In eastern Democratic Republic of Congo (DRC) the humanitarian crisis has reached dramatic heights in 2023, with massive levels of violence and displacement. In North Kivu, armed clashes linked to the resurgence of the M23 armed group have forced up to one million people to flee their homes. In North Kivu, violence between armed groups – the M23 prominent among them – has triggered constant and massive people movements across Rutshuru, Nyiragongo, and Masisi territories. At the same time the closure of health facilities in North Kivu due to the insecurity also forced people who needed ongoing healthcare south. “The humanitarian needs are everywhere and are massive, but as a medical organisation we can only respond to the most pressing and urgent ones,” says Alira Halidou.