Attachments
Contextual Overview
As of February 2025, the humanitarian and healthcare situation in Sudan's Gezira State has deteriorated significantly due to ongoing conflict and targeted attacks. The region has witnessed severe violence, including massacres, sexual violence, and widespread looting. These retaliatory attacks by the Rapid Support Forces (RSF) have resulted in the deaths of over 1,000 civilians and the displacement of thousands more. The healthcare infrastructure in Gezira State has been severely compromised. As of late 2024, approximately 56.2% of public hospitals in the state were either shut down or forced to reduce services due to repeated attacks and looting. This mirrors the situation in Khartoum State, where 58.5% of public hospitals faced similar fates. The destruction of healthcare facilities has led to critical shortages of medical supplies and personnel, exacerbating the health crisis. The region has experienced outbreaks of diseases such as cholera, malaria, dengue, and dysentery. The cholera outbreak has been particularly severe, with over 1,800 cases and 26 deaths reported in Al Gezira State. Efforts to contain the outbreak have been hampered by the ongoing violence, which has disrupted disease control and surveillance activities. The conflict has also led to widespread food insecurity. Attacks on villages have resulted in the destruction of farmlands and the burning of crops, depriving communities of their primary food sources. This has contributed to a severe hunger crisis, with more than 26 million people across Sudan suffering from acute malnutrition. In January 2025, the Sudanese Armed Forces regained control of Wad Madani, the capital of Gezira State. While this development has provided a degree of security, the humanitarian situation remains dire. The influx of displaced populations, extensive damage to infrastructure, and ongoing shortages of essential services continue to pose significant challenges to recovery efforts. In summary, the combination of targeted violence, destruction of healthcare infrastructure, disease outbreaks, and food insecurity has created a severe humanitarian crisis in Gezira State. Immediate and sustained intervention is necessary to address the critical needs of the affected populations.