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
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