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The three‑year Sudanese civil war has shattered the country’s health system, leaving patients like diabetic Murtada Mohieddin to grapple with scarce, often spoiled insulin and a flood of unregulated medicines.War‑Driven Collapse of Sudan’s Pharmaceutical ProductionThe conflict between the Sudanese Armed Forces (SAF) and the Rapid Support Forces (RSF) has shut hospitals, health centres and domestic drug factories. Yasser Ahmed Youssef, a pharmaceutical industry expert, notes that pre‑war factories once produced large quantities of life‑saving drugs, but today most production lines are silent.More than 50,000 people killed14 million displaced (≈25% of the population)40% of health facilities nationwide non‑operational (HeRAMS, Oct 2025)87% closed in Khartoum, 85% in North KordofanHumanitarian Numbers Highlight a Deepening Health CrisisA WHO release (14 April 2026) labels Sudan the world’s largest humanitarian crisis: 21 million people lack basic healthcare out of 34 million in need of aid.UNFPA (Aug 2025) reports that the only functioning maternity hospital in el‑Fasher faces imminent closure due to medicine shortages.Smuggling Networks Flood Market with Dangerous “Boko” MedicinesWith formal supply chains broken, illicit “Boko” medicines—especially intravenous malaria drugs—are entering the market without temperature control or quality checks, often arriving spoiled.Mutawakil Hamza, a pharmacist in Omdurman, warns that patients now confront a double threat of exorbitant prices and life‑threatening quality issues.Unregulated drugs bypass sterility standards, risking bloodstream infections, systemic shock, or deathNational Medical Supplies Fund claims 75% availability for cancer meds and full supply for kidney patients, yet overall warehouses have collapsedOutlook: Humanitarian Aid and Health System Recovery ChallengesInternational deliveries face up to 90 days transit times from Douala via Chad, while armed groups repeatedly target medical facilities—e.g., drone attacks on Al‑Daein Teaching Hospital (20 Mar 2026, 64 dead) and Al‑Jabalain Hospital (2 Apr 2026, 10 staff killed).WHO Director‑General Tedros Adhanom Ghebreyesus called for renewed international solidarity, emphasizing that without decisive political and humanitarian action, Sudan’s health system may edge toward total collapse.

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.

Escalating Deadlock: Why Recent Sudanese Peace Initiatives Stalled The promise of a swift end to Sudan's civil war has faded as ceasefires crumble and diplomatic talks stall. While the Riyadh Agreement and subsequent UN‑backed rounds raised hopes, deep‑seated mistrust between the Rapid Support Forces (RSF) and the Sudanese Armed Forces (SAF) has kept the conflict alive. Fragmented Negotiations and Competing Power Centers Multiple parallel tracks – the African Union, the United Nations, and Gulf states – have pursued overlapping agendas, creating contradictory pressure points. Neither the RSF nor the SAF recognizes the other as a legitimate negotiating partner, leading to repeated walk‑outs. Regional rivals, notably Egypt and Ethiopia, back different factions, turning the peace process into a proxy arena. Humanitarian Costs and Economic Toll: Numbers Behind the Stalemate By May 2026, the United Nations estimates over 5.2 million people displaced internally, with 1.8 million seeking refuge abroad. Casualties exceed 400,000 since the war resumed in 2023, according to the International Committee of the Red Cross. Sudan’s GDP contracted 12 % in 2025, and inflation surged past 250 %, eroding public services and fueling further unrest. Regional Ripple Effects: How Sudan’s Conflict Undermines Stability Border clashes have spilled into South Sudan and Chad, threatening a broader East‑African security crisis. Refugee flows strain humanitarian budgets in neighboring countries, prompting donor fatigue. Disruption of the Nile’s upstream water projects raises tensions with Egypt, complicating any diplomatic breakthrough. Paths Forward: Scenarios for Renewed Diplomacy UN‑led inclusive summit – a single‑track conference that forces both parties to sit together under a binding ceasefire framework. African Union mediation with a phased implementation plan tied to concrete security guarantees. Increased economic incentives – targeted sanctions relief and reconstruction funds – contingent on verifiable disarmament steps. Without a coordinated, inclusive approach that addresses both the power dynamics on the ground and the regional interests at play, peace efforts are likely to remain episodic and ineffective.

