Human Rights Watch (HRW) said Thursday that North Korean officials committing sexual violence against women is so common that it has come to be accepted as part of ordinary life.

“Sexual violence in North Korea is an open, unaddressed, and widely tolerated secret,” said Kenneth Roth, HRW’s executive director. “North Korean women would probably say ‘Me Too’ if they thought there was any way to obtain justice, but their voices are silenced in Kim Jong Un’s dictatorship.”

The HRW noted in its 98-page report that only five people were convicted of rape in North Korea in 2015. Government officials there often boast that this simply indicates low levels of violence in the country, but HRW believes this is evidence that perpetrators are rarely held accountable.

The report notes that a wide range of public officials are alleged to regularly harass and assault vulnerable women. These officials include high-level party officials, police officers, prosecutors, soldiers (particularly at border crossings), and corrections officers within prisons and detention centers.

Women engaged in public trade struggle with an elevated risk of coming into contact with public officials due to the nature of the job, which exists illegally outside of North Korea’s command economy. A UN report on North Korea recently characterized the situation as “the male dominated state preying on the increasingly female-dominated market.”

The DPRK maintains its official stance that it is committed to gender equality between men and women, and has in fact ratified several human rights treaties that strive to address gender inequality, violence and discrimination against women, and sex trafficking. North Korean officials argued with the CEDAW committee recently that the DPRK had been compliant with the standards of that treaty between 2002 and 2015. Under more focused questioning, though, the officials were unable to clearly define the DPRKs legal definition of “discrimination against women.”

The HRW report concludes with a list of recommendations targeted at the DPRK, China, South Korea, and other concerned governments including the United States and Japan. The recommendations directed to the DPRK focus on law reform, law enforcement, the health sector, protections for women including shelters, and raising awareness to drive social change that may create a more positive atmosphere for reporting and decreasing assaults.