With hostilities in Chechnya flaring up again in what the Russian Federation terms as “anti-terrorist operations”, MSF leaders decide to use the ceremony of the reception of Nobel Peace Prize to call on the international community to intervene. But MSF teams are struggling to work in a Chechnya facing all-out war and dangerous security problems.

Instead, MSF starts support refugees in the neighbouring republics where they collect first-hands accounts. Inside Chechnya, operations are run through staff members from the Caucasus who are trained, supported, and managed from afar by international teams in the region.

MSF is in a difficult situation that raises many questions: Should MSF be speaking out based on refugees’ testimonies if there are no operational activities with international staff permanently on the ground sin Chechnya? When dealing with a regime in denial of the realities of a war, why is it important to use the word ‘war’? Is it up to MSF to call for this qualification?