Violence between rival gangs and their clashes with security forces means people struggle to access healthcare.
MSF previously worked in the capital, San Salvador, and the nearby city of Soyapango. Our teams also responded to the coronavirus COVID-19 pandemic in the country.
In 2021, we handed over our projects in El Salvador, having reached our objective of strengthening access to healthcare for communities affected by violence.
![MSF on the migration route to Mexico MSF on the migration route to Mexico](https://img.msf.org/AssetLink/o51cg5id501828nr8e43p81wr66637uf.jpg)
“Mexico is not an option for my family to stay”
![MSF PRESENCE IN RED ZONES OF SAN SALVADOR ALLOWS HEALTH OFFICIALS TO RESTART ACTIVITIES MSF PRESENCE IN RED ZONES OF SAN SALVADOR ALLOWS HEALTH OFFICIALS TO RESTART ACTIVITIES](https://img.msf.org/AssetLink/h85r5x6tiqv18s15u166026n17d8ekxh.jpg)
Breaking the invisible barriers that divide neighbourhoods controlled by gangs
![El Salvador El Salvador](https://img.msf.org/AssetLink/7p83jy7u6xy3ggg70ujv6841qwlbo88q.jpg)
“They ripped my soul out”
![دعم خدمات الإسعاف في السلفادور](/sites/default/files/styles/card_half/public/images/MSF-SLV-PREHOSPITALARIO12_El%20Salvador%20hero%20image.jpeg?itok=OefZJ9aP)
Additional ambulances increase access to healthcare
![Desperate journey: Fleeing invisible wars in Central America Desperate journey: Fleeing invisible wars in Central America](https://img.msf.org/AssetLink/e516ip3k6n827q485g82e6345kt5c1j3.jpg)
"Leaving the country to seek asylum is often the only option for survival"
![MSF activities in El Salvador](/sites/default/files/styles/card_half/public/images/ES1.jpg?itok=cOMH048w)