Sudan: Bomb kills two children and destroys paediatric hospital

13 May 2024

Two children who were receiving care in MSF's intensive care unit at Babiker Nahar Paediatric Hospital died after an airstrike on 11 May led to a roof collapse. At least one caregiver has also died. 

This hospital was one of the few specialising in the treatment of sick children that had managed to remain operational since the start of the war in Sudan in April 2023. MSF calls on all warring parties to protect civilians and ensure the protection of health structures, as they are obligated to do under International Humanitarian Law. 

Sudan

A nurse injects antimalarial medicine into a patient in an MSF-supported ward at Babiker Nahar Paediatric Hospital in El Fasher, Sudan, where two children were killed in an airstrike on Saturday 11 May. Photo taken October 2019. © Igor Barbero/MSF

The airstrike came after heavy fighting between the paramilitary Rapid Support Forces (RSF) and the government-led Sudanese Armed Forces (SAF) in North Darfur on 10 May, when 160 wounded people— including 31 women and 19 children—arrived at the MSF-supported South Hospital in El Fasher. Of those wounded, 25 were in a terminal condition upon arrival and passed away.  

When the conflict neared Babiker Nahar, almost all patients who were able to leave fled in search of safety. Of the 115 children receiving treatment in Babiker Nahar, ten were still in the hospital on Saturday when the bomb dropped. The bomb led to a collapse of the roof above the intensive care unit and the death of two children who remained receiving treatment there, as well as the death of at least one caregiver. 

This hospital was one of the few specialising in the treatment of sick children that had managed to remain operational since the start of the war. It received referrals from across the Darfur region because so many others had been forced to close. Now, one additional health facility has been put out of action.  

"Already, there was far too little health care available in Sudan due to the conflict," says Michel-Olivier Lacharité, head of MSF’s emergency operations. 

"The original paediatric hospital was looted at the start of the war. The children were evacuated to a small health clinic that we rehabilitated and expanded in May and June last year. Upgrading a small health clinic into a functioning hospital is not an easy task—especially during an active conflict. 

"It was one of the very few children’s hospitals remaining in the whole Darfur region. We received referrals from across Darfur because of the lack of facilities elsewhere. Now we are one additional hospital down, just as we were trying to scale-up our response in El Fasher and Zamzam camp in response to the catastrophic malnutrition crisis there."

The children who were killed were in a critical condition in our ICU—their lives could have been saved. This must not happen again.

Michel-Olivier Lacharité
Head of MSF’s emergency operations

“The 115 children in the hospital were receiving treatment for conditions such as malaria, pneumonia, diarrhoea and malnutrition. Now, many are receiving no treatment at all. The children who were killed were in a critical condition in our ICU, but their lives could have been saved. This must not happen again. 

"We remind the warring parties with the utmost gravity that hospitals and health facilities must not be targeted, or become collateral damage in a conflict. We also urge them to ensure that they protect civilians—something they completely failed to do this weekend."

MSF is making an urgent call to all warring parties to protect civilians and ensure the protection of health structures, as they are obligated to do under International Humanitarian Law, and the Jeddah declaration—signed exactly one year ago on the day that the hospital was damaged and the children and caregiver were killed.