PART 2.3
to Principle 8 in her communications with
States.343
NON-COERCION IN THE PROVISION OF CARE
AND SUPPORT
A human rights approach requires the provision
of care and support to be both informed and
non-coercive. Victims of trafficking should,
for example, receive information on their
entitlements so that they can make an informed
decision. As discussed above, care and support
should not be made conditional on cooperation
with criminal justice authorities. Victims should
also be able to refuse care and support. They
should not be forced into accepting or receiving
assistance.
This position is supported by Guideline 6.2
which states, in relation to health care and
counselling, that “trafficked persons should not
be required to accept any such support and
assistance and they should not be subject to
mandatory testing for diseases, including HIV/
AIDS”. The European Trafficking Convention
goes even further, requiring, in relation to all
the assistance measures provided for in that
instrument, that States parties must ensure
that the relevant services “are provided on a
consensual and informed basis, taking due
account of the special needs of persons in a
vulnerable position and the rights of children
in terms of accommodation, education and
appropriate health care” (article 12 (7)). The
Explanatory Report on the Convention makes
specific reference to the issue of medical testing,
noting that “… victims must be able to agree to
the detection of illness such as HIV/AIDS for [the
tests] to be licit” (para. 171).
In its general comment No. 3 (2003), the
Committee on the Rights of the Child affirmed
E/CN.4/2006/62/Add.1, paras. 21 (Cambodia), 50
(India), 66 (Israel) and 76 (Democratic People’s Republic
of Korea).
343
150
that “States must refrain from imposing
mandatory HIV/AIDS testing of children in all
circumstances and ensure protection against it.
While the evolving capacities of the child will
determine whether consent is required from
him or her directly or from his or her parent or
guardian … States parties must ensure that,
prior to any HIV testing … the risks and benefits
of such testing are sufficiently conveyed so that
an informed decision can be made” (para. 23).
The Special Rapporteur on violence against
women has also recommended that HIV testing
be provided “only if requested by the person
concerned”.344 The principle of non-coercion
is also supported in the Brussels Declaration,
which prohibits mandatory HIV/AIDS testing
and recommends that the provision of support
measures be on a “consensual and fully informed
basis” (para. 13).
It is important to note that in this area, as in
many others, the circumstances of the case
may require a balancing of different rights and
responsibilities. In the case of child victims of
trafficking, for example, the application of the
“best interests” principle (discussed further under
Principle 10 and related Guidelines) may require
the provision of services such as shelter and
medical treatment on a non-consensual basis.
8.6. REFLECTION AND RECOVERY PERIODS
An increasing number of States are considering
the option of offering a “reflection period” to
trafficked persons, to provide them with time
and space to decide on their options, including
whether they will cooperate with criminal justice
agencies in the prosecution of their exploiters.
While the concept of a reflection period postdates the Trafficking Principles and Guidelines,
this innovation clearly goes some way towards
meeting their objective of ensuring that trafficked
344
E/CN.4/2000/68, para. 116 (c).
RECOMMENDED PRINCIPLES AND GUIDELINES ON HUMAN RIGHTS AND HUMAN TRAFFICKING
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