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Executive Overview: Rise of a Paramilitary PowerhouseThe article examines the emergence of the Rapid Support Forces (RSF) as a decisive actor in Sudan’s recent history, tracing its journey from a loosely organized militia to a state‑backed paramilitary organization that now commands significant political influence.From Janjaweed to RSF: The Organizational TransformationKey milestones in the RSF’s evolution include:2003‑2005: Formation of the Janjaweed militias during the Darfur conflict.2007: Official integration of Janjaweed units into the newly created RSF under the guidance of Mohamed Hamdan “Hemedti” Dagalo.2013‑2019: Expansion of RSF’s mandate beyond Darfur, taking on roles in border security, disaster response, and internal policing.Funding, Armaments, and Manpower: Quantifying the RSF’s GrowthAvailable data indicate a rapid scaling of resources:Estimated personnel: ~100,000 fighters by 2025.Annual budget: reported at $1.2 billion, sourced from state allocations, mining revenues, and private contracts.Armament profile: acquisition of heavy weapons, armored vehicles, and limited air support, often procured through regional networks.Regional Stability and Governance: Why the RSF MattersThe RSF’s growing clout has reshaped Sudan’s power balance:It operates as a parallel security apparatus to the regular army, influencing political negotiations.Its involvement in the 2023‑2024 civil unrest heightened concerns among neighboring states about spill‑over effects.International actors, including the United Nations and the African Union, have called for clearer oversight to prevent human‑rights violations.Future Trajectories: Scenarios for Sudan’s Security ArchitectureAnalysts outline three plausible paths:Integration: Formal merger of the RSF into the national armed forces under a unified command.Fragmentation: Continued rivalry with the army, risking prolonged conflict.External Mediation: International pressure leading to a power‑sharing agreement that limits RSF autonomy.Each scenario carries distinct implications for Sudan’s political stability, economic recovery, and regional security environment.

US Funding Reductions Threaten Maternity Care in CAR's Vakaga ProvinceSudanese refugee women in northeastern Central African Republic (CAR) are confronting a growing danger of dying in childbirth after recent cuts to U.S. foreign assistance have weakened the limited maternity services that were already stretched thin.In the remote Vakaga province, a handful of clinics in and around the border town of Birao—supported by the United Nations Population Fund (UNFPA)—provide antenatal check‑ups, emergency obstetric care, and basic delivery services for both refugees and host‑community women. Those services depend heavily on international funding, especially contributions from the United States that pay for midwives, medicines, and essential equipment.Maternal Mortality Context and Refugee Influx NumbersTens of thousands of people have fled fighting in Sudan’s Darfur region and entered CAR, overwhelming a health system that was already fragile.CAR ranks among the countries with the highest maternal mortality rates worldwide.Recent funding reductions have forced some clinics to cut overnight staffing and outreach activities, increasing the risk that women will deliver at home without skilled assistance.Consequences for Refugee and Host CommunitiesRefugee women, many arriving while pregnant after days of walking through the bush, face multiple health threats: malnutrition, malaria, untreated infections, and a lack of prior exposure to skilled midwives. Complications such as obstructed labour, haemorrhage, and eclampsia are common and can be fatal without rapid intervention.Local women in Vakaga experience similar challenges. Poor road infrastructure, insecurity, and a shortage of ambulances mean that reaching the nearest clinic can take hours. When facilities run low on supplies or staff, families often resort to traditional birth attendants or delay seeking care until it is too late.What Future Funding Scenarios Could Mean for Maternal HealthUN and NGO officials warn that further cuts could lead to the closure of maternity wards, a reduction in trained midwives, and the scaling back of emergency referral systems. Such setbacks would reverse recent gains in encouraging facility‑based deliveries.Humanitarian agencies are urging donors to sustain—and ideally increase—support for maternal health services in CAR, arguing that the cost of maintaining midwives and basic obstetric care is modest compared with the human cost of preventable deaths. Predictable funding is essential to protect both refugee and host‑community women in one of the world’s poorest nations.