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.

The Detention Crisis in El-Fasher Thousands of people remain detained in poor conditions by the paramilitary Rapid Support Forces (RSF) in el-Fasher in western Sudan, according to a local NGO. The Scale of Detention The Sudan Doctors Network said on Monday that 20 doctors, more than 1,470 civilians, and 907 military personnel are being held in “dire” conditions in multiple detention facilities in the city. 20 doctors detained Over 1,470 civilians detained 907 military personnel detained Conditions in Detention Centers The NGO said in a statement that the RSF is reportedly committing “severe violations” inside the detention centers in el-Fasher, “including killings during torture and interrogation, as well as ethnically motivated killings”. The group reports that 370 women and 426 children are among those held in facilities including Shalla Prison, a children’s hospital, and cargo containers. Humanitarian Crisis The detention centers have faced a cholera outbreak since early February, with poor environmental conditions, a lack of clean water, and malnutrition making the spread of diseases more rampant. The capture of the doctors, alongside a “critical” shortage of medical supplies, has debilitated the health sector, the NGO warned. The Background of the Conflict Sudan descended into conflict three years ago when a rivalry between army chief Abdel Fattah al-Burhan and RSF commander Mohamed Hamdan “Hemedti” Dagalo exploded into all-out war. The RSF and the Sudanese Armed Forces (SAF) have been fighting a vicious civil war since April 2023, which has killed hundreds of thousands and displaced millions to create the “world’s worst humanitarian crisis”, according to the United Nations.

Sudan's power grid has collapsed, leaving many towns and cities without electricity. The crisis has been worsened by the ongoing war between the Sudanese Armed Forces and the Rapid Support Forces, now in its fourth year. The country's reliance on imported fuel has been disrupted, driving up costs and further straining the economy.In Khartoum, residents like Husna Mohamed are struggling to cope with the daily burden of fetching water and managing household chores without electricity. Fuel prices have surged by over 40% in recent weeks, making it difficult for people to afford basic necessities. The Sudanese pound has also lost roughly 20% of its value against the US dollar.The economic impact is being felt across various sectors. Transport costs have risen, and food prices are increasing, with a 10-kilogramme bag of sugar rising from 28,000 to 35,000 Sudanese pounds in just one week. Merchants are hesitant to sell, waiting to see how prices will develop.Economist Mohamed al-Tayeb notes that Sudan's economy is especially vulnerable to energy disruption due to its heavy reliance on land transport and power-dependent production. The crisis is not only economic but also infrastructural, with informal and makeshift power poles causing frequent failures across the grid.Local solutions, such as solar panels and shared generators, are being implemented, but they remain partial and fragile. The crisis has exposed the limited margin for error in Sudanese households, which were already absorbing multiple shocks, including the war, currency collapse, and displacement.

Why does the war in Sudan persist three years after it began? According to the latest episode of Al Jazeera’s podcast The Take, the answer lies in the network of external actors that continue to fund and arm the warring factions – the Sudanese Armed Forces (SAF) and the Rapid Support Forces (RSF). The episode, hosted by journalist Malika Bilal and featuring political analyst Dallia Abdelmoniem, explores how regional and global rivalries have turned Sudan into a proxy battleground. With the United States and Israel engaged in a broader confrontation with Iran, and tensions in the Strait of Hormuz inflating oil prices, the cost of fuel and food in Sudan has surged, worsening an already dire famine situation. Key insights from the discussion include: Foreign financing and arms supplies keep both the SAF and RSF operational, preventing a decisive military outcome. US‑Israel‑Iran dynamics divert international attention and resources, allowing the Sudanese conflict to fester. Rising global fuel prices driven by Strait of Hormuz instability increase transport costs, making humanitarian aid more expensive and less accessible. Food price spikes exacerbate famine risk for millions of displaced Sudanese, deepening the humanitarian crisis. The podcast also notes that without a coordinated diplomatic push to address the external backers and the broader geopolitical tensions, a sustainable cease‑fire remains unlikely. Production credits go to Tamara Khandaker (producer), with contributions from Noor Wazwaz, Sari el‑Khalili, Spencer Cline, Chloe K Li, and Tuleen Barakat. Editing was handled by Alexandra Locke, while Alex Roldan provided sound design and Hisham Abu Salah and Mohannad al‑Melhem managed video editing. Listeners can follow the conversation and future episodes on X, Instagram, Facebook, and YouTube.

