Uzbekistan’s Ministry of Justice has recently put a handful of US health NGOs on notice that there are problems with their paperwork, that they are not sticking to their mission, etc. This is what has become the standard prelude to an ouster for NGOs working in Uzbekistan. Project HOPE and World Vision International were both accused of violations in recent days, and Population Services International (PSI) is the latest to draw the attention of the justice ministry. PSI is special though. It has upset the ministry not just for its paperwork violations, but also for a handful of other interesting reasons.
“PSI is especially famous for its projects universally asserting interests of persons with unorthodox sexual orientation,” the statement on the Internet said, adding that homosexuality is punishable by up to three years in prison in Uzbekistan.
The statement also alleges that PSI, founded in 1970, was created by U.S. entrepreneur Philip Harvey to promote the use of contraceptives produced by his sex products company, Adam & Eve.
I cannot find anything one way or the other about whether or not PSI supports homosexuals. But then again, it’s not worth it to spend much time looking into it. PSI’s Central Asia program targets at-risk youth, injecting drug users, and drug using sex workers to fight the spread of HIV. Homosexuality exists in Uzbekistan, and no responsible anti-HIV program should go along with the government in pretending that it does not. That support of homosexuals bothers the Uzbek government more than PSI’s work with prostitutes sure shows where its priorities are.
Phil Harvey, by the way, is a fairly interesting person. He started selling condoms through the mail while it was still illegal to do so in the United States. Before starting this business, he worked for CARE in India, where he concluded that a lack of family planning played a massive role in social problems. He founded Adam & Eve to fund family planning programs in the developing world, starting PSI, and later DKT International. The latter is focused more on family planning and market subsidized condoms in the developing world, but it appears that PSI does market condoms in Central Asia. And one would assume they use a similar model, selling them well below retail cost. According to information found at and via Harvey’s Wikipedia entry, the approach the organizations use is highly effective.
Crackdown a Cry for Rapprochement?
IWPR reported on the accusations against World Vision (who partners with PSI, interestingly enough), including the following interesting claim.
Political scientist Anvar Muminov agreed, adding that the Uzbek authorities were pressuring American NGOs in a bid to gain greater respect. “Tashkent is trying to impose its own rules of engagement on Washington,” he said. “If the US takes the hint and makes some concessions, things could improve for American NGOs.”
That sounds strange, but EurasiaNet reports that Uzbekistan is putting out feelers for rapprochement.
However, the article seemed to suggest that Washington would have to take the first step, and travel the most distance to make a rapprochement possible. It spoke of a need for US experts to “objectively understand the situation, which would allow them to efficiently take part working out short- and long-term political solutions.”
Additional evidence that Uzbekistan wants a rapprochement on its own terms came on February 23, when Pravda Vostoka resumed its attacks on the United States. A commentary posted on the newspaper’s website attacked US policy toward Central Asia. It claimed that the “primary objective” of two democratization-related institutes affiliated with major US political parties – the International Republican Institute and the National Democratic Institute – was to “gather strategic information and organize controlled conflicts outside of the United States in the interests of the White House.”
It is a strange argument, but perhaps only because one is hard-pressed to see how it could be effective. Uzbekistan’s government does want some degree of renewal of Western ties. And I think that it very obviously wants the relationship to be founded on its terms this time around. (It did last time too. This explains the constant attempts to convince Western officials and media from 2001-2005 that it faced a greater Islamist threat than it really did and that it was making more progress with reforms than it really was.) What it fails to grasp is that it does not have too much to offer to the West that it cannot find elsewhere in the region. The West has no compelling reason to do things solely on Uzbekistan’s terms, and in fact has indicated that it wants to see improvements in Uzbekistan before reengaging. If cracking down on NGOs is indeed supposed to lead to warmer ties with the West, the government would be advised to reconsider the message it sends.
Photo used courtesy of night_eulen.