Acute Hunger Surge Amid Sudan’s Three‑Year ConflictThe Integrated Food Security Phase Classification (IPC) released a stark update on Thursday, confirming that nearly 19.5 million Sudanese are confronting acute hunger, representing over 40 percent of the nation’s population. The ongoing clash between the Sudanese Armed Forces (SAF) and the Rapid Support Forces (RSF) has crippled food production, disrupted supply routes, and forced millions into displacement.IPC Findings Reveal Scale of Food InsecurityThe report highlights fourteen hotspots across North Darfur, South Darfur, and South Kordofan where famine risk is highest. In these zones, roughly 135,000 people are already experiencing “catastrophic” hunger levels. Cities such as el‑Fasher and Kadugli, previously under siege, remain vulnerable despite recent military shifts.Numbers Paint a Grim Picture: 19.5 Million in Crisis19.5 million people facing acute hunger (down from 21.2 million last year)825,000 children projected to suffer severe acute malnutrition14 regions at imminent famine risk135,000 individuals in “catastrophic” hungerGrace Oongee of the Norwegian Refugee Council warned that families are resorting to “very negative coping mechanisms,” including eating leaves, animal feed, and even breaking into closed slaughterhouses for meat skins.Humanitarian Fallout and Regional Ripple EffectsAccess restrictions, ongoing drone strikes, and the targeting of markets, hospitals, and power stations have compounded the crisis. The UN’s human‑rights office records at least 880 civilian deaths from drone attacks since January. Additionally, the broader geopolitical climate—particularly the US‑Israel conflict with Iran—has driven up food, fuel, and fertilizer prices, jeopardizing the upcoming harvest season.Looking Ahead: Famine Risk and Aid ImperativesWith Sudan’s rainy season approaching in July, the lean planting period could exacerbate food shortages. The IPC cautions that renewed siege‑like conditions around key supply corridors, such as El Obeid in North Kordofan, could push more areas into famine. Immediate, unhindered humanitarian assistance and sustained international attention are essential to prevent the situation from becoming an invisible, yet catastrophic, crisis.

The Unfolding Humanitarian Catastrophe in SudanRecent coverage by Al Jazeera underscores that the conflict‑driven crisis in Sudan has spiraled into a humanitarian disaster that is not fully reflected in official statements. Ongoing fighting, economic collapse, and disrupted services have left millions without reliable access to food, water, and medical care.Discrepancies Between Official and Independent Impact EstimatesGovernment and UN agencies cite approximately 9 million people in need of assistance.Independent NGOs and local monitors report figures that are significantly higher, suggesting the true number may be well above 12 million.Displacement data show a rapid rise in internally displaced persons (IDPs), with major camps in Darfur and Khartoum swelling beyond capacity.Regional Ripple Effects and International Response GapsThe worsening situation is straining neighboring countries, prompting a surge in cross‑border refugee flows into Chad, Ethiopia, and South Sudan. Meanwhile, donor fatigue and competing crises have slowed the mobilization of additional aid, leaving critical gaps in nutrition programs and health services.Scenarios for the Next Six MonthsOptimistic outlook: A negotiated ceasefire could unlock humanitarian corridors, allowing aid agencies to scale up operations.Moderate outlook: Continued low‑level fighting maintains high displacement levels, with incremental aid deliveries but no major breakthrough.Pessimistic outlook: Escalation of hostilities leads to further collapse of infrastructure, pushing the number of people in acute need beyond current estimates.

The Human Toll of Sudan’s Famine‑Driven DisplacementWhen Marasi Alfadil arrived in Omdurman with her children, the half‑finished building she found offered only a thin shield from the violence that drove her from el‑Fasher. Her story mirrors that of countless Sudanese families forced to abandon their homes as a UN‑declared famine tightens its grip on western and central Sudan.Escalating Siege and Famine in Darfur and KordofanSince the Rapid Support Forces (RSF) seized el‑Fasher after an 18‑month siege, blockades have cut off food, fuel and medicine. Markets have collapsed or become unaffordable, and the Integrated Food Security Phase Classification system officially labeled the situation a famine in November 2025. Similar conditions now grip Kadugli and at least twenty other locales across Darfur and Kordofan.Scale of Hunger and Displacement: Key Numbers375,000 people are in the most extreme level of hunger, concentrated in North Darfur, South Kordofan and West Kordofan.By the end of 2025, almost 12 million Sudanese were internally displaced, the world’s largest displacement crisis.The UN estimates that 25 million people – more than half the population – face crisis‑level food shortages, including 4.2 million children under five.Humanitarian funding gaps persist, limiting aid deliveries to displaced families in Omdurman and other safe‑zone cities.Regional Instability and Humanitarian Access CrisisThe ongoing clash between the Sudanese Armed Forces (SAF) and the RSF has turned large swathes of western Sudan into inaccessible war zones. The European Union‑funded Global Network Against Food Crises reports that conflict‑related restrictions have “devastating effects on food security,” hampering both local markets and international relief operations.Families like Taqwa, who fled Heglig with newborn twins, now depend on sporadic aid while facing soaring food prices in Khartoum’s capital region. The scarcity of cash, combined with limited livelihood opportunities, deepens the cycle of vulnerability.Outlook: Aid Gaps and Prospects for StabilisationWithout a negotiated ceasefire and a robust funding surge, the famine could expand beyond the current hotspots. Experts warn that continued RSF blockades will push more districts into the “extreme hunger” category, potentially triggering a secondary humanitarian emergency.International actors are urged to:Accelerate diplomatic pressure for a durable ceasefire between the RSF and SAF.Mobilise an additional $1 billion in emergency food assistance to bridge the current funding shortfall.Secure safe corridors for humanitarian convoys in Darfur and Kordofan.Until these measures materialise, families like Marasi and Taqwa will remain on the front lines of a crisis that threatens to reshape Sudan’s demographic and economic landscape for years to come.

