A woman stands in the doorway of MSF's clinic to treat victims and survivors of sexual violence in Bulengo displacement camp. North Kivu province, Democratic Republic of Congo, August 2023.
© MSF/PIERRE-PHILIPPE MARCOU
Press Release
30 September 2024
New data reveals that MSF teams treated more than two victims and survivors of sexual violence every hour in Democratic Republic of Congo (DRC) during 2023.
The alarming numbers have continued, with teams having treated nearly 70 per cent of the numbers across all of 2023 in just the first five months of 2024.
MSF is calling on international and national stakeholders to invest in to address sexual violence.
Amsterdam/Barcelona/Brussels/Geneva/Paris – In a new retrospective report, Médecins Sans Frontières (MSF) reveals that – together with the Ministry of Health – we had treated an unprecedented number of victims and survivors of sexual violence in Democratic Republic of Congo in 2023. This upward trend has continued in the first months of 2024. MSF is calling on all national and international stakeholders to take urgent action to better prevent this crisis and improve care for survivors.
In 2023, MSF teams in Democratic Republic of Congo (DRC) helped treat 25,166 victims and survivors of sexual violence across the country. That’s more than two every hour.
This figure is by far the highest number ever recorded by MSF in DRC. It is based on data from 17 projects set up by MSF, in support of the Ministry of Health, in five Congolese provinces – North Kivu, South Kivu, Ituri, Maniema and Central Kasai. In previous years (2020, 2021, 2022), our teams treated an average of 10,000 victims per year in the country. The year 2023 therefore marks a massive increase in admissions.
'We are calling for help': Sexual violence in DRCpdf — 2.9 MBDownload
This trend accelerated in the first months of 2024. In North Kivu province alone, 17,363 victims and survivors were treated with MSF assistance between January and May. Not even halfway through the year, this already represented 69 per cent of the total number of victims treated in 2023 in the five provinces mentioned above.
Displaced women are the first victims
Analysed and verified over several months, the 2023 data presented in the report, We are calling for help, show that 91 per cent of victims treated with MSF assistance in DRC were admitted in North Kivu province. Clashes between the M23 group, the Congolese army and their respective allies have been raging in the province since late 2021, forcing hundreds of thousands of people to flee.
The vast majority of victims (17,829) were treated in displacement sites around Goma, North Kivu’s capital. The number of displacement sites continued to grow throughout 2023.
“According to the testimonies of patients, two-thirds of them were attacked at gunpoint,” says Christopher Mambula, head of MSF’s programmes in DRC. “These attacks took place on the sites themselves, but also in the surrounding area when women and girls – who accounted for 98 per cent of the victims treated by MSF in DRC in 2023 – went out to collect wood or water, or to work in the fields.”
A view of a refugee camp in Goma, where thousands of people have been displaced due to ongoing fighting in North Kivu. Democratic Republic of Congo, February 2024. Marion Molinari/MSFShare
While the massive presence of armed men in and around displacement sites explains this explosion in sexual violence, the inadequacy of the humanitarian response and the inhumane living conditions in these sites fuel the phenomenon. The lack of food, water and income-generating activities exacerbates the vulnerable situation of women and girls (1 in 10 victims treated by MSF in 2023 were minors), who are forced to go to neighbouring hills and fields where there are many armed men. The lack of sanitation and safe shelter for women and girls leaves them vulnerable to attack. Others are victims of sexual exploitation to support their families.
“On paper, there seem to be many programmes to prevent and respond to the needs of victims of sexual violence,” says Christopher Mambula. “But on the ground in displacement sites, our teams struggle every day to refer victims who need help.”
“The few programmes that do exist are always too short-lived and grossly under-resourced,” says Mambula. “Much more is needed to protect women and meet the urgent needs of victims.”
