Escolar Documentos
Profissional Documentos
Cultura Documentos
Jacqueline Saviñon
Saint Mary’s College (Undergraduate)
savi2718@saintmarys.edu
Advisor: Dr. Susan Alexander
159 Madeleva
Saint Mary’s College
Notre Dame, IN 46556
(574)284-4728
salexand@saintmarys.edu
December 1, 2005
ABSTRACT
With the current HIV/AIDS epidemic in Asia, this study looks for a link between the thriving sex
industry and the prevalence rates in India and Thailand. The purpose of this paper is to identify
changes over time in federal legislation in India and Thailand with regard to sexuality, and to
determine if there is a link to the prevalence rates of HIV/AIDS among the sex worker population.
The results show that there is a link between prevalence rates and sex workers in Thailand and
India. The federal legislation also has had an impact on the spread of HIV/AIDS in these countries,
but the impact has been stronger in Thailand. These cultures view women and children as
subservient figures and therefore do not enforce the legislation that has been passed. The solution
to the HIV/AIDS epidemic in India and Thailand has to address the need for a cultural change, not
just a political change.
1
2
Since the early 1980s the HIV/AIDS epidemic has been growing in different parts of
the world. The areas most affected are the developing nations of Africa and Asia. It is also
the case that these nations view women and children at the bottom of the social strata and
do not give them equal rights. The low status of women and children has allowed them to
become a part of the commercial sex trade in Asia. In India, the main mode of transmission
occurs when long distance truck drivers stop in brothels and have unprotected sex, thus the
virus is easily spread across the country. Thailand is part of the international sex tours that
attract people from all over the world to have sex with women and underage children, thus
contributing to the global spread of HIV/AIDS.
The purpose of this paper is to identify changes over time in federal legislation in
India and Thailand with regard to sexuality, and to determine if there is a link to the
prevalence rates of HIV/AIDS among the sex worker population. In addition, this paper will
suggest potential ways for India and Thailand to enhance their efforts in controlling the
spread HIV/AIDS. In a broader perspective, this study will provide a unique insight into the
cultural changes that need to accompany the political changes taking place in India and
Thailand.
LITERATURE REVIEW
future slowly come to realize that they are trapped and that they are not receiving anything
they were promised. Stinchcombe (1994) states:
Prostitutes are disproportionately recruited from families disorganized by death or desertion,
abusive and alcohol or drug dependent parents, or parents themselves in gray world
commerce; often they start at very young ages, when “normal” adult kinship and
occupational roles are difficult to establish. (P.856)
Legislation as a Solution
Several governmental and non-governmental organizations (ECPAT, UNICEF, and
Interpol) have been established to initiate policies about sexual trafficking, to increase
public awareness of trafficking, to improve law enforcement, and to institute effective
interventions to end prostitution (Mameli 2002). Through the lobbying of the National
Commission on Women’s Affairs (NCWA), Thailand was the first country to pass a law that
resulted in a penalty to the customers rather than on sellers for involvement in commercial
sex with underage women (Bennett 2005). Legislation by global organizations has also
made an impact. End Child Prostitution in Asian Tourism (ECPAT) and the United Nations
Children’s Fund (UNICEF) have been working to increase awareness about the problem of
sexual exploitation of children under the age of 18. In describing the root causes of the
problem, Mahler (1997) states:
Even if the women are 18 or 19 and did agree to go, so what? They are still working in
brothels surrounded by barbed wire, with debt books and filthy living conditions. The idea
of choice really has to be developed; these women may have chosen prostitution, but they
didn’t choose slavery. (P.80)
Mahler (1997) argues that strict law enforcement, legal reform, increased access to
resources for the community, and international human rights conventions are a few of the
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solutions to the issue of trafficking of women. Mameli (2002) proposes that to control
sexual exploitation states and surrounding states need to come together to develop a
supportive system, and methods of investigation and prosecution need to be established
through the role of the European Police Organization (Europol) and the International Police
Organization (Interpol).
Through the use of effective legislation, the spread of HIV/AIDS may be controlled
or slowed but probably not stopped. Legislation against trafficking of persons, use of
condoms, and the use of brothels will all make the sex industry dwindle. By analyzing the
legislation in Asian countries, this study will assess the link between brothels and sex tours
and the spread of HIV/AIDS.
