Over the past five years, the International Labor Rights Forum (ILRF) has received growing evidence of systematic conditions in the cotton industry that lead to widespread use of forced and child labor, affecting millions of children and adults in countries including India, Uzbekistan, Tajikistan, Egypt, Pakistan, and China. ILRF is committed to building awareness of the worldwide problem, promoting the use of trade policy instruments to combat child labor in global cotton production, and building ethical alternatives to cotton produced by forced and child labor. This report is the result of a targeted initiative in Central Asia, due to the extent of cotton production in Tajikistan and Uzbekistan combined with the politics of operating within the world’s most repressive regimes.