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.
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![Tapachula Tapachula](https://img.msf.org/AssetLink/6506u54m3yd8ic3oos7g058mshjytca0.jpg)
US and Mexico asylum policies leave migrants in deplorable and dangerous conditions
![THE DARIEN ROUTE FOR MIGRANTS IN PANAMA THE DARIEN ROUTE FOR MIGRANTS IN PANAMA](https://img.msf.org/AssetLink/i274d2581o45hig3204jx802k86yahv4.jpg)
Robbed, raped, beaten: safe migration routes urgently needed between Colombia and Panama
![Coatzacoalcos, Veracruz Coatzacoalcos, Veracruz](https://img.msf.org/AssetLink/q8md61544ut72832ukh066t1s6lv4m0a.jpg)
Escaping violence into danger – no way out for Central American migrants
![Migration in the Americas Migration in the Americas](https://img.msf.org/AssetLink/w474u02h8x8688cys4lfxe0rgl62322p.jpg)
Neither dangers nor policies deter migrants making their way to the US
The number of people migrating north through Central America continue to grow despite restrictive policies, dangers en route and violence. MSF teams are working across the region to provide care to people.
![Migration at US border - Arizona Migration at US border - Arizona](https://img.msf.org/AssetLink/m63wgg8f712k88mc7h014od7l382u145.jpg)
Supporting local groups helping people on the move at the US-Mexico border
![EMISUR 1 EMISUR 1](https://img.msf.org/AssetLink/aa0680k6v555dg6g67vj3d6452h1torl.jpg)
Survivors of sexual violence in the Darién Gap receive care in Costa Rica
![Migrant camp in Matamoros Migrant camp in Matamoros](https://img.msf.org/AssetLink/8l25mqa65ic4mx471c4s6e62fl4xh566.jpg)
Migrants in Central America and Mexico face violence and abuse
![Migrant camp in Matamoros Migrant camp in Matamoros](https://img.msf.org/AssetLink/315g4yv040212o766l0863214pb5lt38.jpg)
Violence, desperation and abandonment on the Central American migration route
![Migrants in transit in ECuador, Colombia y Panama Migrants in transit in ECuador, Colombia y Panama](https://img.msf.org/AssetLink/v035a74y401o3u7bluhw4d0uh7d227uk.jpg)
MSF forced to suspend medical care for people on the move in Panama
![Migrants in transit in Ecuador, Colombia and Panama Migrants in transit in Ecuador, Colombia and Panama](https://img.msf.org/AssetLink/00u16j22jw60o71asi31wy0ar0bhqpgd.jpg)
Lack of action sees sharp rise in sexual violence on people transiting Darien Gap
![Migrants in transit in Ecuador, Colombia and Panama Migrants in transit in Ecuador, Colombia and Panama](https://img.msf.org/AssetLink/j8546o44htmj3xrujx3n30v641464pd1.jpg)
Migrants left without protection as Darién Gap crossings reach half a million
![Doctors Without Borders alarms insufficient response to the rising migrant influx in Darien jungle Doctors Without Borders alarms insufficient response to the rising migrant influx in Darien jungle](https://img.msf.org/AssetLink/x63lh4177l2lq8p2v1050to4062d7ccy.jpg)
Incidents of sexual violence spike for those crossing Panama’s Darién Gap
![Dalila and her daughter in Reynosa, Mexico Dalila and her daughter in Reynosa, Mexico](https://img.msf.org/AssetLink/261865ramsamyjs8m5x2y11ga2b18yq4.jpg)