Sudan: 500 days of death, devastation and destruction

A group of women in brightly coloured clothing stand in line waiting for a food and water distribution

27 August 2024

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Today marks 500 days of relentless conflict in Sudan that has killed thousands and left millions in dire need of humanitarian assistance, with women and girls bearing the worst of the war. So far, more than 18,000 people have been killed, 33,000 injured, and 10 million displaced — including 7 million internally making Sudan the world's largest displacement crisis. The conflict has also propagated the world’s largest hunger crisis, with millions facing famine conditions. As fighting shows no signs of abating, the future of Sudan remains bleak and uncertain.

Abdirahman Ali, CARE Sudan Country Director, warns:

"The situation is catastrophic, and the world must stop turning a blind eye to the escalating devastation and suffering. The war has shattered the healthcare system, leaving countless without care. Aid workers struggle to reach those in desperate need of help, and food prices soar as farms remain bare due to a missed planting season. Women and girls are disproportionally impacted, facing sexual and gender-based violence (SGBV) that has them living in constant fear."

With over 75% of health centres destroyed, countless Sudanese have been left without access to essential medical services, exacerbating the suffering of an already vulnerable population. This means that pregnant mothers risk losing their babies at birth due to complications, and innocent civilians who get injured due to the heavy fighting, have to travel long distances to get care.

Hawa, a 60-year-old mother, describes the challenges she is facing when seeking help for her injured husband and daughter:

"War shattered our peaceful life in Khartoum, and since April 2023, we have endured immense suffering. When the war began, my husband was shot on his way to the market. Desperate for medical care, we fled with my pregnant daughter. The journey was a nightmare - long and grueling - with countless checkpoints and no reliable transportation. We saw many dead bodies along the way, and often, we didn’t have enough food.

"My husband finally received treatment, and my daughter gave birth when we found safety in Kassala, but despite starting a small business, I struggle to provide enough food for my family."

Compounding the suffering across Sudan is the ongoing flooding that has destroyed homes and washed out displaced persons camps. The rains have also made roads impassable, complicating aid delivery, and left many exposed to cholera which continues to spread and has so far killed 22 people.

An estimated 25.6 million people, nearly half of Sudan’s population, face severe hunger, with millions on the brink of starvation. During the planting season, many farmers lacked access to markets to get inputs, those who could access markets found what they needed to farm to be quite expensive thus leading to low farming yields. Some regions have already been declared to be experiencing famine, while in others, the situation remains unknown due to a lack of access. In camps for internally displaced people in East Darfur, people have no option but to eat leaves.

Abdirahman Ali said:

"Conflict, hunger, disease, and floods have left millions trapped in devastation and are killing Sudanese by the day. The world is 500 days late to silence the guns, allow peace to prevail, and scale up the response to growing humanitarian needs in Sudan.

"Ending this devastating crisis is urgent and requires collective action to stop the conflict and address human suffering. Warring parties must reach and abide by a country-wide ceasefire and uphold international humanitarian law (IHL), including by ceasing the targeting of civilians, refraining from using sexual violence as a weapon of war, protecting humanitarian workers and assets, and removing all obstacles to the sustained, timely, effective and principled humanitarian aid delivery to all that urgently need it. Donors must urgently fund a gender-sensitive multisectoral response that addresses growing protection and GBV needs and demands an end to violations and an enabling environment for the humanitarian response. The international community must act now to prevent further suffering."

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Notes to editors

CARE has been operating in Sudan since 1979, implementing humanitarian and development programs focused on women’s and girls’ empowerment, gender justice, humanitarian action, and resiliency.

CARE supports over 83 health facilities in six states in Sudan, providing life-saving health and nutrition services.

The resumption of nutrition and Health Services in Nyala was made possible thanks to generous funding from USAID - Bureau for Humanitarian Assistance and European Union Humanitarian Aid.

CARE’s lifesaving operations are ongoing in:

  • East Darfur – water provision to refugees and host community and Health services
  • Gedaref – WASH provision for refugees, IDPs, and host community and Health services
  • Al Gezira – WASH provision to IDPs and host community
  • South Kordofan- Supporting Women’s Empowerment through economic and livelihoods activities
  • South Darfur- Provision of WASH, Livelihoods and Community empowerment
  • Khartoum: Provision of MPCA to most affected populations in Jebel Awily, Mayo and Kalari communities

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