MSF was one of the few charities that remained on the ground during the 20-year civil war and has operated in the country continuously since 1991, including in areas controlled by al-Qaeda's allies, al-Shabaab.
But despite a new government and signs of increasing stability much trumpeted by Somalia's international donors, MSF said on Wednesday that it could no longer carry on in the country.
"In choosing to kill, attack, and abduct humanitarian aid workers, armed groups, and the civilian authorities who tolerate their actions, have sealed the fate of countless lives in Somalia," said Unni Karunakara, MSF's international president.
"Rightful liberty is unobstructed action according to our will within limits drawn around us by the equal rights of others. I do not add 'within the limits of the law' because law is often but the tyrant's will, and always so when it violates the rights of the individual." Thomas Jefferson
"If people can’t trust not only the executive branch but also don’t trust Congress, and don’t trust federal judges, to make sure that we’re abiding by the Constitution with due process and rule of law, then we’re going to have some problems here." - Barack Obama, June 7, 2013