Honduras continues to experience high levels of political, economic and social instability, and has one the world’s highest rates of violence. Women are among the worst affected by the medical, psychological and social consequences.
In 2016, El Salvador and Honduras were ranked second and fourth worldwide, respectively, for the rate of violent death, joining Syria and Afghanistan in the top ﬁve.
The nature of gang-based violence in Honduras is extremely targeted and personal. Although many people are offered witness-protection, or other forms of judicial support, people often remain targets if they remain in the country. MSF teams report families who were forcibly displaced four or ﬁve times before they made the difﬁcult decision to cross the border, seeking asylum further north in the hopes of reaching the United States.