As it approaches the symbolic threshold of 1,000 days of conflict, Sudan is sinking into absolute distress. Since the outbreak of fighting in April 2023 between the regular army of General al-Burhan and the Rapid Support Forces (RSF) of "Hemetti", the country has become nothing more than a field of ruins where international humanitarian law is flouted daily.

A devastated and targeted medical sector

The World Health Organization (WHO) is sounding the alarm: Sudan now holds the grim world record for the highest death rate linked to attacks on health infrastructure. Hospitals are no longer sanctuaries, but targets.

1. Systematic destruction: Bombing of medical facilities.
2. Staff at risk: Healthcare workers are directly targeted or are working without pay.
3. Total shortages: Lack of essential medicines, equipment and fuel for generators.

The return of epidemics and the peril of famine

Once considered the future breadbasket of Africa, Sudan is now suffering an unprecedented food crisis.

1. Famine looms: 21 million people are facing acute food insecurity. By 2025, the WHO estimates that 800,000 children will suffer from severe acute malnutrition.
2. Historic decline in vaccination rates: Vaccination rates have fallen to their lowest level in 40 years. Direct consequence: the resurgence of polio, measles, and diphtheria.
3. Hostile climate: Environmental conditions favor the explosion of malaria and dengue cases.

A fractured country, hampered aid

The health situation varies depending on the geography of the chaos:

1. In the East: The structures are saturated under the weight of internally displaced persons.
2. In the West (Darfur, Kordofan): Total insecurity makes access to healthcare almost impossible.
3. In the Central region (Khartoum, Al-Jazira): Devastated areas where humanitarian access remains sporadic and risky.

"The system is on the verge of collapse," warns Shible Sahbani, WHO representative. Despite the shipment of 3,000 tons of medical supplies, the needs remain immense given the scale of the disaster.

The urgent need for immediate reconstruction

For humanitarian actors, it is no longer simply a matter of distributing emergency aid, but of trying to keep a depleted system alive in order to prepare for the future. Without an immediate strengthening of health capacity and protection for medical personnel, Sudan risks never recovering from this lost decade.