FOUCAULT ON SEXUALITY
According to Michel Foucault (1978), since the 17th century there has been a
fascination with sexuality that generated a discourse around sexuality. In The History of
Sexuality (1978), Foucault traces the path of sexuality in Western society since the 17th
century. Foucault finds four recurring themes: how the body of the woman has become
sexualized because of its role as a child bearer; how children should be protected from the
dangers inherent in masturbation and sexuality; how sexuality for reproduction is
contributing to the discourse on population growth; and how the sexuality of adults
becomes an object of study and all forms of perverse deviations are seen as dangers. In
general, Foucault discusses how sexuality has been repressed in some cultures and a
fixation in others.
Foucault (1978) finds that historically there have been two ways of viewing
sexuality: “scientia sexualis” in Western society and “ars erotica” in Asian countries. In
Western society the idea of “scientia sexualis” revolves around the development of
“procedures for telling the truth of sex which are geared to a form of knowledge-power
strictly opposed to the art of initiations and the masterful secret: I have in mind the
confession” (Foucault 1978:58). Sexuality in the West was repressed for sex was viewed as
a sin if it occurred outside of marriage. Confession was thought to free a person from sin,
and confession was linked to power.
Foucault (1978) claims that sexual confession came to be constituted in scientific
terms: “through a clinical codification of the inducement to speak, through the postulate of
a general and diffuse causality, through the principle of a latency intrinsic to sexuality,
through the method of interpretation, and through the medicalization of the effects of
confession” (p.65-67). The sexual confession arose out of the Christian view for it was
expected that an individual communicate their sexual pleasure in detail in order to be free of
sin. According to Foucault (1978), the goal of “scientia sexualis” was to promote the
openness of sex, to encourage telling the truth about sex, and for the knowledge and
pleasure of sex to be spread.
“Ars erotica” was the belief that sex was an art and a special experience for men and
women in Asian countries. Foucault (1978) notes that:
In the erotic art, truth is drawn from pleasure itself, understood as a practice and
accumulated as experience; pleasure is not considered in relation to an absolute law of the
permitted and the forbidden, nor by reference to a criterion of utility, but first and foremost
5
commercial sex industry that are addressed in this study. This paper will demonstrate how
“ars erotica” operates in brothels and sex tours in Asian countries.
METHODOLOGY
FINDINGS
doubling every two years, with India being the worst hit, having numbers doubling every 14
months” (Mustikhan 1999:3).
As Table 1 indicates, prevalence rates in India have increased almost every year
from 1987 to 2001 in major urban areas and outside of major urban areas (UNAIDS/World
Health Organization (WHO) 2004). The increase in these rates over the span of 15 years
may be due to the recent discovery of this disease. The first AIDS case was reported in
1986, and this was also the year the National AIDS committee was established with the goal
of controlling the spread of the disease. As a result of their late start in acknowledging the
seriousness of this disease, preventing the spread was difficult. India has not developed any
policies or legislation specific to the sex workers. This may also be another cause for
concern because these women are engaging sexually with several men, some of who are
truck drivers, and they do not know the importance of using a condom or some other form
of protection. (For a full data set of HIV/AIDS prevalence rates in India, see Appendix A).
In Thailand prevalence rates have never reached the levels of India. On average the
prevalence rates outside of major urban areas were higher than in major urban areas. One
reason for this difference may be that the policies and legislation are enforced more strongly
in major urban areas. Thailand has implemented several policies that target child
prostitution, trafficking, use of condoms, and the commercial sex industry. Sex tours are the
main mode of transmission for HIV/AIDS, and these practices occur more frequently in
major urban areas where most police involvement is located. (For a full data set of
HIV/AIDS prevalence rates in Thailand, see Appendix B).
According to UNICEF (2001), there are 400,000 children and women in the
commercial sex industry in India, and in Thailand there are 200,000 children and women in
the commercial sex industry. With the number of children and women being subjected to the
sex trade, the implementation of policies and legislation need to continue to be enforced, as
well as revised to fit the needs of the times.
first organization to advocate prostitutes’ rights and start a social movement advocating the
legalization of prostitution (Outshoorn 2005). However, this reignited debates in the United
Nations after the adoption of the 1979 Convention on the Elimination of All Forms of
Discrimination against Women because “it calls on states to suppress all forms of traffic in
women and the exploitation of prostitution” (Outshoorn 2005:149). The establishment of
ICP also ignited debates among the pro-sex work activists because prostitution for some
was a chosen way of making a living and doing away with the commercial sex industry
would not improve all women’s status.
