In Guatemala, Cultural, geographic, and linguistic barriers hampered access to reproductive health care, particularly for indigenous women in rural areas. . Honduras prohibits the sale, distribution or use of emergency contraception, per the State Department’s 2016 Country Reports on Human Rights Practices. (6) According to a study conducted by the Woodrow Wilson International Center for Scholars, childhood experiences with domestic violence in Latin America are a major risk factor for future criminal behavior. Fifty-six percent of incarcerated women and 59 percent of incarcerated men surveyed experienced intra-familial violence during childhood. (7) According to a Congressional Research Service report, Gangs engage in sex trafficking involving women and children, particularly in Honduras and in Guatemala City. Threats and harassment by gangs have led thousands of youth to abandon school, including some 39,000 in El Salvador in 2015. . (8) According to the nongovernmental organization Kids in Need of Defense, As gangs have increased their control in El Salvador, Honduras, and Guatemala over the past several years, they have systematically used sexual violence as a principal tactic for establishing and maintaining dominance over the communities and territories in which they operate, similar to violent tactics used in other contexts of armed conflict. . (9) The Internal Displacement Monitoring Centre estimates that at least 1,000,000 people had been displaced by criminal violence associated with drug trafficking and gang activity in El Salvador, Guatemala, Honduras and Mexico as of December 2015. Multiple reports have shown that when women are internally displaced, they are often at greater risk and more vulnerable to sexual and gender-based violence. (10) Pervasive gender-based violence in the Northern Triangle countries and the inability of justice systems to hold accountable the perpetrators of these crimes due to extremely high rates of impunity creates a credible fear for individuals to return to their home