Sudan Crisis: How to Help

On April 15, violent conflict erupted in Sudan between the Sudanese Armed Forces and the Rapid Support Forces and has continued for months despite multiple failed cease-fire agreements. So far, the violence has claimed the lives of 1,081 people and injured 11,714, according to the Federal Ministry of Health (FMoH), and millions more have been displaced.

The country’s health system stands on the brink of collapse, with health workers unable to access the medicines and supplies they need to care for their communities.

>> Read about Project HOPE’s full response in our latest situation report here.

>>Read quotes from Project HOPE’s President and CEO, Rabih Torbay, and our partner, Nada Elazhar for Disaster Prevention and Sustainable Development (NADA).

>> Listen to Dr. Rashid Mukhtar speak to the worsening health crisis in Sudan as conflict continues | Voice of America (VOA).

Here are five things to know about the crisis in Sudan and why we must act.

1. Health workers and health facilities are being targeted.

The World Health Organization (WHO) has verified at least 46 attacks on health workers and facilities, and the Sudan Doctors Union reports that at least 21 health workers have been killed, including doctors, staff, and medical students.

In addition to bombings, health facilities have been occupied and looted, creating widespread shortages of medicines and medical supplies. According to the United Nations, around 67 percent of hospitals in the affected areas are closed and 60 percent of health facilities across the country remain non-functional.

“Nonstop violence has made it incredibly difficult to deliver medicine or medical supplies to conflict zones. Hospitals are running out of oxygen, blood supply, and lifesaving drugs by the hour and health workers are working beyond the point of exhaustion,” said Project HOPE CEO & President, Rabih Torbay. “Health workers across the country have faced compounding crises over recent years and now, they must go to work while fearing for their lives and the safety of their families as health centers and civilians continue to be targeted. Without access to critical health services, more and more people in Sudan will be left to die.”

2. Humanitarian aid has been significantly disrupted.

Nearly all the entry points into Sudan are closed or extremely difficult to navigate, causing uncertain and lengthy delivery times for urgently needed medical supplies and medicine. Access to cash, electricity, internet, and fuel is limited and intermittent. In the conflict zones, there are serious water and food shortages and the prices of basic commodities have skyrocketed.

Right now, 24.7 million people — more than half the country’s population — require urgent humanitarian support. But, without secure access to supply routes, humanitarian actors are unable to operate at full capacity.

Even before this conflict, Sudan was already in a dire humanitarian situation. The country’s health system was fragile due to both a lack of skilled health workers and inconsistent access to health care in rural areas. These factors contributed to high child and maternal mortality rates, as well as an increased number of deaths from outbreaks of communicable diseases. The current conflict has only exacerbated these and other humanitarian challenges.

3. Millions are being displaced.

According to the latest data from the United Nations International Organization for Migration (IOM), about 2.1 million people have been internally displaced and almost 645,000 people have fled across the border into neighboring countries, including Egypt, Libya, Chad, Central African Republic, South Sudan, and Ethiopia. Of those making the difficult decision to flee, many arrive at their destination with injuries and urgently need medical care and humanitarian assistance.

The region recently entered its rainy season and flooding could pose additional concerns for displaced communities, particularly those living in shelters. Additionally, overcrowding and a lack of clean water increases the risk of contracting and spreading infectious and waterborne diseases.

Before this crisis, Sudan was already home to around 3.8 million internally displaced people, the majority of whom lived in Darfur and required severe humanitarian assistance.

4. Children and women are at extreme risk for harm.

Women and children are being targeted and are in urgent need of protection. According to UNICEF, over one million children have been displaced, 330 have been killed, and over 1,900 have been injured since April 15.

More than 13 million children urgently need humanitarian support. During times of conflict like these, children are also at an increased risk for other protection concerns, including abuse and gender-based violence (GBV).

As another result of the insecurity in Sudan, there is a severe shortage of reproductive and maternal health services. Over 2.6 million women and girls of reproductive age urgently require health assistance — including approximately 262,880 who are pregnant, according to the WHO and United Nations Population Fund. Without action, current conditions will increase the risk of maternal and neonatal deaths.

UNHCR is reporting that women and girls are experiencing sexual and gender-based violence, and that the lack of health services have left many without medical care, including emergency contraceptives or HIV medication. Rape has long been used as a weapon of war in Sudan, according to Human Rights Watch.

5. This isn’t the first time Sudan has been inadequately supported in the face of extreme need.

Twenty years ago, Sudan broke out in a civil war between the national government – led by then President Omar al-Bashir – and two rebel groups in Darfur, the Sudan Liberation Army (SLA) and the Justice and Equality Movement (JEM). The government in Khartoum responded by launching a violent counterattack in Darfur, led by a militia group called Janjaweed. This counterattack targeted Black – or non-Arab – Africans in Darfur and used ethnic cleansing, sexual violence, and torture as weapons of war. The ensuing genocide claimed the lives of approximately 300,000 people and displaced two million more, and catapulted the country into a state of sustained insecurity over the next two decades.

How Project HOPE is Responding

Project HOPE began coordinating with our local partner, Nada Elazhar for Disaster Prevention and Sustainable Development (NADA), since the conflict broke out and has provided financial support for NADA to provide vital training for health care workers, sexual and gender-based violence case management, mental health and psychosocial support, and PSAs and workshops on unexploded ordnance.

In August 2023, Project HOPE delivered two Interagency Emergency Health Kits (IEHKs) to Al-Nau Hospital in Omdurman, a city near Khartoum. These IEHKs will serve the primary health care needs of 20,000 people for up to three months. In addition, a shipment of 36,000 bottles of antibiotics is en route and our team is readying additional supplies for future delivery.

Project HOPE is continuing to secure funding and additional supplies to support the humanitarian needs in Sudan. We will continue to adapt our intervention and actively coordinate with both local and international actors to address the greatest needs as the context evolves. Project HOPE echoes our counterparts in calling for the designation of safe and secure delivery routes for the provision of urgently needed humanitarian assistance.

>>Get the latest updates on our response here.