Chiapas, Mexique 2022 © Pierre-William Henry

Mexico

© Pierre-William Henry

390'000 people

migrate between Central America and Mexico every year (IOM).

Médecins du Monde runs several humanitarian aid programmes in Mexico.
Find out more about our work below.

HUMANITARIAN EMERGENCY IN MEXICO

The migration crisis, deplorable reception conditions and very high rates of gender-based violence in the Mesoamerican region require the deployment of large-scale humanitarian action.

A MIGRATION CRISIS ON A LARGE SCALE

  • Migrants at the heart of insecurity

    Central America and Mexico, which are part of the Mesoamerican region, are considered the corridor with the highest permanent flow of migrants in transit worldwide.

    Around 450,000 people migrate between Central America and Mexico every year. Among them are increasing numbers of families, women and children fleeing poverty, violence and insecurity linked to organised crime and gang activity.

    The situation of widespread violence and impunity prevailing in the Mesoamerican region adds internal population displacement to this transnational migration crisis.

    The year 2021 has been marked by a worsening of the refugee crisis in Mexico, with an increase in the flow of people in need of international protection and a record number of asylum applications in the country. In fact, 131,448 people filed new applications with COMAR (Mexican Commission for Refugee Assistance), 72.6% of them in Chiapas.

    While migration policies were already repressive in Mesoamerica, border controls were further tightened. In 2019, the United States exerted pressure and secured the signing of agreements with Mexico, Guatemala, El Salvador and Honduras aimed at curbing irregular migration. These measures have led to the closure of migration routes, an increase in deportations and detentions of asylum seekers, and the militarisation of borders. As a result, migrants are extremely vulnerable, both on their migration route and during their forced return.

  • Deplorable reception conditions

    During August 2021, a caravan of migrants left Tapachula for Mexico, but was violently repressed by the National Guard (GN) and riot police. At the same time, deportations (of all nationalities) from the United States accelerated, and Mexico also granted deportations of Haitians to their country.

    Furthermore, during 2021, due to changes in Mexican migration policies resulting from the agreement with the United States, thousands of African, Haitian and Central American migrants found themselves stranded in the city of Tapachula. The flow from Central America has not decreased either. Most of these migrants are in a precarious situation and are in great need of humanitarian aid.

    The international network of Médecins du Monde has responded to the humanitarian needs of the caravans of Central American and African migrants stranded by providing rehydration and hygiene supplies, medicines and medical personnel to the entities in charge of the situation, in particular the shelters that have been overwhelmed by these population flows.

  • Increase in sexual violence

    The country has one of the highest rates of violence against women among OECD countries.

    The number of femicides has increased in recent years.

    There were 922 femicides in 2021.

    In addition, the country has the highest teenage pregnancy rate among OECD countries.

    Migrant women face particular health needs related to their sex, gender, sexuality and reproduction, both in their country of origin and during their transit or settlement in Mexico. This context exposes them to specific health needs related, among other things, to gender-based violence and sexual violence, unwanted pregnancies, sexually transmitted infections (STIs) and maternal health care.

OUR HUMANITARIAN ACTION IN MEXICO and Central America

 

The international network of Médecins du Monde runs a humanitarian programme in Mexico with the aim of ensuring access to healthcare and protection for migrants and internally displaced persons in Honduras, Guatemala, El Salvador and Mexico. This programme focuses on three main areas: support for public institutions, strengthening advocacy policies and providing medical assistance in Mexico.

  • SUPPORTING THE CAPACITY OF PUBLIC INSTITUTIONS TO ACT

    Médecins du Monde provides assistance to Mexican public institutions to improve their response to the needs of these populations and civil society organisations.

    Our NGO also aims to promote the participation of these institutions in the public policy cycle and improve the psychosocial support provided to the populations concerned. This first priority highlights the need for collaboration with local authorities.

  • STRENGTHENING ADVOCACY

    Médecins du Monde wishes to promote the creation or revision of public policies on access to healthcare for migrant and internally displaced populations. As a key element of our humanitarian work in Mexico, this advocacy aims to sound the alarm and define the priorities of the action plan.

  • ENSURING ACCESS TO HEALTHCARE FOR MIGRANTS

    Our NGO works with the most vulnerable people, unaccompanied children and adolescents, and people who have been forcibly displaced and are being cared for by our partners’ programmes.

    The Médecins du Monde network runs a regional programme to ensure access to healthcare and protection for migrants and internally displaced people in Honduras, Guatemala, El Salvador and Mexico. As part of this programme, Médecins du Monde works in Tapachula, Chiapas, Mexico, to restore access to healthcare and improve care for migrants.

    The teams provide primary and mental healthcare in shelters housing hundreds of migrants, in accommodation for asylum seekers and to migrants living on the streets.

    To complement patient care, Médecins du Monde is strengthening the activities of 11 local health facilities by supporting teams and distributing medical equipment and medicines. In response to the COVID emergency, care has been adapted and information and awareness-raising activities have been carried out to ensure that vulnerable populations adopt the right habits to protect themselves from the virus.

  • CARING FOR GENDER-BASED VIOLENCE SURVIVORS

    Médecins du Monde is improving access to healthcare for migrant survivors of gender-based violence through a comprehensive case management programme for survivors of sexual and gender-based violence for asylum seekers, refugees and beneficiaries of subsidiary protection.

    In Chiapas, 44% of women over the age of 15 report having suffered emotional, economic, physical, verbal or sexual violence. Acts of violence are most often perpetrated within couples, in the family, at school or at work.

    Given the urgency of the situation, Médecins du Monde is working in schools, neighbourhoods, communities and with health professionals. We are carrying out important awareness-raising work on equal relationships and non-violent forms of masculinity.

Timeline
  • 1996

    Start of activities in Chiapas
    Médecins du Monde Switzerland begins operations in Chiapas, mainly in Altamirano, in collaboration with the San Carlos Hospital to treat indigenous and Zapatista populations affected by social conflicts and structural inequalities in the region.

  • 1997-2010

    Tuberculosis control programme
    A tuberculosis treatment project is being implemented with San Carlos Hospital, involving training for local medical staff, the development of vaccination programmes, mobile screening clinics and coverage of patient transport costs.

    In 2007, the hospital was recognised as a referral centre for this treatment, and MdM strengthened its interventions there.

  • 2010

    Closure of the initial programme
    The tuberculosis control project has come to an end, marking the closure of MdM’s first programme in Chiapas.

  • 2014

    Resumption of activities in partnership with Madre Tierra Mexico
    In collaboration with local NGO Madre Tierra Mexico, MdM is relaunching health initiatives in southern Chiapas, focusing on sexual and reproductive health and child health.

  • 2015

    Opening of an operational office in Mexico
    An office has been established to enable the development of a community health programme focused on participation and preventive healthcare among indigenous communities.

  • 2017-2020

    Community health empowerment project
    MdM is launching a project in the Altos de Chiapas region to support health autonomy in 140 indigenous communities in Tzotz Choj. This project strengthens communities’ capacity to manage their health and access care.