According to Outshoorn (2005), at the close of the Cold War the United Nations was
able to put more focus on “the women’s movements’ campaign on violence against women”
(p.149). The United Nations Vienna Declaration of 1993 was established and specified the
need to end violence against women (Outshoorn 2005). This declaration targets forced
prostitution and trafficking, not just prostitution. Two years later in 1995 the Platform for
Action was proposed at the Beijing United Nations Women’s World Conference to fight
forced prostitution and trafficking. Then in 2000 the United Nations Convention against
Transnational Organized Crime was signed. According to Raymond (2001), the United
Nations Convention against Transnational Organized Crime created a global language and
legislation for defining trafficking, assisting victims of trafficking, preventing trafficking,
addressing the world’s organized crime networks, and attacking the commercial sex
industry.
In 1994, with the help of UNICEF, ECPAT1, and nongovernmental organizations
(NGO’s) supporting the Convention on the Rights of the Child, the World Congress against
Sexual Exploitation was formed. According to Mahler (1997), the Convention on the Rights
of the Child was an “international human rights treaty adopted by the United Nations in
1989 and currently ratified by 187 nations,” that stated that children should be protected
from all forms of abuse at the national and international levels (p.79). The World Congress
against Sexual Exploitation had their first meeting in Stockholm, Sweden in 1996 and it
was the first global conference to discuss the issue of sexual exploitation. According to
Mahler (1997), the goals of the Congress were “to raise awareness about the global nature
of the problem of sexual exploitation of children (defined as all persons under the age of 18)
and mobilize international action” (p.79). One outcome of the Congress was the adoption of
the Agenda for Action, which was “a document stipulating concrete measures to foster
global cooperation and facilitate the prevention of sexual abuses and the protection of
vulnerable youth” (Mahler 1997:79).
In 1996 UNICEF and the International Labor Organization (ILO) submitted a report
on child prostitution. In this report they classify child prostitution as “one of the most
intolerable forms of child labor” (Mahler 1997:81). Children are sold into prostitution by
their parents for money. Once children pay off their debt they are supposed to be released
but typically are not allowed to leave. It becomes a difficult task to repay a debt because
prostitutes have limited earning potential (Mahler 1997:81).
According to Mameli (2002), Interpol plays a significant role in identifying
trafficking and the impact of globalization in prostitution. Interpol actively works with the
United Nations Global Program against Trafficking in Human Beings and Europol to
1
ECPAT (End Child Prostitution in Asian Tourism) is a Thailand-based NGO (nongovernmental organization
established in 1991.
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achieve their goals on a national and international level. At the international level the United
Nations has developed two programs in 1948 and 1967, respectively: the United Nations
Center for International Crime Prevention (CICP) and the United Nations Interregional
Crime and Justice Research Institute (UNICRI). According to Mameli (2002), these two
programs need to work with the United Nations Global Program against Trafficking in
Human Beings in order “to assess regional and interregional trends, collect best practices,
and initiate pilot projects” (p.74).
Overall, the legislation that affects all Asian countries is rooted in a feminist
foundation that focuses on voluntary and forced prostitution of women and children. The
main goal of the legislation established across Asia aims at granting women and children
rights that would bring an end to the sexual violence and exploitation they experience in the
commercial sex industry. There are also crime prevention programs working to eliminate
trafficking in human beings on a national and international level.
(p.221). NGO’s are a big part of the success seen in the decline of HIV/AIDS in Thailand.
They have provided “24 shelters and 4 rehabilitation centers for prostituted women in
Thailand” (CATW 2005).
According to Aegis (2003), the AIDS epidemic in Asia has resulted in about one
million Thais becoming infected due to a lack of condom use among sex workers. In
response to the rapid spread of AIDS, the “100% Condom Use Program” was implemented
in 1989. The goal of this program was to implement condom use in brothels among sex
workers in an effort to decrease the spread of HIV/AIDS in Asian countries. The result has
been a decline of more than 80% in new HIV infections (Aegis 2003).
