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DRC Maternity Crisis Deepens as M23 Rebels Cancel Free Healthcare

M23 rebels backed by Rwanda have terminated free childbirth programs in eastern DRC, forcing pregnant women into dire situations as healthcare costs soar amid ongoing conflict.

December 20, 2025
3 weeks ago
France 24
DRC Maternity Crisis Deepens as M23 Rebels Cancel Free Healthcare

The Democratic Republic of Congo's eastern provinces are witnessing a devastating humanitarian crisis as pregnant women face mounting barriers to essential maternity care following the cancellation of free childbirth programs by the Rwanda-backed M23 rebel group.

The termination of these vital healthcare initiatives has left expectant mothers in territories controlled by M23 with impossible choices: pay increasingly prohibitive costs for medical care or risk dangerous home births without professional assistance. This development represents a significant deterioration in an already fragile healthcare landscape across the conflict-torn region.

Healthcare Infrastructure Under Siege

The ongoing conflict has systematically dismantled the region's medical infrastructure, with rebel activities disrupting supply chains for essential medicines and medical equipment. Healthcare facilities that once provided free or subsidized maternity services are now either destroyed, abandoned, or operating under severe constraints imposed by occupying forces.

Medical professionals report that the cost of childbirth has increased exponentially since M23's takeover of various territories. Where women once received comprehensive prenatal care, delivery assistance, and postnatal support at no cost, they now face fees that can exceed monthly household incomes in one of the world's poorest regions.

Geopolitical Implications of Healthcare Weaponization

The M23 group's decision to eliminate free healthcare programs reflects a broader strategy of territorial control that extends beyond military occupation. By controlling access to essential services, the rebel group effectively holds civilian populations hostage while potentially generating revenue through healthcare fees.

Rwanda's alleged backing of M23 adds a complex international dimension to this humanitarian crisis. The weaponization of healthcare services represents a violation of international humanitarian law and demonstrates how regional power dynamics directly impact civilian welfare in eastern DRC.

Regional Stability at Risk

This healthcare crisis threatens to destabilize an already volatile region further. Increased maternal and infant mortality rates, combined with growing desperation among affected communities, could fuel additional displacement and social unrest. The situation also strains relationships between DRC and its neighbors, particularly Rwanda, which faces continued accusations of supporting destabilizing forces.

International humanitarian organizations are struggling to fill the gap left by cancelled programs, but their efforts are hampered by security concerns and restricted access to rebel-controlled areas. The crisis demands immediate international attention and coordinated response to prevent a complete collapse of maternal healthcare services in eastern DRC.

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