MSF investigation finds exploitation of women, girls in Chad refugee camps

An investigation by Doctors Without Borders (MSF) has uncovered systemic sexual exploitation and abuse targeting Sudanese women and girls living as refugees in Chad. The international humanitarian organization revealed that vulnerable individuals are being coerced into trading sex for basic necessities such as food, water, and milk, and even for employment opportunities within the camps.

The findings, detailed in an internal analysis prompted by a 2024 AP report on similar issues, indicate that some women have also been forced into prostitution. MSF, a major provider of humanitarian aid in Chad, including nutrition, medical support, and sanitation, acknowledged that the abuse was more pervasive than initially understood. The investigation, conducted between 2024 and 2025, was completed last July but only came to light when the AP first reported on its findings.

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a serious breach of its values and responsibilities

In response to the revelations, MSF has dismissed at least 18 staff members and barred them from future employment. The organization stated that it received 59 allegations of abuse and misconduct, which it described as a "serious breach of its values and responsibilities," and expressed deep regret for the harm caused. However, MSF noted that the actual number of cases is likely higher, as many victims remain silent due to fear of losing access to essential aid or facing further repercussions.

The report highlighted specific cases, including the abduction of seven girls for sexual abuse after they were lured into an MSF vehicle under the pretense of going to water distribution and construction sites. Additionally, some female Chadian staff reported being threatened with job loss if they refused sexual advances from supervisors or colleagues. MSF admitted that it was unaware of most of these allegations until AP's reporting brought them to light. The organization cited urgent staffing needs and inadequate reference checks as contributing factors to the recruitment of individuals with problematic pasts, despite having conducted abuse-prevention training in 2023.

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deeply regrets the harm caused