Trafficking and Exploitation of North Korean Refugees
For North Koreans hiding in China, repatriation is synonymous with death. Resolved to avoid such a fate, but with few options or protections, North Korean refugees are left vulnerable to a second wave of human rights abuses.
Among North Korean women and girls who escape to China, an estimated 60% have fallen victim to human trafficking.
Here are the stories of three women who have survived the unimaginable and are now advocating for this issue in freedom.
The Fear of Forced Repatriation

After Eunju fled from North Korea in 1999, she ended up spending years in China before finally reaching freedom.
“In China, North Korean defectors are exposed to various crimes, including sexual assault, human trafficking, forced prostitution, and labor exploitation. Those who seemed kind and willing to help were either traffickers or rapists. Promises of wages to be paid in the fall were replaced with threats—’You're from North Korea, aren't you?’
There is only one reason why the victims—North Korean defectors—remain silent: the fear of forced repatriation. This fear-driven silence perpetuates a vicious cycle of human rights violations against North Koreans in China.
On our first night in China, we were confronted with a trauma that would haunt us for a lifetime. As we walked along the road, not knowing where to go, a car slowed down and pulled up beside us. The door swung open, and someone grabbed my sister. My mother and I clung to her, desperate not to let go, but we couldn’t withstand the force of the accelerating car and were thrown aside. At the time, my sister was still just a young girl who had not even gone through puberty, yet she could not escape sexual violence. My mother couldn’t even bring herself to think about reporting the incident. She knew that if she went to the authorities, the Chinese police would capture us and send us back to North Korea before they ever caught the perpetrator.”
Soon after, Eunju’s mother was trafficked into a forced marriage together with Eunju and her sister, and they were sold for 2000 RMB (~$240 at the time).
Sold on the Way to Freedom

Hannah fondly remembers growing up with a large family in North Korea. But widespread food shortages forced her to leave her beloved hometown at 15 years old. When she finally managed to cross into China, she was trafficked and sold into a forced marriage.
“Do you remember what life was like when you were 15 years old? Maybe you were stressed about highschool, or getting your driver’s license. When I was 15 years old, I was sold to a man in China who was twice my age. For the first 6 months of captivity, I stayed away from him as much as I could. But in the end, there was nothing I could do to protect myself.”
“When I became pregnant, I couldn’t accept it because it wasn’t my choice. But then my baby arrived, and it all hit me. I wanted to give my daughter the same love I had grown up with. But I couldn’t do that without legal status or freedom. So with my one-month-old baby in my arms, I escaped once again.
Even though it was a very hard and dangerous journey, we ran together towards freedom, towards a future that guarantees our safety and hope.”
A Mother’s Impossible Choice

Joy fled from North Korea when she was 18 years old. When she reached China, the broker who arranged her escape went back on their word and immediately demanded to be repaid.
“She told me my only option was to be sold into marriage to a Chinese man so the brokers could take my bridal cost as payment. I couldn't even think of refusing because I was afraid they would do something bad to me or drop me off somewhere alone to get caught by the Chinese police and sent back to North Korea. At that point, I realized that I was trapped.”
Joy was sold to an older Chinese man for $3,000. She searched for any way to escape, but soon became pregnant and gave birth to her daughter. For two years, she raised her child and began to lose hope of ever reaching freedom.
Then in 2013, Joy was connected to LiNK’s network. She felt it was her last chance to take back control of her life. But she faced an impossible decision. Her daughter was still very young, and it would be incredibly risky to escape together. Ultimately, Joy decided to leave her behind.
“I cried every day thinking of my daughter. Before we started moving to get out of China I stayed with some other defectors…I didn't want to cry in front of [them], so I cried behind a curtain. I found another North Korean woman crying there because she also left her child. We ended up hugging each other and crying together.”
Stories of Hope
Eunju, Hannah, and Joy’s stories echo that of thousands of North Korean women who were sold on the way to freedom. But they’ve refused to let their painful experiences prevent them from living full lives, instead turning them into sources of strength, fueling their work on this issue.
Eunju is now living in South Korea with her mom and sister. She co-authored a book about her journey, A Thousand Miles to Freedom, with journalist Sebastein Falletti to make sure stories like hers are not forgotten.
Hannah is also in South Korea raising her daughter, who will never know a life without freedom. In 2022, Hannah joined LiNK’s Advocacy Fellows program to develop her capacity as a leader and advocate for this issue. She traveled across the US alongside other young activists, sharing her story at universities, churches, Fortune 500 companies, and with key stakeholders on Capitol Hill.
Joy was also a LiNK Advocacy Fellow in 2019. Today, her advocacy continues in the classroom, as an educator at an alternative school for the children of North Korean mothers. Some of her students were born in China while the mothers were in forced marriages—a circumstance that is deeply personal. Joy is beloved by the children, and strives to help them navigate their complex identities and relationships with their parents.
All the while, Joy has kept in touch with her daughter through video calls and messages. Last year, she was finally able to bring her daughter to South Korea!
