War in Sudan
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Thomas Kauffmann
General Director
MSF Luxembourg
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days that Sudan is experiencing the worst humanitarian crisis in its history.
MSF is one of the few international organisations working on both sides of the conflict in Sudan.
The world's worst humanitarian crisis
Since war broke out between the Sudanese Armed Forces (SAF) and the Rapid Support Forces (RSF) on 15 April 2023, millions of people have experienced intense fighting. In large parts of Sudan, particularly Darfur, the population has been the victim of ongoing violence, including intense urban warfare, shootings, bombings and air strikes. Our teams are treating patients injured by explosions, bullets and stab wounds. Health staff and facilities have been attacked and looted.
An estimated 10 million people have been displaced, 2 million of whom have sought refuge in Chad, Egypt and Southern Sudan (UNHCR).
The IDP camps lack adequate health care and humanitarian aid, and malnutrition levels are catastrophic.
Claire San Filippo, coordinatrice d'urgence de MSF, s'est récemment rendue au Tchad et au Darfour, au Soudan. Elle nous fait part de son témoignage.
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The human cost of conflict and violence
The report, ‘A war on people – The human cost of conflict and violence in Sudan’ describes how both the Sudanese Armed Forces (SAF) and the Rapid Support Forces (RSF) and their supporters are inflicting horrendous violence on people across the country. The war has wrought a catastrophic toll since fighting began in April 2023 with hospitals attacked, markets bombed, and houses razed to the ground.
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Driven to oblivion
Driven to oblivion: the toll of conflict and neglect on the health of mothers and children in South Darfur reveals the number of maternal deaths in just two MSF-supported hospitals in South Darfur between January and August to be more than seven per cent of the total number of maternal deaths in all MSF facilities worldwide in 2023. A screening of children for malnutrition also found rates well beyond emergency thresholds.
MSF's response in Sudan
In Sudan, MSF is present in eight of the country's 18 states.
Our 926 Sudanese and 118 international staff are currently working and/or supporting 14 hospitals and seven basic healthcare centres or clinics.
We also provide healthcare in mobile clinics in two camps.
Despite the difficulties, MSF's presence and the medical care we have been able to provide demonstrate that it is possible to carry out humanitarian work in Sudan. However, very often MSF teams are the only humanitarian actors in the areas where we work.
In Sudan, MSF teams :
- provide emergency medical care, including surgery, to the war-wounded and the non-war-wounded;
- run mobile clinics for displaced people;
- treat communicable and non-communicable diseases;
- provide maternal and paediatric care;
- provide water and sanitation services;
- donate medicines and medical supplies to health facilities, and provide incentives, training and logistical support to Ministry of Health staff;
- treat severe acute malnutrition ;
- and provide mental health support.
MSF emergency response (January-June 2024)
external consultations
Emergency admissions
Cases of malnutrition treated
MSF's response in border countries
Chad
More than 784,000 refugees and returnees have crossed the border between Sudan and Chad. They are living in numerous camps in Chad and are having difficulty meeting their most basic needs. Without water, food, adequate shelter and health care, people suffer from diarrhoea, malnutrition and other diseases such as malaria.
MSF teams operate in three border regions, Sila, Wadi Fira and Ouaddaï; in Ouaddaï, we work in the Adré, Metché and Al-Acha camps. The Adré camp alone is home to 180,000 people.
In Chad, we provide basic healthcare, screening and treatment for malnutrition, vaccinations and sexual and reproductive health care through existing local health centres and mobile clinics. In Adré, we also provide drinking water. In some places, we provide refugee communities with plastic sheeting, mosquito nets and bars of soap, which are essential to prevent the spread of diseases such as malaria and diarrhoea.
South Sudan
Since the outbreak of the conflict in Sudan, more than 740,000 people have crossed into Southern Sudan to seek refuge. Nearly eight out of ten are South Sudanese ‘returnees’, i.e. people who fled from Southern Sudan to Sudan as a result of the civil war that tore the country apart between 2013 and 2020. Our teams are carrying out emergency activities in Renk, Bulukat and Twic to provide refugees and returnees with health services via mobile clinics and hospitals. We are also active in Abyei.
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