Sudan: "It feels like no one cares"

19 Nov 2024

The conflict in Sudan—the world's largest internal displacement crisis—continues to rage, impacting millions. 

Dr Mohamed Bashir, MSF's former deputy medical coordinator in Sudan and now on assignment in South Sudan, shares his reflections on the far-reaching conflict as both medical humanitarian and a Sudanese person.

Sudan

People wait in line to register at the Integrated Community Case Management (ICCM) health post outside at Gomgoi camp for displaced persons, Twic, South Sudan | August 2024 © Sean Sutton/Panos pictures 

Sudan and its suffering people have slipped down the world's list of priorities—forgotten by the media, neglected by political will, and overlooked by the humanitarian donor institutions that should be putting this catastrophe front and centre. I ask myself: What can I do as an individual? My resolve is clear—I will continue to support those crushed by this brutal war. 

Although I'm physically far away, the effects of the war are ever-present, pulling me back with every news update as I compare the devastation that I hear of with the global news headlines that seem to barely notice. Here in Twic County in South Sudan, many of our patients are South Sudanese returnees who have been displaced twice in about a decade. Thousands of Sudanese refugees have also crossed into different parts of South Sudan, scattered in host communities or crowded into refugee camps.

I know this pain.

This war continues to torment us, tearing families apart. Those fleeing Sudan share the same stories of loss, uncertainty, and fading hope for peace. I know this pain too well.

Internal borders and front lines controlled by warring parties have sliced through a nation where lives are being lost, homes destroyed, and livelihoods wiped out.

As for the people—us—we are left alone.

Amid all this, I plead with the world: Do not let Sudan slip from your attention. 

Dr Mohamed Bashir
Former deputy medical coordinator in Sudan

My family escaped Khartoum, among the millions displaced, not once but several times in just 18 months. They left everything behind, with no clear path to survival and little attention from the world. We are still suffering from the disappearance of a relative of mine, a civilian taken from his home by a warring party over 10 months ago. We have no news—no information about his health or whether he will ever be released.

Even for those who escape the violence or reunite after separation, new challenges arise—floods, disease outbreaks—under a collapsed healthcare system. Most hospitals lie destroyed. Those that remain functional are marooned without medicine, staff, or resources. This is deliberate deprivation; a cruel tactic of war.

Surviving on the bare minimum, people have been left waiting for a miracle, yet more displacement, or even worse: death.

Sudan

A woman heads for the makeshift market on the outskirts of Gomgoi camp for displaced persons, Twic, South Sudan. | August 2024 © Sean Sutton/Panos pictures 

Do not turn away.

Despite all this, I’m here to share our resilience. As humanitarians—medics, logisticians, and nurses—we do everything we can to support those in need. Every small act matters, and every effort counts.

This is exactly what I’ve been doing for the past months in Twic as the MSF project medical referent at Mayen Abun County Hospital. 

The area was already overwhelmed by humanitarian needs, having witnessed previousely internal displacement of thousands of South Sudanese uprooted due to inter-communal violence in Agok in 2022. It’s a place where the health system has collapsed, burdened by malaria, hepatitis E, and malnutrition.

The work here provides a window into another dimension of my country’s war. I see firsthand the dire conditions faced by those who forced to flee Sudan. What astonishes me even more is how overlooked this crisis remains—there is so little mainstream knowledge about the displacement of Sudanese people to South Sudan, Chad, and other countries, despite the overwhelming needs of families seeking refuge.

We live in a time of escalating crises—both manmade and natural. The casualties of today's wars, in different places and contexts, are almost too tragic to comprehend. 

Amid all this, I plead with the world: Do not let Sudan slip from your attention. At times, it feels as though no one cares, as if Sudan has been deliberately deprioritised by the global decision makers, pushed aside for other crises. How much longer can we tolerate this inaction?

MSF continues to collaborate with the South Sudanese Ministry of Health to run surgical and emergency medical activities in the only secondary healthcare facility in the Abyei Special Administrative Area.

Due to ongoing inter-communal violence in South Sudan and the toll of the war in Sudan, MSF teams in Abyei and Twic are handling a continuous influx of violence-related surgeries.

From January to June 2024, MSF conducted 16,885 emergency consultations and performed 1,914 surgical operations.
Of these, 815 patients required care for violent trauma, including gunshot wounds, blast injuries, and stabbings. 
Despite these efforts, there remains a significant shortage of hospital care in this region, along with limited surgical capacity and operating theatre availability.

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As an independent, impartial and neutral medical humanitarian organisation, Médecins Sans Frontières can respond rapidly to emergency situations and deliver urgent medical treatment to people in need, no matter where they are.
 
By making a donation, you can help ensure that MSF staff can provide medical assistance during times of crises where it is needed most—in Sudan, and around the world. 
 

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