New York, July 30 -- Patient names have been changed to protect anonymity.

In 2024 alone, nearly 40,000 women were treated by MSF teams in North Kivu province-a record high. In January 2025, after years of fighting against the Congolese army and allied armed groups in North Kivu, the M23/Congo River Alliance (AFC)-backed by Rwanda-seized control of Goma, which is home to over a million people.

During the first week of the offensive, hospitals rapidly became overwhelmed by a surge in casualties, both military and civilian. Morgues filled quickly as the Congolese army and its allies retreated, allowing M23/AFC to take over as the new authorities in the city. Heightened insecurity, increased crime, and rampant violence-including a continue...