More then 1 in 3 Native American or Alaska native women will raped at some point in their lives. Most do not seek justice as they know they will be met with inaction or indifference. Sexual violence against women is not only a criminal or social issue, it is a human rights issue. This report unravels some of the reasons why indegenous women in the USA are at such a risk and why survivors are so frequently denied justice. The voices of indigenous women in this report send a message of courage and hope.