According to CATW (2005), Thailand appears to be the most popular destination for
children trafficked across Southeast Asia. In 1995, Thailand established the Fight against
Child Exploitation, a NGO whose purpose was to provide the victim with the legal support
to testify in court (TAT 2002). In response to the increase in travel to Thailand, the
development of the Prevention and Suppression of Trafficking in Women and Children Act,
established in 1997, allows “authorities the right to detain suspected victims of trafficking,
not suspected traffickers” (CATW 2005:5). When illegal immigrants working in the
commercial sex industry are found by police they are “deported and blacklisted” thanks to
this act (CATW 2005:6).
Thailand’s legislation has focused on several different aspects of the commercial sex
industry. They have taken on the role of attacking child prostitution, sex tours, individuals
paying for sex, safety and protection while engaging in sexual activity, and establishing a
distinction between forced and voluntary prostitution.
DISCUSSION
The culture in Thailand and India views women and children as subservient figures
who are not given equal rights and can be sold into prostitution. Children and women are
disproportionately sold because families find themselves in need of money. Currently, there
seems to be a gap between the legislation passed and the implementation of policies as a
part of that culture. This may be a result of the belief by many that women and children are
not seen as important individuals in society; women and children have third class status. To
establish a higher status for women and children in society, the cultural values and beliefs of
individuals in Asian countries must be changed. Only when women and children are no
longer viewed as objects for men’s sexual pleasure will HIV/AIDS rates truly decline.
The prevalence rates in Thailand have never reached the levels seen in India. The
lack of effective legislation in India resulted in higher prevalence rates. The legislation
passed in India has not addressed many issues regarding the whole picture of the
commercial sex industry. Thailand, on the other hand, has had much lower prevalence rates
over the past 15 years. This is probably a result of the vast amounts of legislation passed
that have addressed several issues related to the commercial sex industry. Thus, this study
shows the importance of policy change as well as cultural change for ending HIV/AIDS
transmission.
Cultural values and beliefs need to be changed so that people learn to value women
and children as individuals. The idea of male dominance over women and children and the
idea of women and children being subservient to males are cultural changes that need to
accompany political changes if a change is to occur in the prevalence rates of HIV/AIDS
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transmission among the sex worker population. The legislation and conferences in Asian
countries reveal the norms of society during different time periods and help shape women’s
roles within history and culture.
REFERENCES
Aegis. 2003. “Asian AIDS Experts Push for Condom Use among Prostitutes.” Retrieved
March 29, 2005 (http://www.aegis.com).
Beyrer, Chris. 2000. “Accelerating and Disseminating across Asia.” The Washington
Quarterly, 24:211-225.
Foucault, M. 1978. The History of Sexuality: An Introduction Volume I. New York: Random
House.
Kristof, Nicholas D. 1996. “Children Victimized by Asian Brothels.” The New York Times,
April 14.
Mahler, Karen. 1997. “Global Concern for Children’s Rights: The World Congress against
Sexual Exploitation.” International Family Planning Perspectives, 23:79-84.
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Mameli, Peter A. 2002. “Stopping the Illegal Trafficking of Human Beings: How
Transnational Police Work Can Stem the Flow of Forced Prostitution.” Crime, Law,
and Social Change, 38:67-80.
Mustikhan, Ahmar. 1999. “The AIDS nursery of the World: South Asia Plagued with
Epidemic.” World Net Daily. Retrieved March 29, 2005
(http://www.worldnetdaily.com).
Outshoorn, Joyce. 2005. “The Political Debates on Prostitution and Trafficking of Women.”
Social Politics: International Studies in Gender, State, and Society, 12:141-155.
Raymond, Janice G. 2001. “Guide to the New UN Trafficking Protocol.” Coalition against
Trafficking in Women International. Retrieved September 19, 2005
(http://www.catwinternational.org).
Schnayerson, Ben. 2003. “AIDS in Asia: The Continent’s Growing Crisis.” San Francisco
Chronicle, January 15, p. A8. Retrieved March 29, 2005 (http://www.sfgate.com).
