Although her subordinate Eric Goosby seemed to defend no-strings aid to Uganda last week, U.S. Secretary of State Hillary Clinton this afternoon said international efforts to criminalize homosexuality are “unacceptable.”

Hillary ClintonIt remains unclear to what extent this policy will affect U.S. foreign aid for HIV/AIDS prevention. Human Rights Watch and other critics have complained that this aid has been misused by recipient African evangelical organizations and government officials to persecute and kill gay and HIV-positive Africans, particularly in Uganda.

Clinton’s remarks came on the eve of World AIDS Day.

The Advocate quoted Clinton:

“Obviously our efforts are hampered whenever discrimination or marginalization of certain populations results in less effective outreach and treatment. So we will work not only to ensure access for all who need it but also to combat discrimination more broadly,” she said during a press conference in which the officials also announced that the XIX International AIDS Conference in 2012 will be held in United States for first time since 1990. “We have to stand against any efforts to marginalize and criminalize and penalize members of the LGBT community worldwide.”

Specifically at issue is pending legislation in Uganda that would extend the punishment for engaging in gay sex to life imprisonment and introduce the death penalty for those who do so while HIV-positive – an act termed “aggravated homosexuality” within the bill.

Mark Bromley, Chair of the Council for Global Equality, said he was pleased to see Secretary Clinton take a firm stand against antigay bigotry.

“The United States must make it absolutely clear to Uganda that the passage of the bill, which includes a death penalty provision and criminalizes those who fail to report suspected homosexuals to the authorities, would substantially impact our bilateral relationship and our health investments in that country,” he said.

As Truth Wins Out and other sites previously reported, the United States in late October pledged to provide Uganda with nearly $250 million in development assistance next year. Today, The Advocate cited an anonymous consultant to the State Department who sought to explain Goosby’s apparent defense of no-strings aid:

“They have been working for several weeks behind the scenes at a senior level within the department to determine what the actual facts are and what the likelihood is of this bill becoming law,” said the person, who spoke on the condition of anonymity.

The source said the diplomatic goal was to strike a forceful tone that stopped short of shaming president Museveni, who has yet to take an official stand on the legislation which was introduced by a lawmaker in his own party, Member of Parliament David Bahati.

“They are trying to proceed in a way that gives them some private leverage but also acknowledges that Secretary Clinton has an obligation to speak out on human rights issues in her capacity as our top international diplomat,” said the source. “It’s been a delicate effort with inconclusive results.”

We hope that President Museveni — a friend of U.S. evangelist Rick Warren, who refuses to denounce the death-penalty legislation — will now denounce the measure without conditions, in order to ensure the bill’s complete failure. Passage of an amended law might, for example, eliminate the death penalty but continue to require the arrest and imprisonment of HIV-positive and LGBT Ugandans, their family members, doctors, and pastors.

Whatever the fate of Uganda’s legislation, the battle by U.S. evangelicals and ex-gays — who began the death-penalty campaign at a Kampala conference in March — will continue in nearby African nations. There, Rick Warren, ex-gay Scott Lively, and others have made clear their desire to cleanse Africa of allegedly impure influences and to establish a conservative-Christian region that, through repression and tight control of speech and information, is inoculated against the human rights and religious freedoms of the West.

Clinton must not stop with this declaration; she must next emphasize to Africa’s other leaders that the conscientious people of the United States cannot support those who violate human rights.

Here is the full text of Clinton’s remarks:

Secretary of State Hillary Rodham Clinton
On The Administration’s Efforts on HIV/AIDS

November 30, 2009
Eisenhower Executive Office Building
Washington, D.C.

SECRETARY CLINTON: As Valerie Jarrett leaves, I want to thank her for her leadership on this and so many issues here in the White House and in the Administration, and for her personal testimony as to the importance of this issue for her, for President Obama, for all of us.

We are gathered on the eve of World AIDS Day to renew and recommit ourselves. It is obvious to those sitting in this audience, as I look out at you and see people who have been involved in this struggle for a long time, that you know that we have made progress, but we face an unending pandemic, one that spares no one, that unfortunately, disproportionately affects the most vulnerable, and which is the defining health challenge of our times. And we have to address it through a series of broad and cross-cutting global partnerships and a whole-of-government approach. And that is exactly what we are attempting to do.