Much more is needed to protect women and meet the urgent needs of victims.Christopher Mambula, head of MSF’s programmes in DRC
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Urgent calls for action
Based on the needs expressed by the victims, and building on previous work to solve this long-standing problem in the country, the report lists some 20 urgent actions to be taken by the parties to the conflict, the Congolese authorities – national, provincial and local – as well as international donors and the humanitarian sector. For MSF, there are three main areas of urgent action.
Firstly, we call on all parties to the conflict to ensure respect for international humanitarian law. In particular, we call for the absolute prohibition of acts of sexual violence, but also respect for the civilian nature of displacement sites. The protection of people caught up in the fighting must be a priority. The call to protect civilians from abuse is also addressed to those involved in humanitarian programmes.
Second, MSF calls for the improvement of living conditions in sites for internally displaced people. Access must be improved to meet basic needs – food, water, income-generating activities – as well as improving safe and well-lit sanitation and shelter. These investments must also be accompanied by increased efforts to raise awareness of sexual violence. While humanitarian funding must be sufficiently flexible to respond to emerging and urgent needs, implementing partners must also demonstrate accountability in delivering interventions.
A woman stands in front of the camps of Bulengo and Lushagala. Democratic Republic of Congo, August 2023.MSF/Alexandre MarcouShare
Finally, we call for specific investment in better medical, social, legal and psychological care for victims of sexual violence. This requires long-term funding to improve medical training, the supply of post-rape kits to care facilities, legal support, as well as the provision of shelters for survivors. Funding is also needed for awareness-raising activities to prevent stigmatisation or marginalisation of victims, which sometimes prevents them from seeking help. Given the high number of requests for abortion from victims, MSF is also calling for the adaptation of the national legal framework to guarantee access to comprehensive medical abortion care.
Sexual violence is a major medical and humanitarian emergency in DRC. According to the latest Gender-Based Violence Area of Responsibility DRC information, which compiles data from various humanitarian organisations offering gender-based violence care services in 12 provinces of DRC, 55,500 survivors of sexual violence received medical care in the second quarter of 2024.
DRC President Felix Tshisekedi must be held accountable for human rights violations
DRC President Felix Tshisekedi must be held accountable for human rights violations
© TONY KARUMBA/AFP/Getty Images
September 30, 2024
DRC President Felix Tshisekedi must be held accountable for human rights violations
© TONY KARUMBA/AFP/Getty Images
September 30, 2024
By Jean Mobert Senga, Amnesty International’s DRC researcher
Speaking at the UN General Assembly on 25 September 2024, President Tshisekedi ignored the continuing deterioration of human rights under his own government. The international community must push him to change course.
At the start of his first term in 2019, President of the Democratic Republic of the Congo (DRC) Felix Tshisekedi promised to protect human rights — but his government appears to have embarked on a crusade against his own pledges.
The DRC authorities’ response to the armed conflict and inter-communal violence that has ravaged the country for decades has failed to improve the security situation. In some cases, it has made it worse.
While the international community must address serious human rights abuses by armed groups in eastern DRC, including Rwanda and other countries’ alleged support to some armed groups, it must also increase pressure on President Tshisekedi’s government to uphold human rights, tackle impunity, and address deep-rooted socioeconomic injustices.
The DRC is enduring one of the most protracted humanitarian crises in the world. From east to west and from north to south, the civilian population faces daily threats of violence from a myriad of armed groups. Congolese soldiers and affiliated militia groups also continue to target civilians and commit horrendous crimes, often with impunity.
A profound failure
Internally displaced persons (IDPs), particularly women and girls, disproportionately bear the brunt of this conflict. IDP camps are rife with sexual violence, exacerbated by poor security conditions and insufficient humanitarian aid. The continued failure of the Tshisekedi administration to protect populations made vulnerable by these living conditions is inacceptable.
The international community must hold the DRC government accountable not only for its failure to prevent and punish sexual violence and attacks against civilians, but also for its inaction in addressing the humanitarian catastrophe. Both the Congolese government and the international community must increase funding for the chronically underfunded humanitarian response to meet the urgent needs of affected populations, including shelter, food, healthcare and education.
