In moments of crisis and exclusion, Médecins Sans Frontières (MSF) teams strive to save lives and alleviate people’s suffering. We provide the care that we can with our colleagues, collaborators, and supporters, but in 2025 we saw growing gaps that are not ours to fill.

When people with power renege on their responsibilities and shared humanity, the communities we serve pay a high price.

In many of the places where we worked, we saw a deficit of accountability that ranged from negligence to flagrant violations of international humanitarian law.

The scale of people’s needs – whether due to war, internal instability, disease outbreaks, or the difficulty in accessing medical care – became further highlighted in 2025 amid a climate of aid cuts and anti-humanitarian rhetoric. MSF teams around the world worked to assist people in 72 countries, in an ongoing act of solidarity.