On Jan. 10, 2009, tens of thousands of people in Guatemala City participated in a rally against violence. The rally is likely to raise awareness, as it was the Catholic Church calling for the march in Guatemala’s capital. The violence has reached such a level that the people are living in a state of fear, the cardinal of Guatemala City says. His statements are also supported by La Prensa, Guatemala’s most respected daily newspaper. A recently published survey showed 94 per cent of interviewees are more afraid of violence today than during the armed conflict that tore the country apart from 1960 to 1996. More than 6,200 people were murdered in Guatemala in 2008; close to 17 cases per day. This escalation is also true of sexual violence. More than 10,000 cases of sexual violence were reported to the Ministerio Publico (Public Ministry) in 2008. Of these, 4,600 occurred in the districts of Guatemala City where Médecins Sans Frontières (MSF) works. “We are working in the most violent zones of the country, especially in the suburbs of Guatemala City,” says Fabio Forgione, MSF director of operations in Guatemala. “Our teams work in two clinics in zones 7 and 18 on the outskirts of the city. Here, we offer medical and psychological support to survivors of sexual violence. These zones are strongholds of gangs called