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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 LeadScars of war are laid bare in daylight across Sudan’s capital, yet signs of recovery are visible along the city’s roads. While rubble is being cleared and traffic slowly returning, the reality of life in Khartoum is a stark contrast between bustling commercial strips and ghostly residential districts. Refugees and displaced residents are returning cautiously, as official statements about normalcy often clash with the ground realities.The Fragmented Heart of KhartoumThe city’s recovery is highly uneven, with wealthy districts remaining largely deserted. Areas such as Garden City, Manshiya, Riyadh, Taif, Maamoura, Arkawit, and Mujahideen in the south see little to no activity. In central Khartoum, the silence over the ruined Arab Market and city centre is profound, with most ministries and institutions still empty.However, pockets of life persist. Along Freedom Street, known for electrical appliances, and Sixty Street, a major link between north and south, shops, banks, and restaurants have reopened. Yet, the residential areas behind these commercial hubs remain quiet by day and shrouded in darkness at night due to power outages.The Ghost Towns and Booming SuburbsResident return is cautious, influenced by factors such as income, education, healthcare, and psychological trauma. Interestingly, the Karari locality in northern Omdurman has seen significant growth. As the Rapid Support Forces (RSF) were absent during the war, Karari has inherited the commercial and institutional role of Khartoum, making it a relative beneficiary of the conflict.The real estate market reflects this instability. A growing supply of homes for sale is attracting buyers, particularly in eastern districts. Property prices have fallen by 30 to 40 percent, depending on location and condition. Most buyers are traders and businesspeople looking to capitalize on low prices, though they prefer ready-built properties due to high construction costs.The Economic Strain of SurvivalFor families returning to Khartoum, daily life has become a struggle. Prices shift rapidly amid a severe economic crisis. A common phrase among shoppers is “every day brings a new increase,” forcing families to reduce consumption or rely on debt and remittances.Bread Crisis: The staple has become a burden, rising to five times its pre-war level.Imports: Most goods are imported from Egypt by land and Saudi Arabia by sea.Transport: Rising costs and worn-out buses add to the burden, though digital payments are becoming ubiquitous.The Future OutlookDespite the hardships, residents are determined to restore their way of life. The real estate market may see a rebound within a year if prices return to pre-war levels, but the psychological scars of the war and the ongoing instability in the capital will likely delay a full return for many families for the foreseeable future.

The Unfolding Humanitarian Catastrophe in SudanRecent coverage by Al Jazeera underscores that the conflict‑driven crisis in Sudan has spiraled into a humanitarian disaster that is not fully reflected in official statements. Ongoing fighting, economic collapse, and disrupted services have left millions without reliable access to food, water, and medical care.Discrepancies Between Official and Independent Impact EstimatesGovernment and UN agencies cite approximately 9 million people in need of assistance.Independent NGOs and local monitors report figures that are significantly higher, suggesting the true number may be well above 12 million.Displacement data show a rapid rise in internally displaced persons (IDPs), with major camps in Darfur and Khartoum swelling beyond capacity.Regional Ripple Effects and International Response GapsThe worsening situation is straining neighboring countries, prompting a surge in cross‑border refugee flows into Chad, Ethiopia, and South Sudan. Meanwhile, donor fatigue and competing crises have slowed the mobilization of additional aid, leaving critical gaps in nutrition programs and health services.Scenarios for the Next Six MonthsOptimistic outlook: A negotiated ceasefire could unlock humanitarian corridors, allowing aid agencies to scale up operations.Moderate outlook: Continued low‑level fighting maintains high displacement levels, with incremental aid deliveries but no major breakthrough.Pessimistic outlook: Escalation of hostilities leads to further collapse of infrastructure, pushing the number of people in acute need beyond current estimates.

