawe Rogers & Hanni Stoklosa 

Human trafficking is a global public health issue that is associated with serious short- and long-term morbidity. To address and prevent human trafficking, vulnerabilities to human trafficking and forces sustaining it need to be better understood among specific subpopulations. We aimed to explore risk and protective factors for human trafficking, the health impact of exploitation, and barriers and facilitators of seeking help throughout the human trafficking trajectory among forced labor and sex trafficking victims in Kampala, Uganda.

Methods

Between March and November 2020, in-depth, semi-structured qualitative interviews were conducted with 108 victims of forced labor and sex trafficking who had completed a human trafficking survey conducted by the Uganda Youth Development Link (UYDEL). Participants who experienced various forms of exploitation were purposively invited for qualitative interviews and a convenience sample was interviewed. Interviews explored personal history, trafficking recruitment, experiences of exploitation and abuse, and experiences seeking help. Interviews were analyzed using a combination of deductive and inductive thematic analysis. Themes and subthemes were organized using an adapted conceptual framework of human trafficking.

Results

Poverty and an abusive home life, frequently triggered by the death of a caretaker, underpinned vulnerability to human trafficking recruitment. Limited education, lack of social support, and survival needs pushed victims into exploitative situations. Victims of human trafficking were systematically exploited and exposed to dangerous working conditions. Victims suffered from sexually transmitted diseases, incontinence, traumatic fistulae, musculoskeletal injuries, and mental health symptoms. Lack of awareness of resources, fear of negative consequences, restrictions on movement, and dependence on the trafficker and exploitation income prevented victims from seeking help. The police and healthcare workers were the few professionals that they interacted with, but these interactions were oftentimes negative experiences.

Conclusions

To address and prevent human trafficking, localized interventions are needed at all stages of the human trafficking trajectory. Health impacts of human trafficking are severe. As some of the few professionals trafficking victims interact with, police and healthcare workers are important targets for anti-trafficking training. Improved understanding of human trafficking drivers and barriers and facilitators to seeking help can inform the design of necessary interventions.

  Global Health Research and Policy (2023) 8:52 https://doi.org/10.1186/s41256-023-00332-z

Crisis Group Latin America Briefing N°51  

What’s new? Across the region where Brazil, Colombia, and Peru meet deep in the Amazon, an assortment of criminal organizations are exploiting the feeble reach of states, abundance of natural resources, and poverty of local communities to grow, diversify, and hatch new cross-border ventures. Why does it matter? Surging cocaine production in Peru and the spread of other rackets like gold dredging and illicit logging threaten Indigenous ways of life, spur deadly violence, and harm the environment. Should these criminal ventures go unchecked, they could undermine the already tenuous state control of the world’s largest rainforest. What should be done? Following up on promises made in 2023, the three countries should bolster security cooperation and harness foreign assistance with a view to prosecuting and sanctioning those responsible for environmental crimes. Support for law-abiding livelihoods and stronger collaboration with Indigenous communities at the front lines of criminal expansion are vital.

  Bogota/Brussels: International Crisis Group, 2024.    28p.

By PICUM -  Platform for International Cooperation on Undocumented Migrants

This paper outlines and addresses the particular circumstances and impacts of criminalisation frameworks on the human rights and dignity of undocumented migrant sex workers. Understanding the intersection of the criminalisation of migration and criminalisation of sex work enables an approach which safeguards the human rights and dignity of undocumented migrant sex workers. A number of undocumented migrants work in sex work. They face multiple layers of discrimination, social exclusion, stigma and poverty, due to their migration status and their occupation (as well as any other intersectional forms of discrimination including gender, ethnic or social origin, sexual orientation or gender identity, disability, etc.). PICUM’s concern is not about the judgment of sex work itself, but whether undocumented migrant sex workers have protections and their rights upheld. As more people fall into irregularity across Europe, more undocumented migrants will likely engage in sex work for survival and to generate an income. It is therefore important that PICUM outlines how criminalisation frameworks exacerbate the myriad issues faced by undocumented migrants and works to reduce the harmful impacts of these frameworks. PICUM has worked for eighteen years to address the impacts of criminalisation frameworks on undocumented migrants. Over the past four years, PICUM has had discussions with organisations working with undocumented migrants selling sexual services, both within and outside of PICUM’s membership, including sex worker-led organisations. Several workshops on the challenges facing undocumented migrant sex workers were held at PICUM’s Annual General Assemblies, in 2016, 2017, 2018 and 2019. During the same time period, dedicated sessions on this issue were held within PICUM’s Executive Committee, and having considered the available evidence, this paper is a result of this process. The paper concludes that criminalising the purchase and facilitation of sex work impacts negatively on sex workers, and that the impacts are multiplied when sex workers are undocumented migrants.

Being an undocumented sex worker adds a layer of discrimination, social exclusion and precarity vis-à-vis public services and authorities. Many undocumented sex workers experience theft, violence, harassment, exploitation, evictions and homelessness. They are unable to report crimes to the police without risking deportation, and police are sometimes the perpetrators of violence. They have limited access to essential services including health care, and face immense barriers to accessing protection and justice. Undocumented sex workers are disproportionately subject to police harassment and targeted for immigration enforcement, including as a result of anti-trafficking initiatives. A holistic response is needed to address the human rights violations and lack of opportunities faced by undocumented migrant sex workers. Reforms of policies addressing poverty and discrimination, social services and security, labour rights, immigration and housing, among others, are all needed to provide people with the resources and security they need, both while they are sex workers, and so they don’t have to engage in sex work. Within this, decriminalisation is one of the crucial steps to support the empowerment, human rights and dignity of sex workers. Nonetheless, PICUM will continue to engage in dialogue and work with those of our members and partner organisations with different approaches, focusing on areas of shared concern and action.    

Brussels, Belgium: PICUM. 2019, 32pg