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Neither the PSI project or WorldVision project appear to be designed to build goodwill among Uzbekistan’s general population. I doubt that WorldVision’s Christian evangelist private donors realize the organization is reportedly collaborating with PSI to give out condoms to homosexuals and prostitutes in Uzbekistan, somehow… If these reports are true, USAID may have some more questions to answer from concerned members of Congress. There has already been a scandal on Capitol Hill about a USAID-funded project involving “sex workers” in India, btw… I’ll look for the links on that investigation… What a waste of US taxpayer dollars…
Here’s the link to the Hindustan Times article, “US Accuses NGO of ‘Traffiking’”, http://www.hindustantimes.com/news/181_1504660,00050001.htm:
“Goodwill” is not the mission. HIV prevention is. Click through to the description of the project, Laurence. They don’t give out condoms.
You can read up on World Vision’s HIV/AIDS initiatives here. They work with prostitutes also. It may come as a surprise to you, but many evangelical Christians are proponents of the reduction of human suffering without regard to who or what the human in question is. It is further worth noting that in Uzbekistan, PSI also partners with
KomsomolKamolot. So, it’s not as if they are too terribly out there.I’m not sure that USAID has much to answer for. DKT sued them for denying funding over the organization’s refusal to sign a statement explicitly opposing prostitution. The courts found the requirement unconstitutional when applied to US organization, though I think that USAID can still apply the stipulation to foreign organizations.
I don’t know if you ever discussed STDs with anyone in Uzbekistan. It’s obviously a heated subject bound to inflame sensitivities. But it should not be ignored or danced around. Prostitution is common in Uzbekistan. Homosexuality exists. People sleep around. And unless they receive better education about sexual health, they will get sick. I don’t think trying to prevent Central Asia from exploding HIV infection rates is at all a waste of our money, especially when it’s fairly cheap.
Since you seem so steamed about PSI working with homosexuals and prostitutes, do you think the Uzbek justice ministry is right to use this as an argument for its expulsion? Do you agree with the criminalization of homosexuality? Do you think that at the very least they should be excluded from assistance from health NGOs?
At least in my book, what really sets this case apart from others is that the government is using its anti-homosexual laws and attitudes to justify expulsion of a health organization.
Laurence -
How is it you came to hate NGOs so much? Were you bitten by one as a child?
P.S.: Nathan’s post above is spot on.
What’s with the constant knee-jerk reactions for the Uzbek govt. position Laurence? I understand that things are more complicated than some human rights groups claim, but still, come on.
Nathan, I understand that Project Hope is being investigated because they treated alleged Akromiya members in a camp in Kyrgyzstan…. nearly 2 years ago. Even if you give the Uzbek govt. the benefit of the doubt on many many things, the timing just sounds so political.
Nathan, I think that USAID programs that increase hostility to the US are counter-productive and work against America’s national interest as well as the interests of the people they are intended to serve. If a program is shut down, it obviously can’t continue–so maybe it wasn’t a good idea in the first place? Better to work in areas where there is agreement between governments, for all concerned. AIDS policy is contentious and politicized enough in the US, so foolish to assume there would be a consensus abroad. I’m no expert on AIDS prevention program, but somehow doubt there is much hard data to demonstrate that this condom distribution effort did much to reduce HIV infection rates. And if there is no empirical data to show that it worked–why pay for it?
Bertrand, I don’t hate NGOs. I’ve worked for several, volunteered with others, and continue to donate time and money. However, I don’t believe that makes NGOs immune from criticism–especially when they may be harming American interests.
Brian, I don’t care about the Uzbek government position one way or the other. It’s not my country. However, I do care about the American government position, and improving America’s relationships with countries around the world. If a USAID program is hurting American interests, leading to greater anti-Americanism, it shouldn’t be funded, IMHO.
Indeed, if Project Hope was working with Akromiya in Kyrgyzstan, it strikes me that USAID may be more out of touch with the threat posed by Islamist extremists to American interests to an even greater extent than I had thought possible…
Brian, Here’s the link to the RFE/RL story on Project Hope:
I went to the Project Hope website (http://www.projecthope.org/wherewehelp/russiacentralasia/kyrgyzstan.asp), and saw descriptions of health-related programs such as TB prevention, “healthy family,” and infant mortality–all non-political. There was no mention of work with Akromiya refugees.
