In a project update made on 27 June 2024, the Médecins Sans Frontières announced that it had been forced to suspend all medical activities in northern Rakhine State due to the “extreme escalation of conflict, indiscriminate violence, and severe restrictions on humanitarian access,” leaving people “with zero access to healthcare in the face of huge needs” and contributing to the “total decimation of the healthcare system.” Both Buthidaung and Maungdaw hospitals were shut down. A report demonstrated that lack of access to medical care has caused growing malnutrition, waterborne diseases, and preventable deaths, including of children due to treatable diarrhea and of pregnant women. MSF reported, “All communities are without proper primary and secondary healthcare, and our teams observed pregnant women and unborn babies losing their lives due to the lack of healthcare.” The evidence, as revealed by the testimonies, showed that taking sick individuals to hospitals was impossible, even in emergencies. They are denied travel passes and humiliated. Movement restrictions also exclude communities from social or economic activities. Because they can’t move freely, the community is vulnerable, and their lives are only about surviving. While the military junta is the primary force behind the long-standing oppression of the Rohingya, the AA has also contributed to their suffering. The respondents testified in their accounts that although the AA does not directly control Sittwe, they have taken strategic positions surrounding the town, effectively trapping civilians inside. Those who are stuck inside the city could hardly travel outside for essential livelihoods such as fishing and forestry. This heavily leads to economic deprivation of the community. Ekram (Name Changed) explicitly mentions in his testimony that the ‘militant’ group imposes severe movement restrictions on the Rohingya in the areas under its control. It has established numerous checkpoints in its recently conquered areas. They also enforce strict curfews and prohibit travel between villages without special permission. He further asserts that the group claims that such restrictions are necessary for security reasons, however, in reality, they serve to isolate and oppress the Rohingya population. By imposing movement control, the survivor testifies they strengthen its control over Rohingya communities and prevents them from seeking assistance or communicating with the outside world. Additionally, these restrictions provide opportunities for them to engage in systematic extortion, forcing Rohingya to pay bribes at checkpoints or risk arrest and punishment. Ekram asserts that the group did not initiate these movement restrictions. They were originally implemented by the military regime to isolate and 16

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