This article shares the learnings of Médecins Sans Frontières (MSF)’s experience of adapting its sexual violence care  training  for  its  staff and  missions  in  the  Middle  East  and  North  Africa  (MENA)  region  in 2019. It  explores some  of  the  implications  of  MENA  operational and sociocultural specificities for MSF’s training approach, as well  as  theoretical  and  practical  aspects  of  working  in  sexual  violence  response  in  specific  settings  and addressing  contextual  structural barriers to survivors’ accessing  such  services.  It  contributes  to  sharing knowledge among practitioners about adapting a sexual violence training approach for different contexts.

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