After more than two years of civil war, more than 25 million people are now acutely hungry and at least 20 million require health services urgently.

The UN World Food Programme (WFP) also warned that displaced families in some areas have not received any aid for three months, as it announced that for the first time, funding shortfalls have forced it to pull back support in areas where it does not have access.

“The scale of needs in Sudan are so big that we have to make tough decisions on who receives assistance and who doesn’t. Those are heartbreaking decisions to make,” said WFP’s Leni Kinzli, in an urgent appeal for more international funding to help all those affected by more than two years of war.

Children are especially vulnerable, humanitarians have warned, with malnutrition “surging”, particularly among youngsters and their mothers.

Education the latest victim

According to the UN reproductive health agency UNFPA, and partners working in education, around 13 million of the 17 million youngsters who have remained in Sudan are now out of school.

This includes seven million who are enrolled but unable to attend classes because of the conflict or displacement – plus six million school-age children who haven’t registered for the school year.

Nonetheless, UNFPA said that as of this month, 45 per cent of schools in Sudan – nearly 9,000 – have now re-opened, citing the Global Education Cluster that groups 60 UN and NGO entities.

And while the situation in Sudan remains so dire, going back to school might not appear to be a priority, but aid agencies insist that without it the impact on young lives can be devastating, given how much additional support can be provided in schools, over and above learning.

In schools helped to reopen by UN-partner Save The Children, for instance, additional support includes meals, safe water, sanitation and counselling training for teachers to help youngsters process their trauma.

Picking up the pieces

From November 2024 to July this year, more than two million people have returned to their former homes across Sudan, to some 1,611 locations.

The bulk of these returnees have reached Aj Jazirah (48 per cent), Khartoum (30 per cent), Sennar (nine per cent), Blue Nile (seven per cent) and White Nile (five per cent). The UN migration agency (IOM)’s Displacement Tracking Matrix notes that only around one per cent went to River Nile and West Darfur.

A breakdown of IOM data indicates that around 77 per cent (or 1.5 million) returned from temporary homes inside Sudan, while 23 per cent (around 455,000) came back from abroad.

This is a fraction of the more than 4.2 million refugees who crossed into neighbouring countries since war erupted on 15 April 2023, between the Sudanese Armed Forces (SAF) and the paramilitary Rapid Support Forces (RSF).

Other key IOM findings of Sudanese displacement impacting all 18 states:

• When war erupted, people were uprooted primarily from Khartoum (31 per cent), South Darfur (21 per cent), and North Darfur (20 per cent).   
• The highest proportion of internally displaced people were in South Darfur (19 per cent), North Darfur (18 per cent), and Central Darfur (10 per cent).
• Over half (53 per cent) of those fleeing violence were reportedly children.

Case study: Life slipping away

Among the young victims of the conflict, 18-month-old Aysha Jebrellah has been admitted for treatment for severe acute malnutrition in Port Sudan Paediatric Hospital.

Her mother, Aziza, has been by her daughter’s side as medical teams provide lifesaving nutritional support and address the medical complications that Aysha has suffered, linked to her condition.

Aziza was displaced with her family from Khartoum when conflict erupted more than two years ago, fleeing first to Kassala, then moving to Port Sudan where she lives with relatives.

She described how her daughter had diarrhoea and fever for about two weeks before she was admitted to hospital. By that time she had stopped eating and appeared to be slipping away before their eyes.

“When she refused to even taste anything and kept getting weaker, I was afraid I would lose her,” Aziza says. “Now I have hope that she will recover.”

To support health needs in Sudan, the UN World Health Organization (WHO)’s $135 million appeal is just one-fifth funded. “It’s only a fraction of what is urgently needed,” the agency said.