There is a squat up the road from where I live, here live a woman, her husband, two sons and a pregnant 13 or 14 year old daughter, pregnant by her father. This family seem to go about business as if this is nothing to worry about, just the norm, infact they don't seem to hide the fact which is weird. Maybe because they are Haitian the police don't bother to do anything, as after all, filthy dirty Haitians don't recognize child abuse, and don't matter.
The issues with sex tourism is minuscule in comparrison to the native ignorance towards child abuse. Not that it should be ignored, but arresting a few sex tourists is not even worth the paper used to print the story IMO. To really make a difference you need to make ignorance aware, if we had natives on side a little more who could understand and realize when something is wrong, something very wrong, then this kind of tourism would reduce hugely, and the native kids in the campo would be left to reach adulthood before becoming mothers, at least to their brothers and fathers.
While people are still unaware how wrong this is, it is impossible to reduce.
it does come down to the usual, ignorance.