Sudan: 500,000 Sudanese refugees in Chad in dire need of aid. Testimonies recount unspeakable horrors

“Testimonies recount unspeakable horrors - family members killed, women enduring heinous acts of abduction and sexual violence, and homes reduced to ashes. Despite the tireless efforts of humanitarian organisations and the welcoming gestures from the host communities and the government of Chad, the situation is close to catastrophic.” -Stephen Cornish, MSF Director General 

“They told us that this wasn’t our country and gave us two options: immediately leave for Chad or be killed. They took some men and I saw them shooting them in the streets, with no one to bury the corpses.” -H., A refugee who fled to Adre from El Geneina X

Source: Médecins Sans Frontières (MSF) aka Doctors Without Borders

Statement by Stephen Cornish, MSF Director General 

Dated 22 December 2023 - here is a copy in full:

Half a million Sudanese refugees in Chad in dire need of humanitarian aid

This week, I visited the camps in eastern Chad to witness the living conditions of Sudanese refugees. 

I have worked as a humanitarian worker in countries across the globe, but what I saw in Chad in this emergency has shocked me to my core.

With such a rapid and vast displacement of people fleeing harrowing violence, the overwhelming nature of how many people have sought refuge here and knowing what made them flee is really hard on the heart.

So many people seeking refuge in the desert are relying on humanitarian aid, which is inadequate and sporadic. This cannot go on. 

Despite the tireless efforts of humanitarian organisations and the welcoming gestures from the host communities and the government of Chad, the situation is close to catastrophic.

From insufficient access to food, water and shelter, to concerns about proper hygiene, it’s a daily struggle for those who have left almost everything behind. Approximately 150,000 individuals in Adre transit camp and the surrounding areas live week to week, navigating through precarious conditions to survive.  

The limited food distributions happen irregularly and the amount distributed typically lasts only a couple of weeks. On top of that, not everyone is receiving these distributions.

In Adre, there’s one latrine for 300 to 400 people - far below the recommend standards. Despite tremendous efforts put forth by Médecins Sans Frontières (MSF) and local partners, delivering half a million litres of water daily, refugees only receive between six to eight litres per day.

People don't have enough water to bathe, to clean, or to cook. They don’t have suitable jerry cans in order to be able to collect and store water properly.

We've already seen a very high incidence of malnutrition, as well as high numbers of people suffering from diarrhoea and malaria. Speaking with the doctors here this week, the number of cases of malaria has decreased but it is still widespread.  

Our role now is to ensure enough assistance together with other partners going forward so we don't end up in another catastrophic situation several months down the road. Today, people can survive for the next couple of months, but what will happen after that?  

An elderly person collects water from a distribution point. Refugees here only receive between six to eight litres per day for drinking, bathing, cooking and cleaning. Chad, 7 December 2023. 

RENAUD MASBEYE/MSF

There are many organisations here on the ground, but they don't have the financial resources to meet the needs of the people. So, we need governments, we need donor countries to help organisations on the ground to scale up and meet the emergency needs, from shelter to water to food.  

The people suffering in this crisis are predominantly women and children, while many are also victims of large-scale violence.

Their testimonies recount unspeakable horrors - family members killed, women enduring heinous acts of abduction and sexual violence, and homes reduced to ashes. Their sole aspiration is to find a safe haven in Chad and be able to live in decent and dignified conditions.  

These people, relocated in the desert, cannot face this ordeal alone. This cannot be put aside and forgotten as just another crisis. Solid and sustained humanitarian commitments, and an urgent scale up of aid efforts on the ground are urgently required to avoid a catastrophic crisis and large-scale misery in the months to come. 

View the original report:

English  https://www.msf.org/half-million-sudanese-refugees-chad-dire-need-humanitarian-aid

Arabic https://www.msf.org/ar/نصف-مليون-لاجئ-سوداني-في-تشاد-في-حاجة-ماسة-للمساعدات-الإنسانية

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MSF Sudan: Severe humanitarian needs after half a million people flee violence in Wad Madani, Aj Jazhira

“Because of the violent clashes and the crisis... we went to Khartoum. But the war followed us to Khartoum, so we went to Wad Madani. And then, the story continues.” -Maha, a displaced woman in Tanideba camp X

Report from Médecins Sans Frontières (MSF) aka Doctors Without Borders

Project Update 

Dated Monday, 15 January 2024 - here is a copy in full:

Severe humanitarian needs after half a million people flee violence in Wad Madani

A displaced woman holds her child as she takes refuge in Alsafat Camp in Al Jazirah state. “I'm worried about the future of my children. I'm thinking about returning to Abyei so that I could provide an education for my children. But if the war comes to an end I'll return to Khartoum and my house as soon as possible, and my husband will be able to work,” she says. Sudan, December 2023. © FAIS ABUBAKR X

On 15 December, the Rapid Support Forces (RSF) launched an attack on Wad Madani, Sudan, and took control of several other cities and areas in Al Jazirah state within days. Since then, more than half a million people have fled the fighting and insecurity, including about 234,000 displaced people who had previously sought refuge in Wad Madani as violence in Khartoum intensified.  