The international community must hold the DRC government accountable not only for its failure to prevent and punish sexual violence and attacks against civilians, but also for its inaction in addressing the humanitarian catastrophe.Jean Mobert Senga, DRC Researcher, Amnesty International
A key contributing factor to the deteriorating human rights situation in the eastern DRC is the ongoing “State of Siege” imposed in North Kivu and Ituri since May 2021. This exceptional measure, which is akin to a state of emergency, has effectively militarized everyday life, concentrating all powers in the hands of military and police officials, including powers which should be those of civilian authorities. Tshisekedi’s government must urgently end the “State of Siege” and work towards a human rights-centred approach to restoring security.
Meanwhile, a crackdown on dissent has swept the nation under the pretext of defending the country against enemies. Journalists, civil society activists, and political opponents have faced threats, arbitrary detention, and judicial harassment. By weaponizing the judiciary, the Tshisekedi administration has betrayed the hopes and aspirations of those who resisted the repression of their rights under the Kabila regime.
Equally alarming is the government’s decision in March this year to reinstate the death penalty after more than two decades of hiatus. Military courts have since handed down more than a hundred death penalty sentences, heightening the risk of politically motivated executions.
The recent tragedy at Makala prison in Kinshasa, where over 120 people died, hundreds were injured, and more than 200 women and girls were subjected to sexual violence, including gang rape, underscores the dire state of prison conditions in the DRC. President Tshisekedi must ensure that the courts conduct a transparent and prompt investigation and prosecute all responsible, including political and security officials who may have failed to prevent these horrific events. The international community must push for and assist in urgent criminal and penitentiary reforms to ensure such tragedies are never repeated.
Despite repeated calls for justice, the government has so far largely failed to bring both Congolese and foreign perpetrators of crimes under international law to justice. Powerful actors continue to operate with impunity, deepening the cycle of violence. Efforts towards other forms of justice, including compensations and reparations, remain dismally inadequate. Victims and survivors are frustrated by the lack of transparency and the slow pace of these efforts, which often feel more symbolic than substantive.
Despite repeated calls for justice, the government has so far largely failed to bring both Congolese and foreign perpetrators of crimes under international law to justice. Powerful actors continue to operate with impunity, deepening the cycle of violence.Jean Mobert
It is not only armed conflict that poses an existential threat to thousands of people in the country. The DRC is a critical supplier of copper and cobalt, minerals that are essential to the global transition to renewable energy. However, as highlighted in Amnesty International’s 2023 report “Business as Usual?”, increased investments in the industrial mining sector have led to human rights abuses, including mass forced evictions and environmental pollution, leaving frontline communities in limbo. Toxic pollution and dangerous working conditions continue to plague artisanal miners, particularly in the cobalt-rich southern provinces.
The international community cannot afford to ignore the grave human rights situation in the DRC any longer. President Tshisekedi’s allies — especially the United States, South Africa, Angola, Belgium, and France — must use their influence to demand accountability for human rights violations.
This oped first ran in South Africa’s Daily Maverick
Speaking at the UN General Assembly on 25 September 2024, President Tshisekedi ignored the continuing deterioration of human rights under his own government. The international community must push him to change course.
At the start of his first term in 2019, President of the Democratic Republic of the Congo (DRC) Felix Tshisekedi promised to protect human rights — but his government appears to have embarked on a crusade against his own pledges.
The DRC authorities’ response to the armed conflict and inter-communal violence that has ravaged the country for decades has failed to improve the security situation. In some cases, it has made it worse.
While the international community must address serious human rights abuses by armed groups in eastern DRC, including Rwanda and other countries’ alleged support to some armed groups, it must also increase pressure on President Tshisekedi’s government to uphold human rights, tackle impunity, and address deep-rooted socioeconomic injustices.
