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.
![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
![Migrants in the City of Coatzacoalcos Migrants in the City of Coatzacoalcos](https://img.msf.org/AssetLink/wvj2oo10mf11355q03s08kv6ny6vl2t0.jpg)
Migrants through Mexico further criminalised, exposed to danger, through militarised border pact
![Increasing activities in Matamoros-covid19 Increasing activities in Matamoros-covid19](https://img.msf.org/AssetLink/4gbabg1m2ykrypot1214m0m3lgo8d610.jpg)
MSF demands US end deportations to stop COVID-19 spread to fragile health systems
![Migrants and Refugees in Mexico shelters Migrants and Refugees in Mexico shelters](https://img.msf.org/AssetLink/ecm6c0312v5kx4233i6211er58yh0886.jpg)
MSF calls for release of migrants after deadly fire in Tenosique detention centre
![The Migration Protection Protocol in the state of Tamaulipas The Migration Protection Protocol in the state of Tamaulipas](https://img.msf.org/AssetLink/6khjdvopafr72v3ffs4ltx508307857f.jpg)
US must include asylum seekers in COVID-19 response, rather than shut border
![Coatzacoalcos, Veracruz Coatzacoalcos, Veracruz](https://img.msf.org/AssetLink/q8md61544ut72832ukh066t1s6lv4m0a.jpg)
Escaping violence into danger – no way out for Central American migrants
![NUEVO LAREDO, NOT A SAFE PLACE NUEVO LAREDO, NOT A SAFE PLACE](https://img.msf.org/AssetLink/0uv875pvo3ld1d8544y80b405887470b.jpg)
Report: No way out - The humanitarian crisis for Central American migrants and asylum seekers
![Migrants and Refugees in Mexico shelters Migrants and Refugees in Mexico shelters](https://img.msf.org/AssetLink/42u3v6kla08k4tfdgp837wnl3qwcykjq.jpg)
Despite kidnapping and continued risks, migrants continue journey north through Mexico
![Matamoros - Asylum-seekers and migrants at the US/Mexico border Matamoros - Asylum-seekers and migrants at the US/Mexico border](https://img.msf.org/AssetLink/s08qf7750x1l6lnjhe230c43ot13sr0y.jpg)