The chaos following the evolving conflict and the severe insecurity and widespread violence created an environment in which Médecins Sans Frontières (MSF) could no longer operate in Wad Madani. 

As a result, we had to suspend all activities and evacuate our staff from Wad Madani on 19 December, leaving behind people with even less access to basic medical services. We also had to evacuate staff from Damazine, Um Rakuba in Gedaref state, and Doka. In Damazine, we reduced activities.

Our teams had been present in Wad Madani since May 2023. Conditions were already dire for the half a million displaced people living there, which made up 8 per cent of all internally displaced people in Sudan. Sudan was already home to the world’s largest internal displacement crisis, with more than six million people forced from their homes within the country in addition to more than 1.4  million who have fled across borders. 

Between May and November, our teams performed 18,390 medical consultations (40 per cent of them for children under 15 years old) in several of the hundreds of locations hosting displaced people across the state of Al Jazirah, some in schools or old public buildings.  

Through our mobile clinics, our teams diagnosed and referred 66 children suffering from severe acute malnutrition with serious complications in the past six months – cases that could be fatal if not treated in a hospital urgently.

Sarah Deink holds her child as they take refuge in Alsafat Camp in Al Jazirah state. “I'm worried about the future of my children. I'm thinking about returning to Abyei so that I could provide an education for my children,” she says. Sudan, December 2023. FAIS ABUBAKR SHARE

“Health facilities were overwhelmed. As the number of people in the city had increased by 30 per cent, there were more and more patients, but considerable supply and staffing challenges,” says Slaymen Ammar, MSF medical coordinator for Sudan

“And as prices soared for all goods, access to lifesaving services was an obstacle for both displaced people and regular residents. Nowadays, with the departure of most international organisations – and despite efforts from local volunteer health workers – we can only assume it has worsened.” 

During the past month, in Gedaref and Kassala states – where we have been operational since 2021 in response to the Ethiopian Tigray crisis – MSF teams witnessed the arrival of thousands of people from Wad Madani, and are currently assessing and responding to the escalating health and humanitarian needs. 

In Tanideba (Gedaref), we have started a short-term emergency intervention for newly displaced Ethiopian refugees and newly displaced Sudanese citizens, covering basic healthcare, water and sanitation, as well as food rations. This included one-off distributions and donations. However, activities in Tanideba were temporarily reduced due to the escalation of conflict in Wad Madani.

AL BAKRI AL TAHER MALIK, A DISPLACED MAN FROM KHARTOUM, HAS BEEN INJURED TWICE BY THE FIGHTING IN SUDAN. 

“The war brought nothing but destruction and the separation of families. We lost our home, and we lost our city Khartoum. I lost my nephew. He died on the first day of Ramadan by a shell. He was divided into three parts.”

Al Bakri Al Taher Malik sits in a shelter for displaced people in Wad Madani, Al Jazirah state. He has been injured and displaced multiple times due to the conflict in Sudan. Sudan, December 2023. 

© FAIS ABUBAKR

The conflict in Sudan has caused immeasurable suffering, displaced millions, killed thousands, and injured countless others. For many displaced people, Gedaref and Kassala are just the latest stops in a long journey to seek safety, during which they have suffered violence and been without basic items, such as food, clean water, sanitation and access to medical care.  

“We are originally from Darfur, but because of the violent clashes and the crisis over there, we went to Khartoum. But the war followed us to Khartoum, so we went to Wad Madani. And then, the story continues,” says Maha*, a displaced woman who arrived with her family in Tanideba camp two weeks ago from Wad Madani.

Maha and her family fled Khartoum eight months ago, after shelling hit their home and severely injured one of Maha’s children.  

“We were six people in the house, and at that time I was nine months pregnant. Our house was destroyed. I was hit on my arm, but my child got a much worse injury on his head,” says Maha. 

“We managed to take him to the hospital because he needed urgent lifesaving surgery. But as soon as he was discharged, we had to flee the city because of insecurity. We arrived to the camp in Wad Madani, and I delivered there,” she says.

MARRY MONGA AND HER CHILDREN WERE FORCED TO FLEE THEIR HOME IN KHARTOUM.

“My baby is one-month old, but he doesn't look it because I don't have any milk. When I think about the future, I want my children to receive an education. I don't want my children to go through what we went through.”

Marry Monga sits with her one-month-old baby in Alsafat Camp in Al Jazirah state. She fled Khartoum on 15 May due to violence and insecurity there. Sudan, 12 December 2023. © FAIS ABUBAKR

In mid-December, Maha and her family fled once again to Tanideba.

“Clashes started and we began hearing sounds of fires and armed men fighting again. We decided to leave immediately. I started thinking about where we should go. Nowhere was safe at that time.” 

In a region where healthcare and essential medicine were already extremely limited, displaced people are now suffering from growing health demands, stemming from direct and indirect effects of violence. Basic needs are not being met and an urgent response is desperately needed.  