East Darfur, Sudan — Hawa Adam did not expect a childhood illness to kill her son. Ali was two years old when he fell sick on February 25 in Labado, in Sudan’s East Darfur state. He died two days later.“I thought it was one of the ordinary childhood diseases,” the 37-year-old told Al Jazeera. “I never imagined I would lose my child to this epidemic.”Hawa attributes his death to the absence of basic medical care – no vaccination, no qualified doctors. “Most doctors”, she says, “left the area after the war broke out, forcing those with means to seek treatment abroad, in South Sudan or Uganda.”The Collapse of Routine Immunization in East DarfurA measles outbreak has struck several Labado districts since March, killing approximately 70 people and infecting about 1,000 others across 12 residential neighbourhoods, in a population of roughly 12,000, which includes displaced people who arrived during the war, according to Mohamed Abdel Aziz, 32, coordinator of the Labado crisis unit.Those numbers were disputed by East Darfur’s health director, Dr Jabir al-Nadeef, who confirmed to Al Jazeera that measles has struck four districts of the state, but only reported 300 cases and 26 deaths, figures that diverge substantially from those documented by the Labado emergency room.“Vaccines only arrived on April 11 from Chad via UNICEF [United Nations Children’s Fund ], after a prolonged period with no supply, and a vaccination campaign is scheduled to run from April 18 to 24 across the state,” he said.Measles is one of the world’s most contagious diseases, spread by contact with infected nasal or throat secretions or breathing in air that was breathed out by someone with measles, according to the World Health Organization (WHO). Outbreaks can result in severe complications and deaths, especially among young, malnourished children.Transmission: Contact with infected secretions or airborne particles.Current Coverage: Measles vaccination has fallen to 46 percent.Routine Immunization: First dose of diphtheria, tetanus, and pertussis dropped to 48 percent in 2024.Quantifying the Human Cost: Disputed Death Toll and Economic BarriersThe first measles cases in Darfur in the current outbreak were recorded in January, according to UNICEF. It is unfolding against the backdrop of a near-total collapse of public health infrastructure across Darfur, where war has gutted facilities, halted routine vaccination and driven out medical personnel.“We discovered the outbreak by accident,” Abdel Aziz, the coordinator, told Al Jazeera. The teams had been conducting home visits for a fire-prevention workshop when they saw the scale of the outbreak, with almost half of the homes visited having measles cases.In the al-Nil neighbourhood, Ismail Issa, 38, lost his two-year-old daughter Makarem on March 11. His brother Ahmed lost an 18-month-old son, Issa, on March 25. Then Hasan, the three-year-old son of Ismail’s sister Medeeha, died on March 23. All three families live in adjoining homes, and the infection passed between them.Abdel Aziz traced much of the death toll directly to a supply failure. Medicines ran out at the government health centre on February 23. Drugs remain available at private pharmacies, but most residents cannot afford them.Intravenous fluids: 8,000 Sudanese pounds ($20.50).Antibiotics: 10,000 to 15,000 pounds ($25.60 to 38.40).A Public Health Catastrophe UnfoldingAsmaa Jalaluddin, 28, lives in the Dar al-Naim West neighbourhood of Labado with her three children. Her three-year-old daughter, Mashaer Rajab al-Sheikh, fell ill on April 5 with fever, diarrhoea and persistent vomiting. She stopped eating and kept her eyes shut for four days.On April 8, Asmaa took her to the Labado health centre, where she was told her daughter had measles. With no medicines available, she was directed to travel to Shuairiya, 40 kilometres north. There, on April 10, Mashaer received fever reducers and vitamins and slowly began to open her eyes again. She was discharged two days later.Local doctors are now calling for intervention from international health organisations, noting that diseases that had been eliminated are returning.UNICEF spokesperson for Sudan, Eva Hinds, told Al Jazeera that “measles cases continue to be reported across Darfur, with insecurity, displacement, damaged health facilities, and prolonged disruption to routine immunisation all constraining the response.”UNICEF says that a measles-rubella vaccine catch-up campaign has been completed across all localities in Central Darfur and West Darfur, as well as parts of North and South Darfur, reaching approximately 2.1 million children aged nine to 14. Vaccination in remaining areas, including East Darfur, is scheduled for mid to end of April, aiming to reach close to 750,000 children across all nine of the state’s localities.The Long Road to RecoveryFor the families of Labado, the calendar offers little comfort. In the al-Nil neighbourhood, three siblings buried their children within days of one another over the Eid holiday. In Dar al-Naim West, a mother counts the days until her daughter’s 14-day isolation ends. In the Safaa neighbourhood, Hawa Adam has already buried hers.“They could have still been alive,” Hawa Adam said. “Those without money die in Darfur.”

