GENEVA (Reuters) - Honduran security forces, especially the military police, used excessive and lethal force against protesters demonstrating against President Juan Orlando Hernandez’s disputed re-election in November, the United Nations said on Monday.

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The security forces shot dead at least 16 people, including two women and two children, out of at least 23 people known to have died during the protests, the U.N. human rights office said in a report.

“These cases raise serious concerns and may amount to extra-judicial killings,” the report said.

Seven people were killed by shots to the head, it said.

“Analysis of the type of injuries suffered by the victims indicate that the security forces made intentional lethal use of firearms, including beyond dissuasive or self-defense (legitimate) purposes, such as when protesters were fleeing.”

Hernandez, a conservative supported by the United States, appeared set to lose the Nov. 26 election until an abrupt halt in the vote count and a shift in the results took victory away from his center-left rival, Salvador Nasralla.

Allegations of fraud sparked protests but the result was eventually ratified by the country’s electoral tribunal and both Mexico and the United States backed the incumbent.

Hernandez had pledged a hard-line strategy criticized by human rights groups to bring order to the impoverished Central American country, which has been plagued by battles between security forces, local gangs and drug traffickers.

By Jan. 27, the date of the presidential inauguration, no charges had been brought against any member of the security forces in relation to the killings, the U.N. report said.

The U.N. also said a curfew imposed as part of a state of emergency on Dec. 1 was excessive, with some 1,351 people detained within four days in mass arrests.

U.N. High Commissioner for Human Rights Zeid Ra’ad al-Hussein said in a statement that things were likely to get worse unless Honduras prosecuted people for the killings.

“The already fragile human rights situation in Honduras, which suffers from high levels of violence and insecurity, is likely to deteriorate further unless there is true accountability for human rights violations, and reforms are taken to address the deep political and social polarization in the country,” he said.