Sudan's civil war, now in its fourth year, has plunged the country into one of the world's most severe humanitarian crises. The conflict, which began on April 15, 2023, between the Sudanese Armed Forces (SAF) and the Rapid Support Forces (RSF), has resulted in 14 million people being forced to flee their homes, roughly a quarter of the country's population.The war has caused widespread destruction, with 40,000 people estimated to have been killed and 21 million people facing acute food insecurity, including 6.3 million in emergency conditions. The country's healthcare system is in shambles, with over 200 attacks on healthcare facilities since the war began, resulting in at least 2,052 deaths.Human rights abuses are rampant, with serious violations including massacres, forced recruitment, and arbitrary arrests. Women and girls are particularly vulnerable to conflict-related sexual violence, with 3,396 survivors of sexual violence seeking treatment in MSF-supported health facilities across North and South Darfur between January 2024 and November 2025.The international community has attempted to mediate a ceasefire, but efforts have repeatedly failed. The conflict has also disrupted humanitarian operations, with regional instability affecting supply chains and limiting the movement of goods.The situation on the ground remains dire, with millions surviving on one meal a day and famine already confirmed in multiple areas. The international community must continue to pressure the warring parties to reach a ceasefire and provide urgent humanitarian assistance to those affected.

"Bloody unacceptable" – those were the words of UN humanitarian chief Denise Brown as she condemned the failure to halt a war that has now entered its fourth year. The conflict, which began with rival generals overthrowing Sudan’s civilian leadership, has eclipsed global crises in Ukraine, Gaza and Iran, yet remains largely ignored. The Berlin‑hosted international conference aims to inject urgency into a situation where tens of thousands have been killed, four million have fled abroad, and millions more are internally displaced. Roughly 30 million Sudanese – more than half the population – now face acute food insecurity, and large swathes of Khartoum lie in ruins. Violence has not abated. The paramilitary Rapid Support Forces (RSF), led by Gen. Mohamed Hamdan Dagalo, have established a rival administration in western Sudan. In the siege of El Fasher, an estimated 10,000 civilians were massacred – a UN mission described the atrocity as bearing the hallmarks of genocide. Both the RSF and the Sudanese Armed Forces (SAF) under Gen. Abdel Fattah al‑Burhan have deliberately targeted civilians, carried out summary executions, tortured detainees and increasingly employed drones to devastate urban areas. Gen. Burhan, whose government enjoys international recognition, refuses any compromise, insisting the RSF must first disarm and retreat to camps before any national dialogue. The RSF, meanwhile, demands a new federal system and the removal of Islamist elements – a stance that directly challenges Burhan’s coalition. In September, a US‑led mediation team that included Saudi Arabia, the United Arab Emirates and Egypt outlined a tentative roadmap: a humanitarian truce leading to a cease‑fire and subsequent political talks. Yet the United States has shown little appetite to prioritize Sudan, and the plan sidestepped the most contentious issues. The deeper scandal, according to diplomats and analysts, is the role of external actors in sustaining the war. Despite denials, the UAE is widely reported as the principal backer of the RSF, while Saudi Arabia and Egypt back Burhan’s forces. Recent Yale research points to Ethiopian collusion with the RSF, raising fears of a broader regional conflagration. European states, which previously funded Sudanese security to curb migration, have inadvertently strengthened the RSF and supplied weapons now used on the battlefield. The ongoing Iran‑Israel conflict further hampers relief efforts, inflating costs and limiting aid deliveries. Community kitchens that once fed countless families are disappearing – more than 40 % have closed in the past six months. The Berlin delegates must therefore boost support for Sudan’s grassroots mutual‑aid networks, but humanitarian assistance cannot replace a durable peace. Pressure on the UAE and other geopolitically motivated actors is essential if the international community hopes to halt the suffering of millions of Sudanese.