Migration flows in the region over the last four years have been volatile and complex, and Honduras—being along the migration route—has witnessed these changes. Since 2021, when MSF first began working with migrants in Honduras, more than one million people have entered the country irregularly, according to the National Migration Institute (INM).

This is due to many factors, including worsening socio-political crises in the region, poverty, widespread violence, and administrative barriers that make it difficult to obtain legal migration status. This situation led to a humanitarian crisis in various parts of the region requiring urgent attention. Migrants had multiple needs, many of them related to physical and mental health issues. In light of this, MSF in Honduras decided to create teams composed of medical, nursing, social work, mental health, and health promotion personnel to provide a comprehensive response through mobile clinics at the points where humanitarian assistance was needed most. More than 200,000 people were reached.
The municipalities of Danlí, Trojes, and Las Manos in Honduras’s El Paraíso department on the border with Nicaragua became the epicenter for people on the move who were entering Honduras on their way north to México and the United States. This is where MSF focused our intervention until now.
With the arrival of the new US administration and subsequent harsh changes to migration policies, the number of people traveling from south to north decreased. At the same time, people were identified as voluntarily returning to their countries of origin or seeking refuge in other countries in the region.
After four years, the international medical humanitarian organization Doctors Without Borders/Médecins Sans Frontières (MSF) has decided to end its program providing medical care, mental health care, and social support to migrants in Honduras.