PEPFAR has made anti-retroviral treatment (ART) available for many people, including sex workers.  However, PEPFAR funding contracts with organisations specify that a certain amount of this money be spent on abstinence programming.  Contracts include a clause that the organisation accepting funding is opposed to prostitution.  This has been called the 'anti-prostitution pledge' or 'anti-prostitution loyalty oath'.

The conflation of trafficking and migration with sex work, in law and practice, presents challenges to NSWP.

This NSWP briefing paper explains how sex work is conflated with trafficking; the legal framework; how demand for sex work is conflated with trafficking; the dangers of conflating trafficking with sex work, its impacts on sex workers’ lives and work; the impact on sex worker programming; and offers some recommendations for policy makers, donors and for civil society.