 Médecins Sans Frontières (MSF) reported that over 50 percent of survivors believed that the use of rape was a deliberate tactic used for the extermination of the Congolese people.While females have been the primary victims of sexual violence, men and boys are also sexually assaulted.In 2009, several non-governmental organizations including HRW and Amnesty International (AI) reported that the rape of males in the DRC was systematic, and on the increase.