This article explores the complexities of the brokerage work conducted by Congolese MSF staff working in a ‘field’ that is not a distant, liminal space, but their country (and region) of origin. They have complicated and heterogeneous political and social histories, networks and perceived identities in the areas where MSF works. This ‘proximity’ is a double-edged sword: local staff are essential to networking with armed actors and political authorities, as well as translating the meanings of policies and principles into practice, yet they find themselves either at risk, or perceived as a risk, or both.

The article is based on eight months’ ethnographic fieldwork in North Kivu – in the provincial capital Goma, and in Masisi. It draws from 180 interviews with present and former MSF fieldworkers with experience in North Kivu since 2005, in particular, fifty different Congolese employees with experience in Masisi, Rutshuru and Walikale.