CNN reports how rape has turned into a “weapon of war” in the Democratic Republic of Congo, with the number of attacks on women having grown threefold over the past few years, human rights activists said.

Anneke van Woudenberg, senior researcher with Human Rights Watch, told Christiane Amanpour that 200,000 women and girls have been raped in Eastern Congo since 1998, and the condition of women has become more dire as the Congolese army has pressed a military campaign against armed groups in the countryside.

“Rape is being used as a weapon of war in eastern Congo. So we notice and we have documented that when armed groups walk into town, they will rape the women and girls, sometimes publicly, sometimes privately, in order to punish the local population,” she said. “It’s the easiest way to terrorize a community.”

Congo has witnessed one of the worst humanitarian crises since World War II, with a death toll estimated at more than 5 million. Most of the dead have come not from direct violence, but the consequences of the fighting: disease and starvation. While the war formally ended six years ago, fighting persists in eastern Congo, and women are paying a high price.

“One of the other sad realities is that the majority of those who are raped are adolescent girls, 12-year-olds, 13-year-olds, 14-year-olds. Their lives are often ruined by this. And I think we’ve got to take more seriously — protection of civilians is not just protecting them from death. It’s protecting them from rape,” van Woudenberg said.

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