The Central African Republic is in danger of becoming the world’s latest failed state, according to Médecins Sans Frontières’ director Arjan Hehenkamp.

In a report published by The Guardian, Hehenkamp wrote that religion has become part of the conflict in a country “gripped by violence since the coup d’etat in March”.

“The church compound is like an open-air prison,” he wrote. “People don’t even dare to go and fetch the wood they need for cooking. They don’t dare to go out of that protected zone back to their houses – where they would have a roof over their heads and some proper facilities – even though their houses are sometimes only a few 100 metres away.”