What You Can Do to Help
The trafficking of thousands of North Korean women and girls is one of the most rampant and egregious human rights violations happening today. Yet it often does not get enough dedicated attention amidst all the dangers and abuses that North Koreans face—an alarming reminder of the gravity of this issue.
LiNK rescues North Korean refugees without cost or condition, and provides crucial resettlement support during this period of transition. We’re one of the only organizations still doing this work since the COVID-19 pandemic. To date, we've helped almost 1,400 North Korean refugees and their children reach freedom.
It is more urgent and important than ever that we carry on this work. Right now, our field team is actively in communication with North Korean refugees hiding in China, many of them women who were trafficked or sold into forced marriages, and coordinating their escape. Help bring them to safety and freedom.
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Inside North Korea: People still suffer legacy of pandemic-era controls
The path to freedom is harder than ever. But the North Korean people haven’t given up. Join us this World Refugee Day in offering a way forward.
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During the pandemic, the regime took every opportunity to tighten its control under the guise of stopping the spread of COVID-19. Borders were sealed and reinforced, isolating the country and its people to an unprecedented extent. Trade was cut off, and the jandmadang—the markets that we’ve long highlighted as hotspots of change—were decimated.
Although the pandemic feels like history, the situation remains difficult as North Koreans recover from their most challenging period for a generation.
Information from inside the country has become increasingly difficult to obtain these last few years. But a landmark 2024 report from Human Rights Watch has offered some visibility into North Korea’s intensifying repression and the increased challenges North Korean people have faced.
Decimated Market Activity
“The prolonged border closures and restrictions on movement in-country have decimated the market activity that has become essential for the general population to access basic necessities.”
– Tomas Ojea-Quintana, then special rapporteur on the situation of human rights in the DPRK in March 2022 (via Human Rights Watch)
When North Korea’s socialist economy collapsed in the mid-1990s, triggering widespread famine, ordinary North Koreans negotiated their own survival through illicit trade and smuggling. Grassroots marketization was leading to opening and change in North Korea, centered around the markets—the jangmadang.
But when the regime closed its borders in 2020, almost all trade was cut off.
Human Rights Watch shares that according to official records, by 2021 North Korea was importing only 6% of what it had been importing in 2011—a staggering decrease. But these numbers still fail to fully capture the lives and needs of ordinary North Koreans, a sentiment echoed by the former North Korean traders that spoke with Human Rights Watch:
“There was a large but unmeasurable gap between what official trade numbers show and the quantities of products ordinary North Koreans need in their daily lives. This gap, previously narrowed by informal trade, became huge when informal trade and economic activity was almost completely choked off starting in 2020.”
Intensified Border Security
“We found a 20-fold increase in the number of new guard buildings or facilities since 2019, with a total of 6,820 facilities placed near new or improved fences… [and] almost 500 kilometers (over 300 miles) of new fences…”
– Human Rights Watch
Through satellite imagery analysis, Human Rights Watch reviewed 321 kilometers, or roughly one-quarter of North Korea’s northern border, to compare security measures from before and after the pandemic.

Prior to 2020, approximately 230 kilometers (71%) of the 321 kilometers analyzed were fenced. But in the years since, multiple layers of fencing have been newly constructed, along with new and upgraded guard posts. Based on 2023 satellite imagery, there is now a staggering 743 kilometers (over 460 miles) of fencing within the 321 kilometers analyzed.
Along with infrastructure, in August 2020, the North Korean government created 1-2 kilometer “buffer zones” along its border with China, and instructed guards to “unconditionally shoot” on sight any person or wild animal entering the zones without permission, as “the [COVID-19] pandemic is being spread through air and items.” There were reports of at least 14 people being shot and killed between September 2020 and July 2022.
Human Rights Watch spoke with Young Mi, a former herbal medicine trader in contact with a relative in North Korea, to hear how the extreme restrictions had affected life in border areas:
“It is more the emotional environment and fear more [than the actual physical barriers] … [My relative] is scared to leave because of… a general sense of terror much stronger than a bullet or a wire fence.”
Starvation and Food Insecurity
“North Korea is one of the poorest countries in the world and the government has persistently struggled to ensure food security, adequate childhood nutrition, and access to medicine.”– Human Rights Watch
Chronic oppression in North Korea has created one of the most impoverished countries in the world. A 2023 UN report estimated that 46% of the population face food insecurity. Those 12 million North Koreans aren’t just numbers, but people like Eunju.
Eunju escaped from North Korea in 1999, fleeing starvation during the “Arduous March,” a propagandized name for a period of widespread famine.
“When the Arduous March began, rations from workplaces were nearly cut off. At first, we managed by selling household belongings or trading them for food, but eventually, there was nothing left to exchange. People would sigh, saying, ‘We can’t even trade our empty house for a single block of tofu.’
When spring arrived, we ate every kind of wild plant we could find, even peeling bark off pine trees, boiling and pounding it for days to make it edible. Although I managed to survive, death was everywhere. Some consumed nothing but wild plants and died from poisoning. Some were shot by soldiers while trying to steal corn from farms. Some were publicly executed for slaughtering and eating a cow. Some were orphaned street children, beaten to death for trying to steal food from others.
