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The gangs have extended their reach across national boundaries in the region.
The largest gang is Mara Salvatrucha 13 (MS 13) which has more than 70,000 members in Latin America, competing with the Mara Barrio 18 (M 18) their main rival.
ORMUSA, the Organisation of Salvadoran Women for Peace, counted 580 deaths in 2010 and 592 in 2009.
But suddenly, from March 2012, El Salvador has seen a 40 per cent drop in crime.
If their partner is jailed they are expected to wait for him to be released, to visit him and take him money. Karla found a job in a local bar and continued to take care of her daughter.