More than half of all American Indian and Alaska Native women have experienced sexual violence in their lifetime; one in three have experienced rape. Since Amnesty International first reported on this issue in 2007, rates of violence against Indigenous women have not significantly changed, and the US government continues to fail to adequately prevent and respond to such violence. This report details some of the factors that contribute the high rates of sexual violence against Indigenous women, and the barriers to justice that they continue to face.