People lost their lives in different ways, but in the end, they all died trying to survive. The root cause was the same—severe food shortages.”
In 2021, Kim Jong Un urged the people to “wage another more difficult ‘Arduous March.’” Yet the regime continued to restrict cross-border trade and prioritize weapons development, all while neglecting domestic food production.
In the report from Human Rights Watch, Jiro Ishimaru, the director at Asiapress, shared that “In 2021, there were reports of people with disabilities and older people dying of starvation... after over three years of extreme difficulties, in April and May, there was a spike in reports of whole families and ordinary people dying of starvation in urban areas near [North Korea’s] northern border.”
Crackdowns on Foreign Media
“Simply watching [foreign] media content can result in a sentence of forced labor of over 10 years in a forced labor prison camp… Public executions of offenders are permitted, evidently to increase a sense of fear and alarm among the population”
– Human Rights Watch
The near-absolute control of information and media is one of the key ways that the regime disempowers and represses North Korean people. During the pandemic, it imposed several new laws that increase the severity of punishments for being caught with foreign media, and go as far as to restrict how individuals can express themselves.
Human Right Watch outlines the main additions:
- Reactionary Ideology and Culture Rejection Law (December 2020) “bans people from smuggling, viewing, and distributing ‘reactionary’ and ‘anti-socialist ideology and culture’”
- Youth Education Guarantee Law (September 2021) “bans young people from copying foreign culture and reorients them to a ‘socialist lifestyle’”
- Pyongyang Cultural Language Protection Act (January 2023) “permits the authorities to punish people for using South Korean intonations or slang”
Offenders could be sentenced to 6+ years of hard labor, or “if the severity of the crime is deemed high,” the death penalty.
The timing of these new laws is no coincidence. As North Koreans face a reality that is increasingly distant from the propaganda they’ve been told to believe, foreign media has the potential to further erode the regime’s legitimacy and control.
Our North Korean friend, Yulseong, shared how foreign media impacted his perception of the the regime and his ultimate decision to leave in 2018:
“I was introduced to music and movies from other countries through my friends. For movies, I loved James Bond and other Hollywood films. While watching them, I realized that North Korea was truly a poor country, and it made me want to leave as soon as possible.
For songs, I listened to ‘Bingo’ by Turtles, ‘Pure Love’ by Koyote, and music by Jatanpung. Seeking out songs about life and love is a basic human desire. Even if people fear punishment, that desire cannot be suppressed. That’s why, even today, I believe many North Koreans continue to watch foreign content.”
Lack of Access to Healthcare
“The DPRK Socialist Constitution and the country’s Public Health Law provide for free medical care to all citizens. In reality, medical supplies and medication are unavailable to most North Koreans and only those who can afford to purchase them on the private market.”
– Human Rights Watch
North Korea’s defunct healthcare system is another example of how the regime’s constraints create unnecessary hardship for North Korean people. The majority of the country’s public health system collapsed along with North Korea’s socialist economy in the 1990s. In the aftermath, the regime only prioritized hospitals in areas like Pyongyang, leaving ordinary North Koreans to fend for themselves.
According to a 2017 UN report, an estimated 33% of the population (8.4 million people) had limited access to health services, including 50% of people in rural areas.
Human Rights Watch spoke with a former North Korean doctor and nurses who escaped after 2014, who shared that, “most local clinics were only capable of diagnosing basic diseases and setting broken bones, and had barely any working tools, supplies, medicine, or electricity… medical workers relied on market activity and what their patients gave them to eat to survive.”
For our North Korean friend Lily, the most frustrating part was that all this suffering was preventable.
“When my older sister, Hye-Joo, developed acute appendicitis, there was no emergency line to call, or cars or taxis to transport her to the hospital. We loaded her onto a cart that was meant to carry produce, moving at a terribly slow pace.
Desperate to ease my sister’s pain, we exhausted every resource we had. Any surgical or medical equipment a patient needs has to be provided by the family. Gauze, painkillers, blankets–even food and bribes–may be necessary for an operation. Even then, severe shortages made it impossible to fully prepare. The surgery was performed with minimal anesthesia and makeshift sterilization. Later, my sister told me she had felt the knife cutting into her skin, and heard the doctor’s orders during the surgery.
What should have been a simple and safe procedure was a traumatic, life-threatening experience.”
Impact on this Issue
In the face of enormous challenges, we cannot be discouraged, because this work is more important than ever.
There are still things we can and must do to strengthen forces of change. LiNK is one of the few groups still running rescue operations in the underground railroad. We’re cultivating and partnering with North Korean activists and storytellers who are leading efforts to raise global awareness for this issue. And we’re ambitiously expanding our Information Access Programs, devising new strategies and pathways to get information and technology inside North Korea to empower the people.
Join us in reaffirming our commitment to a free North Korea.
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Change has never been a linear process. But one thing we can always be certain of is the resilience and strength of the North Korean people.




