The extremist groups are mainly active in the northern and eastern regions of the country, where they have carried out attacks on schools, places of worship, and other public places, resulting in the deaths of civilians and security forces. The groups are also involved in kidnapping and extortion, and they use landmines and improvised explosive devices to disrupt government and civilian activities. The conflict has led to a humanitarian crisis, with widespread food insecurity and limited access to healthcare and education. The government has struggled to contain the violence, and there are concerns that the conflict could spread to neighboring countries, exacerbating the instability in the region.