Shah, Andy. 1998. “Asian Sex Tours Draw Community Concern.” Presented at Women’s
Rights Information Session on Asian Sex Tours, December 1, Los Angeles, CA.
Tourism Authority of Thailand (TAT). 2002. “Thailand in the Global Fight against the
Commercial Sexual Exploitation of Children (CSEC).” Retrieved October 27, 2005
(http://www.tatnews.org).
United Nations Children’s Fund (UNICEF). 2001. “UNICEF calls for eradication of
commercial sexual exploitation of children: New Report Says Millions of Children
are Sexually Exploited.” Retrieved November 15, 2005 (http://www.unicef.org).
World Bank Group. 1999. “India’s National AIDS Control Program.” Retrieved October 3,
2005 (http://www.worldbank.org/aids).
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Appendix A
Group Area 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001
Sex Major Urban N-Sites 1.00 2.00 1.00 1.00 3.00 3.00 3.00 1.00 3.00 2.00 1.00 2.00 1.00 2.00 1.00
Workers Areas Minimum 0.89 4.45 13.20 21.11 0.00 0.72 1.41 1.58 1.20 11.27 11.93 5.30 64.40 58.67 52.26
Median 0.89 6.61 13.20 21.11 0.53 0.87 1.86 1.58 3.57 31.14 11.93 32.05 64.40 58.67 52.26
Maximum 0.89 8.76 13.20 21.11 33.93 7.58 50.99 1.58 4.80 51.00 11.93 58.80 64.40 58.67 52.26
Outside
Major N-Sites 5.00 3.00 5.00 4.00 5.00 7.00 6.00 3.00 1.00 2.00 3.00 4.00 4.00
Urban
Areas Minimum 0.00 0.00 0.00 0.00 0.00 0.00 1.00 1.00 59.26 4.76 11.70 3.42 2.60
Median 0.49 1.42 4.94 16.83 19.00 23.71 23.25 29.00 59.26 6.53 13.10 25.85 29.80
Maximum 3.70 5.00 8.50 24.23 31.58 36.46 46.80 39.92 59.26 8.30 20.00 53.20 51.33
Note: Major Urban Areas were considered to be the capital and -where applicable- other metropolitan areas with similar socio-economic
patterns. The term Outside Major Urban Areas considers that most sentinel sites are not located in strictly rural areas, even if they are
located in somewhat rural districts. Studies conducted in the same year are aggregated and the median prevalence rates (in percentages)
are given for each of the categories. The maximum and minimum prevalence rates observed, as well as the total number of surveys/sentinel
sites, are provided with the median, to give an overview of the diversity of HIV-prevalence results in a given population within the country.
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2
Appendix B
Group Area 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002
Sex Major Urban N-Sites 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00
Workers Areas Minimum 9.70 7.46 17.82 8.60 13.00 9.61 6.90 6.60 6.07 7.40 6.70 5.86 2.60
Median 9.70 7.46 17.82 8.60 13.00 9.61 6.90 6.60 6.07 7.40 6.70 5.86 2.60
Maximum 9.70 7.46 17.82 8.60 13.00 9.61 6.90 6.60 6.07 7.40 6.70 5.86 2.60
Outside
Major N-Sites 72.00 71.00 71.00 67.00 73.00 75.00 52.00 75.00 75.00 73.00 75.00 75.00 73.00
Urban Areas Minimum 0.00 1.45 2.94 4.50 0.00 3.50 3.10 1.20 0.00 0.00 0.00 0.00 0.00
Median 5.05 10.00 15.64 18.50 20.00 18.11 18.80 15.90 12.55 10.80 10.50 9.65 7.83
Maximum 46.10 49.74 66.00 62.75 62.67 49.33 51.50 57.14 55.07 36.67 42.22 33.33 81.82
Note: Major Urban Areas were considered to be the capital and -where applicable- other metropolitan areas with similar socio-economic
patterns. The term Outside Major Urban Areas considers that most sentinel sites are not located in strictly rural areas, even if they are
located in somewhat rural districts. Studies conducted in the same year are aggregated and the median prevalence rates (in percentages)
are given for each of the categories. The maximum and minimum prevalence rates observed, as well as the total number of surveys/sentinel
sites, are provided with the median, to give an overview of the diversity of HIV-prevalence results in a given population within the country.
25