It is a secret that spreads by word of mouth in poor neighbourhoods across Honduras; where to buy the pills, how to use them without being discovered, what to say if you have to go to the hospital. Blunt objects, herbal infusions, plant medicine all become tools of a deadly trade in illegal abortions when no other option exists.
Carla*, from a rundown part of the Honduran city of San Pedro Sula, was 17 and still at school when she realised she was pregnant. When they found out, her parents made her leave the house, saying she was on her own.