In 2018, there were revelations of sexual misconduct by MSF employees, including sexual harassment and abuse of patients, local community members or other MSF staff. Nineteen people were fired as a result of MSF's investigations of complaints. The complaints ranged from sexual harassment by MSF colleagues; exploitation of local (and possibly underage or solely "survival sex") sex workers by field staff, against MSF policy; and disparaging attitudes and remarks from staff regarding the supposed sexual availability of patients or community members, or an expressed intent to barter medical treatment for sex. Nearly all the resulting dismissals related to inter-staff sexual misconduct.
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