El Salvador has struggled over the years with widespread violence and insecurity, poverty and climate shocks. High emigration rates, coupled with a slowly decreasing total fertility rate, are contributing to an ageing population. UNFPA has been working in the country since 1973, supporting a range of initiatives, including efforts to improve socioeconomic and gender equality, to prevent sexual violence and care for survivors, to support health centers serving migrant and vulnerable women, to prevent adolescent pregnancy, and to train local health personnel on various aspects of sexual and reproductive health and gender-based violence.