Iraqi police and medical officials say a car bomb blast in an outdoor market in the western city of Haditha has killed at least six people and wounded more than 20.

The bomb exploded mid-morning Sunday when the market was crowded. Women and children were among the victims.

Iraq Car Bomb Kills at Least 6

Haditha is in Anbar province, which was one of the most dangerous areas in Iraq until local tribal leaders joined forces with the U.S. military to fight al-Qaida militants.

Iraq Car Bomb Kills at Least 6

Overall, violence in Iraq has declined in recent months, but there was a spike in attacks in the weeks leading up to the June 30 withdrawal of U.S. combat troops from Iraqi cities.

Iraq Car Bomb Kills at Least 6

In the month since Iraqi security forces assumed responsibility for urban areas, the number of violent civilian deaths across Iraq has declined by one-third, compared to the previous month.

But insurgents are still able to launch frequent attacks, raising questions about the ability of Iraqi forces to protect the civilian population.