 Additionally, many girls are forced into human trafficking and prostitution.Between 1995 and 1997 Honduras recognized domestic violence as both a public health issue and a punishable offense due to efforts by the Pan American Health Organization (PAHO).PAHO's subcommittee on Women, Health and Development was used as a guide to develop programs that aid in domestic violence prevention and victim assistance programs However, a study done in 2009 showed that while the policy requires health care providers to report cases of sexual violence, emergency contraception, and victim referral to legal institutions and support groups, very few other regulations exist within the realm of registry, examination and follow-up.