The Center for Reproductive Rights submitted a shadow letter to the Human Rights Committee for its review of Ecuador during its 97^th Session in October 2009. The letter highlights two structural issues in Ecuador: sexual violence against girls in schools and, limited or no access to essential reproductive and sexual health care services for adolescents. The letter also discusses the case of Paola Guzmán v. Ecuador, currently pending before the Inter-American Commission on Human Rights, which illustrates the State’s failure to prevent sexual violence in schools and the harmful consequences.