Doctors Without Borders (MSF) is facing serious allegations of sexual abuse and exploitation involving its staff in eastern Chad. An internal investigation, details of which were revealed by the Associated Press, uncovered over 50 allegations relating to interactions with Sudanese refugees. The allegations concern abuse and exploitation of power dynamics by some MSF employees. In response to the findings, MSF has terminated the employment of 18 individuals in Chad. The internal note detailing the investigation has prompted scrutiny of the organization’s safeguarding measures. MSF has not publicly released the full report but confirmed the investigation and subsequent dismissals. The incidents raise concerns about the safety and protection of vulnerable populations receiving humanitarian aid.