The following case study examines World Vision’s experience implementing a nexus approach for programming in Nicaragua, Honduras, El Salvador and Guatemala in Central America (CA4). San Pedro Sula, one of the most violent cities in the world located in Honduras, was the host of one of the pilot projects for World Vision’s Fragile Contexts Programme Approach (FCPA). The FCPA was developed to respond to the emerging need to operate differently in fragile contexts. World Vision’s programming to strengthen linkages among humanitarian, development and peacebuilding objectives in Honduras has identified a number of key enabling factors for nexus work to be successful. The approach was then used to guide the development of programs in the other three countries in CA4’s most fragile cities. The report looks at barriers and enablers for working across the nexus as well as recommendations for the future.