Interestingly, Aktam Jalilov, the Uzbek spokesperson mentioned in the RFE/RL story, has the same name as the head of the International Journalism department when I taught at UWED as a Fulbright in 2002-2003. He later came to the US–Harvard’s Davis Center and Indiana University–as a Soros-sponsored fellow, I believe. We were on a panel at Harvard for a CESS conference. If it is the same person, he’s been a beneficiary of American NGO programs, himself…
Just got this from Rand Walton at Project HOPE:
MORE from Rand Walton at Project HOPE:
‘Nathan, I think that USAID programs that increase hostility to the US are counter-productive and work against America’s national interest as well as the interests of the people they are intended to serve.’
‘However, I don’t believe that makes NGOs immune from criticism–especially when they may be harming American interests.’
‘If a USAID program is hurting American interests, leading to greater anti-Americanism, it shouldn’t be funded, IMHO.’
Laurence, I have to agree with Nathan: this is supposed to be about preventing the spread of HIV/AIDS – not promoting American interests abroad.
‘I’m no expert on AIDS prevention program, but somehow doubt there is much hard data to demonstrate that this condom distribution effort did much to reduce HIV infection rates.’
Myabe there isn’t hard data on the effectiveness of prophylactics … yet (but you’d have to work very hard to persuade me that rubbers should be dispensed with entirely). However, there is plenty of data for a worrying increase in HIV/AIDS in Central Asia, as neweurasia’s own group-post on the issue last year demonstrated.
It’s not just about sex either – intravenous drug-use is a major cause, too; and where are those drugs coming from? Afghanistan …
Nick, I don’t think french letters protect against IV drug use transmission of HIV–and I believe there are studies that show that giving out free condoms does not mean that people actually use them when push comes to shove… But please, show me the data if it is there for Uzbekistan. If not, it’s just another “faith-based initiative” — not science. In any case, USAID’s mission is to advance American interests. The WHO and other international organizations have responsibility for general health issues. So, I’ll stand by my claim that if a program doesn’t advance American interests, I think you’d find most members of Congress and the American public would agree that USAID should not pay for it. I don’t think you’d even find too many USAID officials willing to debate the other side of that argument…
‘Nick, I don’t think french letters protect against IV drug use transmission of HIV …’
Well, like, Duh! what I was implying was that it’s about a bit more than just just plain old in delicto flagrante. And as I said, I don’t think data is available .. yet. PSI’s website explicitly states that it works with intravenous drug-users, so having a flap about free condon distribition overlooks other aspects of their work. As their own pdf report explains: ‘HIV infection rate in these countries [Central Asia] has increased noticeably over the past few years, particularly among IDUs, who make up at least 64% of all HIV cases.’ And if you’re still worried about the condom distribution any case, as far as I can tell from PSI’s website, there is a strong element of sex education involved:
PSI targets a variety of groups in multiple country settings with marketing, communications and service delivery promoting the ABC strategy of prevention: Abstinence for youth, mutual fidelity (or Be faithful) for couples and correct and consistent Condom use.
PSI’s evidence-based behavior change communications (BCC) programs identify appropriate intervention areas, respond to target group needs and work with target groups to address barriers to safer behaviors.
•PSI provides targeted BCC through:
Outreach to reach sex workers to reduce sexual risk behavior for HIV and sexually transmitted infections while motivating sex workers to utilize HIV prevention services.
•Peer Educators to reach youth at-risk of sexual or injecting drug-use behavior with HIV prevention education.
•Youth Centers to provide at-risk youth access to HIV prevention services and healthy alternatives to drug use.
PSI’s behavior change modules have been adopted as the standard by the Ministry of Health in Kazakhstan and many national governmental and non-governmental organizations have been trained on the PSI model.
But I think that’s enough of the PSI infomercial, already.
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