The DRC is enduring one of the most protracted humanitarian crises in the world. From east to west and from north to south, the civilian population faces daily threats of violence from a myriad of armed groups. Congolese soldiers and affiliated militia groups also continue to target civilians and commit horrendous crimes, often with impunity.
A profound failure
Internally displaced persons (IDPs), particularly women and girls, disproportionately bear the brunt of this conflict. IDP camps are rife with sexual violence, exacerbated by poor security conditions and insufficient humanitarian aid. The continued failure of the Tshisekedi administration to protect populations made vulnerable by these living conditions is inacceptable.
The international community must hold the DRC government accountable not only for its failure to prevent and punish sexual violence and attacks against civilians, but also for its inaction in addressing the humanitarian catastrophe. Both the Congolese government and the international community must increase funding for the chronically underfunded humanitarian response to meet the urgent needs of affected populations, including shelter, food, healthcare and education.
The international community must hold the DRC government accountable not only for its failure to prevent and punish sexual violence and attacks against civilians, but also for its inaction in addressing the humanitarian catastrophe.Jean Mobert Senga, DRC Researcher, Amnesty International
A key contributing factor to the deteriorating human rights situation in the eastern DRC is the ongoing “State of Siege” imposed in North Kivu and Ituri since May 2021. This exceptional measure, which is akin to a state of emergency, has effectively militarized everyday life, concentrating all powers in the hands of military and police officials, including powers which should be those of civilian authorities. Tshisekedi’s government must urgently end the “State of Siege” and work towards a human rights-centred approach to restoring security.
Meanwhile, a crackdown on dissent has swept the nation under the pretext of defending the country against enemies. Journalists, civil society activists, and political opponents have faced threats, arbitrary detention, and judicial harassment. By weaponizing the judiciary, the Tshisekedi administration has betrayed the hopes and aspirations of those who resisted the repression of their rights under the Kabila regime.
Equally alarming is the government’s decision in March this year to reinstate the death penalty after more than two decades of hiatus. Military courts have since handed down more than a hundred death penalty sentences, heightening the risk of politically motivated executions.
The recent tragedy at Makala prison in Kinshasa, where over 120 people died, hundreds were injured, and more than 200 women and girls were subjected to sexual violence, including gang rape, underscores the dire state of prison conditions in the DRC. President Tshisekedi must ensure that the courts conduct a transparent and prompt investigation and prosecute all responsible, including political and security officials who may have failed to prevent these horrific events. The international community must push for and assist in urgent criminal and penitentiary reforms to ensure such tragedies are never repeated.
Despite repeated calls for justice, the government has so far largely failed to bring both Congolese and foreign perpetrators of crimes under international law to justice. Powerful actors continue to operate with impunity, deepening the cycle of violence. Efforts towards other forms of justice, including compensations and reparations, remain dismally inadequate. Victims and survivors are frustrated by the lack of transparency and the slow pace of these efforts, which often feel more symbolic than substantive.
Despite repeated calls for justice, the government has so far largely failed to bring both Congolese and foreign perpetrators of crimes under international law to justice. Powerful actors continue to operate with impunity, deepening the cycle of violence.Jean Mobert
It is not only armed conflict that poses an existential threat to thousands of people in the country. The DRC is a critical supplier of copper and cobalt, minerals that are essential to the global transition to renewable energy. However, as highlighted in Amnesty International’s 2023 report “Business as Usual?”, increased investments in the industrial mining sector have led to human rights abuses, including mass forced evictions and environmental pollution, leaving frontline communities in limbo. Toxic pollution and dangerous working conditions continue to plague artisanal miners, particularly in the cobalt-rich southern provinces.
The international community cannot afford to ignore the grave human rights situation in the DRC any longer. President Tshisekedi’s allies — especially the United States, South Africa, Angola, Belgium, and France — must use their influence to demand accountability for human rights violations.
This oped first ran in South Africa’s Daily Maverick
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