Women in Syria have been sexually exploited by men delivering aid on behalf of the UN and international charities, the BBC has learned.
Aid workers said the men would trade food and lifts for sexual favours.
Despite warnings about the abuse three years ago, a new report shows it is continuing in the south of the country.
UN agencies and charities said they had zero tolerance of exploitation and were not aware of any cases of abuse by partner organisations in the region.
Aid workers told the BBC that the exploitation is so widespread that some Syrian women are refusing to go to distribution centres because people would assume they had offered their bodies for the aid they brought home.
One worker claimed that some humanitarian agencies were turning a blind eye to the exploitation because using third parties and local officials was the only way of getting aid into dangerous parts of Syria that international staff could not access.
The United Nations Population Fund (UNFPA) conducted an assessment of gender based violence in the region last year and concluded that humanitarian assistance was being exchanged for sex in various governorates in Syria.
