“He did whatever he wanted with me,” she said. “Night and day.”

She said she escaped when he was sleeping.

The Elman Peace and Human Rights Center is one of the few Somali organizations helping rape victims, run by Fartuun Adan, a tall, outspoken woman whose husband, Elman, was gunned down by warlords years ago. Ms. Adan says that since the famine began, she has met hundreds of women who have been raped and hundreds more who have escaped forced marriages.

“You have no idea how difficult it is for them to come forward,” she said. “There’s no justice here, no protection. People say, ‘You’re junk’ if you’ve been raped.”

Often, the women are left wounded or pregnant, forced to seek help. Ms. Adan wants to expand her medical services and counseling for rape victims and possibly open a safe house, but it is hard to do on a budget of $5,000 a month, provided by a small aid organization called Sister Somalia. Ms. Adan wept on a recent day as she listened to the 17-year-old girl recount the story of seeing her friend stoned to death and then being gang-raped herself.

“These girls ask me, ‘How am I going to get married, what’s going to be my future, what’s going to happen to me?’ ” she said. “We can’t answer that.”

Some of the women in Ms. Adan’s office seem to have come from another time. They have made it here, with help from Elman’s network, from the deepest recesses of rural Somalia, where women are still treated like chattel.

One 18-year-old who asked to go by Ms. Nur, her common last name, was married off at 10. She was a nomad and says that to this day she has never used a phone or seen a television.

She spoke of being raped by two Shabab fighters at a displaced-persons camp in October. She said the men did not bother saying much when they entered her hut. They just pointed their guns at her chest and uttered two words: stay silent.