MSF demands action to stop brutality and sexual violence in the Darién Gap

MSF teams in Panama are seeing an alarming increase in sexual violence cases among migrants exiting the Darién, along with intensified brutality.

Women in a shelter for migrants after crossing the Darién Gap.

In the roadless, heavily forested region between Colombia and Panama known as the Darién Gap—one of the major migration routes in the world—people are experiencing an intensified level of brutality and cruelty in attacks of sexual violence.

In the last two months, teams from Doctors Without Borders/Médecins Sans Frontières (MSF) have recorded an exponential increase in the number of assaults, indicating the worsening of an already dire situation. MSF urges Panamanian authorities to immediately strengthen measures to protect migrants.

The Darién has become a trafficking and commerce route through which thousands of migrants pass each year to get to North America. Last year, the Panamanian government registered more than half a million people crossing the Darién, an unprecedented number.

A migrant woman and child in Bajo Chiquito, Panama.
"Many of [the migrants] are families, women and children in desperate situations," said Luis Eguiluz, MSF’s head of mission in Panama and Colombia. "It is unacceptable that this continues to happen.” Panama 2023 © Juan Carlos Tomasi/MSF

Increasing rates of violence 

Figures recorded by MSF teams in the region in recent weeks show an accelerating increase in cases of sexual violence against mainly (but not only) migrant women, as well as an increase in violence, brutality, and cruelty against groups of migrants.  

In just one week in February, MSF teams treated 113 people—including nine children—after they were sexually assaulted by armed groups operating in the Darién. That’s close to the total number of people treated during the whole of January—120. These figures are double the monthly average treated in 2023, when 676 people were treated during the whole year.  

MSF teams are horrified and deeply concerned by this growing trend and outraged at the level of impunity with which armed groups operate in the Darién Gap.

Migrants tell us they witnessed the murders of those who refused to comply with the orders of armed groups, who take advantage of people’s vulnerability to rob them of all their belongings and abuse them.

“This increase in the number of attacks is unimaginable,” said Luis Eguiluz, MSF’s head of mission in Panama and Colombia. “We had already treated very high numbers of people in December and January, and there was talk of occasional deaths. But now, in these latest attacks, the level of brutality is extreme: armed men are detaining larger and larger groups of migrants, between 100 and 400 people, threatening them, assaulting them, systematically sexually abusing women, in front of other migrants and even in front of their families and children. In a recent episode, several migrants told us how those who refused to cooperate were shot dead.”

An MSF tented health facility in Panama, near the Darién Gap.
MSF's clinic at the Lajas Blancas Migrant Reception Station. | Panama 2023 © Juan Carlos Tomasi/MSF

Action must be taken now 

"These outrageous crimes are on the rise and, what’s worse, nobody seems to care,” said Eguiluz. “We don’t see much change in the impunity with which the attackers operate ... We see a complete lack of action to address the situation or help with its consequences.”

MSF has repeatedly condemned the lack of protection for migrants in the Darién. As they emerge from the forest in Panama, many seek care from MSF teams specialized in treating sexual violence as a medical emergency.  

We renew our call to the Panamanian authorities to redouble their efforts to protect the most vulnerable people in their territory, especially in the Darién. Many of them are families, women and children in desperate situations. It is unacceptable that this continues to happen.

Luis Eguiluz, MSF head of mission in Panama and Colombia

“We renew our call to the Panamanian authorities to redouble their efforts to protect the most vulnerable people in their territory, especially in the Darién. Many of them are families, women and children in desperate situations. It is unacceptable that this continues to happen.”

Since April 2021, MSF has been providing medical and psychological services to people in transit who arrive in Panama through the Darién Gap. Teams are currently present in the community of Bajo Chiquito and at the migrant reception center in Lajas Blancas.