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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.

The RSF Attack on Civilians A force affiliated with the paramilitary Rapid Support Forces (RSF) has killed at least 27 people, including elderly residents, in an attack on villages west of Bara in Sudan's North Kordofan state, according to the Sudan Doctors Network. The Cairo-based medical NGO said the attacks took place on Thursday in the al-Murrah area, describing them as “a new crime targeting unarmed civilians in areas with no military presence”. The Humanitarian Crisis in Sudan Sudan has been engulfed in civil war since April 2023, when long-running tensions between the Sudanese army and the RSF erupted into a full-scale conflict that has killed hundreds of thousands of people and displaced millions. The Kordofan region has become one of the war's main battlegrounds, with fighting intensifying across several fronts, including through drone attacks. The Impact on Civilians The Sudan Doctors Network said that “targeting villages and civilian areas and executing citizens in such a brutal manner constitutes a flagrant violation of international humanitarian law and all norms and conventions that prohibit attacks on civilians, especially amid the catastrophic humanitarian conditions people are enduring because of the ongoing war”. The group added that the “continued attacks on civilians and safe villages” are worsening the humanitarian crisis and forcing more families into displacement, suffering and the loss of their livelihoods. The Food Security Situation The attacks come as more than 40 percent of Sudan's population faces acute hunger, according to a report released on Thursday by the United Nations-backed Integrated Food Security Phase Classification (IPC). The report said nearly 19.5 million people across the country are facing severe food insecurity as the conflict drives what aid agencies describe as one of the world's worst humanitarian crises. The Call to Action The Sudan Doctors Network also called on the “international community and human rights and humanitarian organizations to condemn these violations and act urgently to protect civilians and stop the repeated attacks on residential areas by pressuring RSF leaders to end violations against civilians”.

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 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 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.

The humanitarian situation in Sudan has reached a critical point, with millions of people struggling to access adequate food. A report by a group of nongovernmental organisations (NGOs), including Action Against Hunger, CARE International, and the Norwegian Refugee Council, highlights the dire situation.The conflict, which began in April 2023, has caused widespread hunger and displaced millions of people, creating one of the world's largest humanitarian crises. The report notes that nearly three years of conflict have systematically eroded Sudan's food system, leading to mass hunger.In the two states worst hit by the conflict – North Darfur and South Kordofan – millions of families can only access one meal a day. Often, they miss meals for entire days, and many have resorted to eating leaves and animal feed to survive.The NGOs also report that communal kitchens set up to collectively prepare and share meals are struggling to stretch the scarce food available as resources dwindle. The crisis is being compounded by a worsening economic crisis and climate change.The Sudanese government has denied the existence of famine, while the Rapid Support Forces (RSF) denies responsibility for such conditions in areas under its control. However, the UN has reported widespread atrocities and waves of ethnically charged violence.According to the 2026 Humanitarian Needs and Response Plan, 61.7 percent of Sudan's population – 28.9 million people – is facing acute food shortages. The UN-backed Integrated Food Security Phase Classification has confirmed famine conditions in several areas, including el-Fasher and Kadugli.

Doctors Without Borders (MSF) has condemned a drone strike that hit Al Jabalain Hospital in Sudan’s White Nile State, killing 10 people, among them seven medical staff members. The attack, which struck an operating theatre and a maternity ward, occurred during a children’s immunisation campaign, heightening the humanitarian outcry.MSF’s Sudan emergencies chief, Esperanza Santos, said the assault was “unacceptable” and noted that several of the deceased had previously worked with the organisation. She added that the strike represents a grave violation of medical neutrality.While the perpetrators have not been officially confirmed, MSF’s statement attributes the strike to the paramilitary Rapid Support Forces (RSF), a claim echoed by Sudanese officials. On Friday, Khalid Aleisir, Sudan’s minister of culture, information, antiquities and tourism, called for the RSF to be designated a terrorist organisation and for its members to face prosecution.The incident follows a series of attacks on Sudan’s health infrastructure since the war erupted in April 2023. In a separate incident the same day, a medical supply depot in Rabak, the capital of White Nile State, was also hit. According to the World Health Organization, more than 200 attacks have targeted health facilities since the conflict began, underscoring a systematic pattern of violence against civilians.Local rights group Emergency Lawyers highlighted that recurring drone strikes across South Kordofan, Blue Nile, and the Darfur regions have displaced thousands, further straining an already fragile health system. The Sudan Doctors Network described the Al Jabalain strike as a “deliberate assault on health facilities and unarmed civilians,” warning that such actions exacerbate the nation’s deteriorating medical capacity.International observers note that the targeting of hospitals not only violates international humanitarian law but also hampers efforts to control disease outbreaks and provide essential care to vulnerable populations. The growing body of evidence may prompt renewed calls for accountability and stronger protective measures for health workers in conflict zones.

A devastating attack by Sudanese paramilitaries on South Kordofan has claimed the lives of at least 14 people, including five children and two women, according to a medical group. The Rapid Support Forces (RSF) and their allies in the Sudan People's Liberation Movement–North launched a hours-long assault on residential areas in the city of Dilling, leaving at least 23 others wounded, including seven children.The Sudan Doctors Network reported that the attack was part of a larger conflict that has ravaged the region. The military, which recently broke an RSF siege on the city, said it successfully fended off the attack on the capital of South Kordofan province.The doctors' group warned of a possible “catastrophic scenario” similar to the one that occurred in the Darfur city of el-Fasher. The RSF's invasion of el-Fasher in October was marked by “hallmarks of genocide”, according to UN-commissioned experts. More than 6,000 people were killed over three days in el-Fasher when the RSF unleashed a wave of intense violence.The war between the Sudanese army and the RSF, which began in mid-April 2023, has led to one of the world's fastest-growing man-made humanitarian crises. Over 12 million people have been forced from their homes, and more than 33 million people are in need of humanitarian aid. According to UN figures, more than 40,000 people have been killed over the past three years, although aid groups believe the true death toll could be significantly higher.Both sides have been accused of war crimes and crimes against humanity, which are being investigated by the International Criminal Court. The fighting has recently centered on Darfur and the Kordofan region, with deadly drone attacks reported daily. The UN Human Rights Office reported that more than 500 civilians were killed in drone strikes this year as of mid-March.