In the past two years, our teams have witnessed an expansion of the migratory route to incorporate hundreds of thousands of people who have traversed the dangerous Darién Gap - the tropical forest that acts as a natural border between Colombia and Panama. They then travel through Costa Rica and Nicaragua, and the whole Central American region, with the aim to reach Mexico and the US.

Migrants in the region face multiple constraints in accessing basic goods, humanitarian, medical assistance and protection, as well as administrative barriers that make the journey even more difficult. In addition, many experience various forms of violence along the route.  

MSF provides medical-humanitarian care to those who need it most, regardless of their nationality or legal status, in different countries and locations from Panama to the northern border of Mexico.