The LeadRhetoric surrounding Sudan's ongoing war has escalated with both sides indicating preparedness for a decade-long conflict, with devastating humanitarian and economic consequences for the nation.Commanders' War DeclarationsRapid Support Forces (RSF) commander Mohamed Hamdan Dagalo, known as "Hemedti," recently announced that his soldiers were prepared to keep fighting "until 2040 if necessary." His remarks came days after his rival and Sudan's army chief Abdel Fattah al-Burhan vowed to keep fighting until Sudan was "cleansed" of the RSF and estimated the war could last until 2033.Both sides increasingly appear to view the war as a long-term struggle for survival and control of Sudan, with UNDP Sudan Representative Luca Renda cautioning that "the longer the war continues, the greater the misery," describing the conflict as "the economics of suffering."Humanitarian CatastropheAccording to a joint report by the United Nations Development Programme (UNDP) and Institute for Security Studies, more than 150,000 people have been killed since fighting began in 2023. Nearly 15 million people have been displaced, up to 24 million face food shortages and at least 19 million lack access to safe drinking water and sanitation.The report warns that Sudan's state institutions are on the verge of total collapse, with governance paralysed, healthcare and education systems shattered, markets destroyed, and production in agriculture, manufacturing and services severely weakened.Economic DevastationThe report projects that under a "Protracted Conflict" scenario with the war lasting until 2030, Sudan's GDP in 2043 would be US$34.5 billion lower than it would be with no war, GDP per capita would fall by roughly $1,700, while more than 60% of the population would be living in extreme poverty."A conflict lasting to 2030 would push an additional 34 million people into extreme poverty – that is the entire population of Ghana," Renda said. He warned that a $1,700 fall in per capita income in Sudan "is the difference between being a family that can eat and one that can't, between being a child who goes to school and one who goes to work."Despite Sudan's vast natural resources – including oil, gold and some of Africa's most fertile agricultural land – the war has crippled the infrastructure needed to sustain the economy. "Natural resources don't feed people on their own," Renda said, "and every year of war moves those resources further out of reach".Healthcare System CollapseHealthcare indicators point to an even more severe long-term crisis. Since the war began, an estimated 70–80 percent of health facilities in conflict zones have become non-functional because of targeted attacks and looting.At least 145 verified attacks on healthcare facilities and personnel have been documented, leaving about 65 percent of Sudan's population without adequate access to medical care. In Khartoum, only one in four hospitals remains operational in the capital.The report finds that Sudan was already seeing deaths increasing from non-communicable diseases, such as heart disease and stroke before the war. But the situation worsened after fighting escalated, with conflict-related injuries surging sharply, with more than 61,000 deaths estimated between April 2023 and June 2024 alone.Infant mortality is projected to worsen dramatically, with Sudan forecast to become one of the worst-performing low-income countries in Africa by 2043.Athar Abdalla Mohamed, a doctor and community medicine resident at the Sudan Medical Specialisation Board (SMSB), warned that the consequences of collapsing healthcare systems may continue for years after the war. "A child missing a vaccination today may become part of a preventable epidemic years later," she said.Education Crisis and Displacement"Nineteen million school-aged children have had their education disrupted, and only one in five schools is currently open," Renda said. "We are talking about a lost generation."He also warned that displacement is accelerating state collapse, as Sudan endures one of the world's worst displacement crises. "When doctors flee, clinics close. When teachers leave, schools shut," Renda explains. "Displacement doesn't just uproot people – it destroys communities and the fabric of the state, making it harder and harder to rebuild."Path to RecoveryRenda suggests that recovery remains possible if the war ends and reforms are implemented. Under a "Sudan Rising" scenario built around peace, governance reforms and economic reconstruction, Sudan's GDP could reach US$58.2 billion by 2043 – nearly US$20 billion higher than under current trends.Average economic growth could accelerate to five percent, while 17.3 million people could be lifted out of extreme poverty. "Our modelling shows what would be possible with peace this year and serious investment," Renda said. "That is a generation of work, but also a reason for hope and an irrefutable argument for doing everything possible to end the war now."Despite the scale of destruction, Dr Athar is optimistic that ongoing recovery efforts can lay the foundations for rebuilding Sudan. "I hope the ongoing efforts succeed in restoring hope, preserving what remains and helping build sustainable growth," she said.However, the trajectory appears to be moving in the opposite direction, with the doctor warning that Sudan is approaching a critical point. "Sudan cannot continue at this rate," she said. "The long term outcome depends greatly on whether efforts are made now to preserve essential services and invest in recovery before the damage becomes irreversible."Future OutlookWith both Hemedti and Burhan publicly signalling readiness for years – even decades – of war, Sudan risks becoming trapped in a cycle of state collapse, economic ruin and humanitarian devastation that could define an entire generation.

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 war between the Sudanese army and the paramilitary Rapid Support Forces (RSF) has entered its third year, yet a significant demographic shift is underway. According to the United Nations, nearly 4 million people have voluntarily returned to their places of origin in Sudan, drawn by a mix of hope for stability and the unbearable conditions of displacement. However, the International Organisation for Migration (IOM) warns that these returnees are facing a new 'struggle for survival' as they return to communities ravaged by destruction.Key DevelopmentsMassive Return Numbers: The IOM has counted 3.99 million returnees, primarily concentrated in Khartoum and the agricultural state of Al-Jazirah.Displacement Statistics: The conflict has internally displaced nearly 12 million people, with over four million fleeing to neighboring countries.Infrastructure Collapse: Returning farmers find irrigation systems and agricultural equipment destroyed, crippling food production.Funding Shortfall: The IOM’s 2026 crisis response plan requires $170 million but remains underfunded by $97.2 million.Data & Market ImpactThe returnees are not just facing psychological trauma; they are confronting a total collapse of the food system. With irrigation destroyed and equipment lost, food production is at a breaking point. This comes alongside a dire humanitarian statistic where millions are surviving on just one meal a day. The economic impact is severe, as the agricultural heartland of Al-Jazirah struggles to recover, threatening regional food security.Why This MattersThis situation represents a critical tipping point for Sudan's humanitarian landscape. The return of millions to conflict zones creates a paradox where displaced populations are moving from one crisis to another. For the broader region, the destruction of Al-Jazirah—a key agricultural state—poses a significant risk to food supplies beyond Sudan's borders. Furthermore, the failure to provide basic services to returnees risks reigniting mass displacement, potentially overwhelming neighboring countries that are already hosting millions of refugees.Expert InsightSung Ah Lee of the IOM highlights a complex motivation behind this migration: a mix of misplaced hope and desperation. 'Many are returning because they believe security has improved,' Lee noted, suggesting that the perception of stability may be outpacing reality. However, the core issue is the lack of sustainable conditions for return. Without 'urgent investment to restore essential services,' the return is not a solution but a transfer of vulnerability. The systematic erosion of Sudan's food system by siege tactics and violence means that even if security improves, the economic foundation required for survival has been dismantled.What Happens NextThe immediate future for these returnees is precarious. If the funding gap for humanitarian aid is not closed, we can expect a surge in famine-related deaths and a potential second wave of displacement. The international community must recognize that voluntary returns are only viable if accompanied by massive reconstruction efforts. Without a political resolution to the conflict between the army and RSF, and without immediate financial intervention, Sudan faces a prolonged humanitarian catastrophe that could destabilize the entire Horn of Africa region.

