Surviving Against All Odds
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Two years have passed since 15 April 2023, when conflict erupted between military forces in Sudan, plunging the country into a profound humanitarian catastrophe and making it the largest internal displacement crisis of our time. Khartoum, once a vibrant capital, has been at the epicentre of this turmoil, with its population enduring unimaginable hardship. It now stands as a testament to the resilience of its people in the face of adversity. The city's residents face daily challenges, particularly in accessing essential health services, as they navigate the complexities of life in a deadly conflict zone.
The escalation of violence has led to an unprecedented displacement crisis, with more than 8.5 million people forced from their homes since April 2023, bringing the total number of internally displaced people in Sudan to more than 11.3 million. Khartoum's infrastructure has collapsed as a result of the fighting. Basic necessities such as food, water and medical supplies have become scarce, exacerbating the plight of the city's residents.
Health services in particular have been severely affected. The World Health Organization reports that more than 100 attacks on health facilities have been verified since the beginning of the conflict, resulting in casualties among health workers and civilians. Many of these have taken place in Khartoum. These attacks have put many hospitals out of action, depriving communities of vital medical care.
Challenges in Accessing Healthcare
For the people of Khartoum, seeking medical care has become a daunting task. The destruction of health facilities means that many have to travel long distances through dangerous areas to reach the few remaining clinics, if they can afford treatment at all. Even then, the overwhelming demand often exceeds the capacity of these centres, leading to long waits and, in many cases, denial of care.
The situation is further complicated by severe shortages of medical supplies and staff. The conflict has disrupted supply chains, making it difficult to obtain essential medicines and equipment. In addition, many health workers have been displaced or are unable to work due to security concerns, leaving facilities understaffed and ill-equipped to handle the influx of patients.
Medair's Intervention: Supporting Health and Nutrition Facilities
In response to these challenges, Medair has intensified its efforts to support local health and nutrition facilities in Khartoum. Medair has focused on providing health and nutrition services, as well as essential medicines and therapeutic foods, monitoring quality of care, and training health and nutrition staff. These initiatives aim to restore and strengthen the capacity of health and nutrition staff, and ensure that the most vulnerable have access to the care they desperately need.
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A Testament to Resilience: Fatima's Story
Amid the turmoil, stories of resilience and hope are emerging. Fatima*, a 60-year-old mother of five, embodies the strength of Khartoum's residents. Displaced from her home when it was destroyed by shelling that killed all her neighbours, Fatima took refuge in a friend's house in the city. With no money or job opportunities, she and her children managed to survive by joining other community members who supported each other with food and other necessities. But without money, the family could not afford medical treatment until they found help at one of the Medair-supported health facilities.
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"The free medicines that my grandchildren and I have received here have been a great support. Not just for us, but for the whole community," says Fatma. "My grandchildren came here yesterday. They got the consultation and the medication for free. They are already getting better, and that makes us very happy and less stressed. Today, I came here trusting that Medair will also help me and provide free treatment and medicines.”
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The Indomitable Spirit of Khartoum's People
The challenges faced by Khartoum's residents are immense, yet their spirit remains unbroken. Communities have come together, forming support networks to share resources and assist one another. This collective resilience is evident in the formation of neighborhood health committees, where residents collaborate to identify health needs and coordinate with humanitarian agencies. Such initiatives not only enhance the effectiveness of aid delivery but also empower communities to take an active role in their recovery.

A Call to Action
Sudan's displacement crisis is the largest in the world, with millions of people uprooted from their homes. Those who remain in Khartoum face immense hardships, from insecurity to food shortages and limited access to health care. And those who have been forced to flee face threats on their perilous journey, with many displaced multiple times across the country. Humanitarian organisations like Medair are working tirelessly to alleviate the suffering, but the scale of the crisis requires broader support.
Working in such an environment is fraught with challenges. Medair's teams often work under the sound of shelling, and the smoke in the sky tells them where it is coming from and where lives are being lost at that very moment. But our teams continue to reach those in need. Despite the risks, their commitment to serving the most vulnerable remains unwavering.
Your Support Can Make a Difference
"Your work shows us that there are still good people in our lives, who are with us and willing to help," says Fatima with hope in her eyes. "Sudan needs your support, it saves our lives," she continues. "We cannot even afford a single dose of paracetamol, the most basic medicine. We are so grateful for your help.”
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The road to recovery for Khartoum and Sudan is long, but with a concerted effort, progress is possible. Your donation can help Medair continue its vital work of providing health and nutrition services, supporting local clinics, and bringing hope to those affected by the conflict.
Donate today and be a part of the solution. Together, we can make a lasting impact.
*Name has been changed for security reasons.
This content was produced with resources gathered by Medair field and headquarters staff. The views expressed herein are those solely of Medair and should not be taken, in any way, to reflect the official opinion of any other organisation.
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