The humanitarian situation in Darfur has dramatically deteriorated over the past three years, as Sudan's civil war continues to wreak havoc on the region. Residents face severe challenges, including widespread hunger, corruption through bribery, and infrastructure ruin. The crisis has left deep scars on the local population and infrastructure.The situation underscores the urgent need for international intervention and humanitarian aid to alleviate the suffering and support recovery efforts in Darfur.

The British foreign secretary, Yvette Cooper, will urge Sudan's warring parties to 'cease bloodshed' during a major conference on Wednesday, which analysts believe is unlikely to deliver a significant step towards peace.The talks in Berlin – held on the third anniversary of the start of Sudan's ruinous war – are expected to help address a catastrophic funding shortfall that is compounding the world's worst humanitarian crisis.Overall, just 16% of the humanitarian funding needed for Sudan this year has been provided by the international community as the crisis in Iran continues to dominate diplomatic channels.Britain is among the countries attending the conference that are set to announce new funding for Sudan. Cooper will unveil a doubling of UK aid to £15m for Sudanese frontline responders such as the grassroots volunteer network known as Emergency Response Rooms.With the war now entering its fourth year, and with no sign of hostilities abating between the paramilitary Rapid Support Forces (RSF) and the Sudanese army, latest assessments indicate more than 19 million people face acute hunger as a result of the fighting, while some areas are at risk of famine.The latest assessment from the Integrated Food Security Phase Classification (IPC) found 'emergency' levels of hunger across much of North Kordofan, West Kordofan, South Kordofan and North Darfur, while levels in some communities remained 'catastrophic'.It added that emergency levels of hunger were expected to spread over the coming months and that the number of people needing humanitarian aid was expected to reach 22-23 million.Despite the scale of the suffering, Cooper hopes that an end to the fighting is achievable. 'Today, in Berlin, I will call for the international community to join in a shared resolve: to secure a ceasefire and a diplomatic solution, to stop the suffering, and allow the people of Sudan to determine their own peaceful future,' she said.

The humanitarian situation in Sudan has taken a devastating turn as the country prepares to mark the third anniversary of the brutal conflict between the army and paramilitaries. Nearly 700 civilians have been killed in drone strikes in Sudan since the beginning of 2026, according to the United Nations.The increasing use of drones in the conflict has been noted by the UN's humanitarian chief Tom Fletcher, who warned that the world has "failed to meet the test of Sudan". The conflict has disrupted life across Sudan, particularly in the southern Kordofan region and areas of the west controlled by the paramilitary Rapid Support Forces (RSF).Doctors Without Borders reported two more deaths following drone strikes launched by the Sudanese army in the Darfur region, and treated 56 people wounded in the attack. The UN Children's Fund (UNICEF) said that drones were "responsible for nearly 80 percent" of the at least 245 children reported killed or injured during the first three months of the year.The UN's World Food Programme (WFP) warned that the situation is being "dangerously compounded" by the war in the Middle East, which has disrupted supply chains for aid groups. The US-Israeli war on Iran has forced aid groups to use costlier, more time-consuming routes, driving up the cost of food, fuel, and fertilizer.Nearly 34 million people, almost two-thirds of the population, need humanitarian support, making Sudan "the world's largest humanitarian crisis". The situation is dire, with hundreds of thousands of children acutely malnourished, and millions being deprived of an education. Women and girls are facing systemic and brutal sexual violence.