We know the ravages and complexities of HIV/AIDS here in our own country, and we know, many of us, what it looks like around the world. But we can take some heart in the progress that has been made over the last two decades. Access to antiretroviral treatment in low- and middle-income countries has risen tenfold in the last five years. New HIV infections have fallen by 17 percent over the last eight years. And much of that progress has been due to the concerted efforts of the United States Government and our partners.

I want to applaud President Bush for making a serious commitment to American leadership in combating HIV/AIDS. His administration spearheaded the creation of PEPFAR – the President’s Emergency Plan for AIDS Relief. And by supporting its implementation and activities, the United States has made the largest effort in history by any nation to combat a single disease. I remember well serving as a senator from New York how there was bipartisan support on behalf of this initiative, and the extraordinary commitment of dollars and technical assistance that backed it up.

PEPFAR has provided lifesaving antiretroviral treatment to over 2 million men, women, and children worldwide, through partnerships with other governments and NGOs. We’ve supported care for more than 10 million people, including 4 million orphans and vulnerable children. And PEPFAR’s efforts to prevent mother-to-child transmission have helped nearly 240,000 HIV-positive mothers give birth to children who are HIV-free. So it is clear that our nation’s investments are having an impact. And President Obama is dedicated to enhancing America’s leadership in the fight against global AIDS with PEPFAR serving as the cornerstone of our Global Health Initiative to promote better and more sustainable health outcomes.

Later this week, Ambassador Goosby will present the five-year strategy for the future of PEPFAR outlining the important role that PEPFAR will play in transitioning from emergency response to sustainable health systems that help meet the broad medical needs of people with HIV and the communities in which they live. In its next phase, PEPFAR programs will support a comprehensive, whole-of-government approach in many countries to increase awareness, reduce stigma, and get services to people at earlier stages.

Obviously, our efforts are hampered whenever discrimination or marginalization of certain populations results in less effective outreach and treatment. So we will work not only to ensure access for all who need it, but also to combat discrimination more broadly. We have to stand against any efforts to marginalize and criminalize and penalize members of the LGBT community worldwide. It is an unacceptable step backwards – (applause) – on behalf of human rights. But it is also a step that undermines the effectiveness of efforts to fight the disease worldwide.

We will also redouble our efforts to address the needs of women and girls who are disproportionately affected by HIV/AIDS in many parts of the world. Promoting the health of women strengthens families and communities and has positive spillover effects in areas like poverty reduction and education. Since we know the most effective health programs are integrated with functioning local and national governments, we will work with partner governments to assess capacity, identify gaps, and make customized plans to meet each country’s needs.

Now, that means creating more programs like the ones that Ambassador Goosby and I visited in Africa over the summer. In Angola, for example, our PEPFAR Partnership Framework supports the country’s HIV National Strategic plan to strengthen the health care infrastructure there.

We visited a clinic in South Africa, which we co-sponsor with the South African Government, and heard from patients who not only receive care but also support as they face the stigma associated with HIV and AIDS.

Our investments in PEPFAR, the Global Fund, and overall global health have made a positive difference. And we will continue our support, but we have to do more. We have to make sure that our programs foster conditions that improve people’s lives and, in turn, promote stability, prosperity, and security.

In this time of very tight budgets in our own government and our own people suffering from unemployment, from other kinds of cutbacks in services, we have to do more even here at home. We’ve seen some of the results of the cutbacks that are happening at the state and local level. So while we are talking about our commitment internationally, let’s not forget our fellow citizens who are suffering right now.

And then we also have to make the case to our fellow citizens that our investment in dealing with the pandemic worldwide is in America’s interest. So we are committed to doing so. President Obama is implementing the repeal of the “HIV entry ban,” a longstanding policy that prevented people living with HIV/AIDS from entering our country. The repeal will take effect early in the new year, and will be vigorously enforcing it.

Today, I am pleased to announce that, with the repeal of the ban, the International AIDS Society will hold the 2012 International AIDS Conference in Washington, D.C. (Applause.) This conference will draw together an estimated 30,000 researchers, scientists, policymakers, healthcare providers, activists, and others from around the world.

So as we look to 2012, we have to continue to seek a global solution to this global problem. On World AIDS Day, let us renew our commitment to ensuring that those infected and affected by HIV-the woman on treatment who is supporting her family, the child who dropped out of school to care for sick parents, the doctors and nurses without adequate resources- that all those who have joined together to fight this pandemic will someday live in a world where HIV/AIDS can be prevented and treated as a disease of the past.

Thank you all very much. (Applause.)