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.

Sudan, one of the world's most impoverished countries, has been ravaged by a civil war that began in 2023. The conflict, driven by a power struggle between the army and the paramilitary Rapid Support Forces (RSF), has left the nation unrecognizable. Over 40,000 people have been killed, and about 14 million – a quarter of the population – have been forced to flee their homes. Civilian infrastructure across the country has been extensively damaged.“We are not just facing a crisis – we are witnessing the systematic erosion of a country’s future,” Luca Renda, the United Nations Development Programme’s (UNDP’s) resident representative in Sudan, told Al Jazeera. A report by the UNDP and the Institute for Security Studies highlights the scale of Sudan’s economic collapse. Even under the most optimistic scenario of peace being achieved in 2026, Sudan would still lose an estimated $18.8 billion in gross domestic product (GDP) by 2043.The war has had a devastating impact on Sudan's infrastructure and basic services. $6.4 billion was lost in GDP in 2023 alone, reflecting a simultaneous collapse across all major parts of Sudan’s economy. The destruction of infrastructure has triggered displacement and made it difficult for people to secure adequate housing or access basic services. Up to 40 percent of power generation capacity has been lost, and key water infrastructure has been destroyed or seized, cutting communities off from clean water and sanitation.The labor market has also been severely affected, with agriculture – once the backbone of Sudan’s economy – severely hit. Cultivated land has shrunk, adversely impacting rural livelihoods. Average incomes have fallen back to levels last seen in 1992. About 90 percent of manufacturing activity has been destroyed in key economic hubs, eliminating thousands of jobs.The oil industry has suffered significantly, with oil output falling amid widespread instability and infrastructure damage. The Khartoum refinery, which previously processed up to 100,000 barrels per day, has been out of operation since July 2023. Key infrastructure, including pipeline routes carrying crude to Port Sudan, has been hit.The collapse of the Sudanese pound and supply chains has caused a sharp rise in living costs. Food prices have surged, with four pieces of bread now costing about 1,000 pounds, an amount that had previously bought six pieces. Wages have failed to catch up with inflation, leaving many households without access to necessities. Nearly half the population is now experiencing acute food shortages.The economic collapse has had a profound impact on Sudan's people, with 34 million people in need of assistance and 19 million facing acute food shortages. The war has caused death, trauma, and profound loss, casting a long shadow over Sudan’s future and dimming the prospects of a generation whose lives are being shaped by violence. If the conflict continues to 2030, Sudan’s economy in 2043 would be about $34.5 billion smaller than it would have been without the war, and GDP per capita would drop by roughly $1,700.

On the third anniversary of Sudan's civil war, international donors have pledged $1.5 billion in humanitarian aid to alleviate the suffering of millions affected by the conflict. The pledges were made during a conference in Berlin, attended by about a dozen foreign ministers and over 60 delegations.United Nations Secretary-General Antonio Guterres described the anniversary as a 'tragic milestone in a conflict that has shattered a country of immense promise.' He emphasized that the consequences of the war are not confined to Sudan, but are destabilizing the wider region.The conflict in Sudan began in April 2023, when fighting erupted between the military and the paramilitary Rapid Support Forces (RSF) after a long-simmering power struggle. The war has resulted in nearly 34 million people needing humanitarian assistance and over 4.5 million being forced to flee their homes.Guterres also highlighted the dire situation for women and girls in Sudan, who have been terrorized and subjected to systematic sexual violence. The conference aimed to not only rally donors but also to help revive stalled negotiations to end the fighting, although the two sides fighting the war were excluded.Sudan's Ministry of Foreign Affairs criticized the meeting as a 'colonial tutelage approach,' accusing Western leaders of trying to impose their agenda and vision without consulting or coordinating with Khartoum. The ministry stated that it 'will not accept that countries and regional and international organizations convene to decide on its affairs and bypass the Sudanese government under the pretext of neutrality.'German Foreign Minister Johann Wadephul announced that his country pledged 212 million euros ($250m) in humanitarian aid and thanked donors for their pledges. He emphasized that the aid will help alleviate the suffering of the people in Sudan, save lives, and show that the conflict has not been forgotten.