In Mexico, these people are systematically exposed to further episodes of violence. We have been working with migrants and refugees in Mexico since 2012. Our teams work on Mexico’s southern and northern borders, and at various key locations in between, offering medical, psychological and social support to migrants and refugees along the perilous migration route from South and Central America to the United States.
In Mexico City, we have a comprehensive care centre where we provide specialised multidisciplinary care to migrants, refugees and Mexican people who have been victims of extreme violence and torture. We have also deployed an emergency project to provide counselling and mental health services to migrants and refugees outside the Commission for Refugee Assistance (COMAR).
MSF has repeatedly denounced the repressive policies of the U.S. and Mexican governments based on criminalisation, persecution, detention and deportation in order to contain migratory flows to the northern border. These policies push migrants into the hands of criminal gangs who extort them.
Our activities in 2021 in Mexico
Data and information from the International Activity Report 2021.
According to UNHCR, the UN refugee agency, the numbers of displaced people in Central American countries reached record levels in 2021, creating a humanitarian crisis. Almost a million people fled their homes to escape violence and a lack of opportunities in their home countries, a situation exacerbated by the COVID-19 pandemic. The new US administration had indicated that it would adopt a more compassionate attitude towards undocumented migrants and refugees arriving from the south, but it maintained its restrictive asylum policies, citing public health reasons, closed its borders and deported hundreds of thousands of people to Mexico and other countries. This, and the criminalisation of migration by regional governments, forced people to risk more dangerous routes, where they were exposed to robbery, extortion, torture, sexual aggression, rape and kidnapping.
Our teams worked to improve access to medical and psychological care at different points along the migration route, prioritising assistance to the most vulnerable groups: children, unaccompanied minors, women travelling alone, non-Spanish-speaking people, extracontinental migrants, older adults, LGBTIQ+ people and victims of direct violence.
The mobility of our operations enabled us to provide emergency responses to specific needs as they were detected. We sent teams to work on Mexico’s northern border, in Nuevo Laredo, Tamaulipas state, and Ciudad Acuña, Coahuila state, as well as in the south, where we assisted migrants arriving in Tapachula, Chiapas state. Our comprehensive care centre in Mexico City continued to offer medical, psychological, physiotherapy and social work care to migrants, refugees and Mexican citizens who have been victims of extreme violence.
In September, we decided to reorient our project in Reynosa and Matamoros, Tamaulipas state, where we had been providing care for victims of violence and sexual violence since 2019, to assist thousands of migrants trapped in precarious conditions in shelters and makeshift camps. As well as medical and psychological consultations, we ran health promotion activities, offered social support and distributed drinking water and hygiene kits.
In the second half of the year, we launched an emergency intervention in Mexico City, focused on health promotion activities, to support institutions to address the needs of huge influxes of migrants, mainly from Haiti.
The COVID-19 health emergency has not curtailed the activities of the many armed groups and gangs operating in Guerrero state. People continue to be displaced or unable to move freely due to violence in their communities. Our teams in Guerrero worked to improve access to basic health services in these areas by running mobile clinics offering medical and psychological care, as well as social support. In January 2021, MSF expanded these activities to cover Tierra Caliente region in Michoacán state.
The situation in Reynosa, through the eyes of MSF and the people we assist
MSF has worked in Reynosa since 2017 treating victims of violence in the city, and more recently providing mental and medical care to migrants and deportees
Forced to leave their home countries because of gang violence and poverty, people on the move are increasingly prevented from reaching the US to ask for asylum.
Instead, they find themselves trapped at the border in areas of rampant violence, waiting to cross in deplorable humanitarian conditions.
Our teams have documented a pattern of violent displacement, persecution, sexual violence and forced repatriation. It’s a violence that starts in the country of origin and is replicated along their journeys through Mexico.
"I'm not a criminal"
"I fled Honduras because the gangs wanted to recruit me and I refused."
The story of 17-year-old José* is representative of many of the young patients we care for in our projects in Tegucigalpa and Choloma, in Honduras, and Reynosa, Mexico.
"Leaving the country to seek asylum is often the only option for survival"
Mobile teams respond to escalating violence and trauma in Guerrero state
Abductions and violence, the price to pay to cross Mexico
Visible and invisible wounds – MSF treats survivors of torture
An unsafe country for thousands of refugees fleeing violence in Central America
Guerrero under siege
A year in pictures 2017
MSF ends emergency response after the earthquakes
Voices after the earthquake
Fernando Montes de Oca 56
Col. Condesa, 06140
Del. Cuauhtémoc, Ciudad de Mexico