Emergency intervention for storm Amanda in San Salvador

El Salvador

The murder rate in El Salvador, once the world’s highest, is falling. Yet there are still many forms of violence in the country.

Violence between rival gangs and their clashes with security forces means people struggle to access healthcare.

MSF works in the capital, San Salvador, and the nearby city of Soyapango. We try to reach the people most in need through mobile clinics, community work and mental healthcare.

Our teams are also responding to the coronavirus COVID-19 pandemic in the country.

Our activities in 2020 in El Salvador

Data and information from the International Activity Report 2020.

MSF in El Salvador in 2020 In El Salvador, MSF responded to COVID-19 and assisted people in the aftermath of tropical storm Amanda, while continuing to provide care in areas affected by violence.
Map of MSF activities in 2020 in El Salvador

The homicide rate in El Salvador ─ once the world’s highest ─ is declining, but other forms of violence continue to affect the Salvadoran population. Decades of fighting between rival gangs, their clashes with security forces and violence against people continue to have humanitarian consequences and hamper access to healthcare. People are unable to move freely between neighbourhoods in areas dominated by rival gangs, marginalised by the authorities, and struggle to obtain medical assistance. In some areas, dubbed ‘red zones’, health services remain suspended due to violence and threats towards health workers. Measures to curb the spread of COVID-19, such as lockdowns, exacerbated the situation in 2020.

During the year, we extended the emergency services we operate in Soyapango in partnership with the Emergency Medical System (a national ambulance service) to other stigmatised municipalities. These included Ilopango and some zones of San Martín, Tonacatepeque and Ciudad Delgado, which are difficult for emergency services to enter because of the violence. During the year, we made more than 2,580 emergency referrals.

Our mobile clinics assisted violence-affected communities in the capital, San Salvador, and in Soyapango by running health promotion activities with community leaders and health committees, and facilitating access for Ministry of Health staff. We also worked with state-run institutions and other NGOs to provide medical care to migrants, displaced people and deportees.

In response to the COVID-19 pandemic, we offered mental healthcare in isolation centres for deportees from Mexico and the United States. We also worked to alleviate the workload of the emergency services by supporting the transfer of COVID-19 patients with an additional ambulance.

When tropical storm Amanda hit El Salvador, we ran a mobile clinic to deliver medical and psychological care to the most affected communities and donated hygiene kits.


in 2020
Increase in deaths Soyapango and San Salvador3
El Salvador

People are dying at home amid collapsing health system in El Salvador

Project Update 9 Jul 2020
Emergency intervention for storm Amanda in San Salvador
El Salvador

Tropical Storm Amanda is “the last straw” for families in El Salvador amid COVID-19

Project Update 11 Jun 2020
Central American Migration

Report: No way out - The humanitarian crisis for Central American migrants and asylum seekers

Report 11 Feb 2020
 MSF on the migration route to Mexico
El Salvador

El Salvador is not a safe country for refugees or asylum seekers

Press Release 26 Sep 2019
El Salvador

La Peralta: a community organised by health

Project Update 27 Jun 2019
El Salvador

Behind the wheel – driving ambulances in El Salvador’s red zones

Voices from the Field 7 Jun 2019