When collaboration with the government does not exist, NGOs can find it impossible to work.  In March 2009, in response to President Omar Al-Bashir's indictment by the International Criminal Court, 13 major aid organizations were kicked out of the country, including Medecines Sans Frontiers, OXFAM, CARE, Save The Children, and the IRC.  This expulsion left 1.5 million people without access to healthcare, according to the UN. 