“At the gathering sites in Kassala city, people who have been displaced told our teams they haven’t received any assistance since their arrival in mid to late December,” says Pauline Lenglart, MSF emergency project coordinator in Sudan.  

“Families are sleeping on the ground, access to healthcare is still severely restricted, there are few working medical facilities and medicines aren't provided for free,” says Lenglart. 

“Many people have told us that they are unable to afford items like food and medicine, forcing them to choose between these necessities. Our team is constantly evaluating the needs at new sites that are opening to house recently displaced people. 

“In all these places, we see that the amount of humanitarian assistance provided is still woefully inadequate to meet people’s basic needs and ensure dignified living conditions,” says Lenglart. 

*Name changed to protect identity. 

View original, explore accessibility options: https://www.msf.org/sudan-severe-humanitarian-needs-after-half-million-people-flee-violence-wad-madani 

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Sudan: Kordofan region becomes a new war zone. Dilling in South Kordofan is in peril due to armed conflict between three powerful warring parties

HERE is a copy of a Jan 12 post at X by Will Carter @WillCarter_NRC, Country Director for Norwegian Refugee Council (NRC) in Sudan. Note that it says: "the entire State of South Kordofan has largely been cut off from vital humanitarian aid since April. Many civilians are trapped with no way to reach safer places. NRC staff in South Kordofan, like most civilians, have mostly been unable to communicate.  Kordofan region becomes a new war zone". Read full text below.

We're gravely concerned that another city in #Sudan, Dilling in South #Kordofan, is in terrible peril, due to armed conflict between three powerful warring parties.

Over the past few days, thousands of residents have been forced to leave, although the city is now surrounded by…

— William Carter (@WillCarter_NRC) January 12, 2024 

"We're gravely concerned that another city in #Sudan, Dilling in South #Kordofan, is in terrible peril, due to armed conflict between three powerful warring parties. 

Over the past few days, thousands of residents have been forced to leave, although the city is now surrounded by these military, paramilitary, and rebel forces and some are unable to flee. 

A looming threat of #ethnic violence hangs over Dilling and beyond. Further, the entire State of South Kordofan has largely been cut off from vital humanitarian aid since April, due to unsafe roads, denied permissions for #humanitarian workers, frequent clashes, and a significant presence of armed groups. 

Many civilians are trapped with no way to reach safer places. This may be the first time since April that Sudan has seen its three most powerful forces engaged in a single battle, marking a troubling new phase in this escalating and fragmenting civil war. 

Our staff in South Kordofan, like most civilians, have mostly been unable to communicate. Although we are in daily contact, how this armed conflict will affect the millions of people in the greater (and extremely neglected) Kordofan region is an anxious uncertainty. 

As the Kordofan region becomes a new #war zone, it's crucial that all warring parties prioritise protecting civilians, allow safe passage for those fleeing, and ensure unrestricted access for humanitarian efforts. Unfortunately, this hasn't happened so far."

9:55 AM · Jan 12, 2024
https://twitter.com/WillCarter_NRC/status/1745746200832176454

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Sudan Humanitarian Update (14 January 2024)

HERE is a full copy of an analysis from UN OCHA Sunday, 14 January 2024.

SUDAN Humanitarian Update (14 January 2024)

HIGHLIGHTS

•  More than 7.4 million people have been displaced inside and outside Sudan since fighting broke out between the Sudanese Armed Forces (SAF) and the Rapid Support Forces (RSF) on 15 April 2023.
 

•  The number of people displaced in Sudan has increased by about 611,000 over the past month, mainly due to the conflict-induced displacement from parts of Aj Jazirah and other states.
 

•  The expansion of fighting between SAF and the RSF into central and eastern Sudan—the country's most important regions for crop production—has driven a significant increase in humanitarian needs during the harvest season, according to FEWS NET.
 

•  Insecurity, looting, bureaucratic impediments, poor network and phone connectivity, lack of cash, and limited technical and humanitarian staff are affecting the delivery of humanitarian aid in many parts of the country.
 

•  The 2024 Sudan Humanitarian Needs and Response Plan appeal is 3.1 per cent funded as of 14 January 2024.

Click here for the PDF

Click here to read online

SITUATION OVERVIEW

Almost nine months after the fighting between the Sudanese Armed Forces (SAF) and the Rapid Support Forces (RSF) erupted on 15 April 2023 in the capital Khartoum, more than 7.4 million people have fled their homes, taking refuge inside and outside Sudan, with children representing about half of the people displaced. Sudan is now the country with the largest number of displaced people and the largest child displacement crisis in the world. 

According to the International Organization for Migration Displacement Tracking Matrix (IOM DTM) Sudan Weekly Displacement Snapshot (16), more than 6 million people have been displaced within Sudan, increasing by an estimated 611,000 people over the past month mainly due to new displacements from Aj Jazirah and other states since 15 December 2023. IOM DTM reported in its update on Aj Jazirah State displacement that about 509,800 people were displaced by fighting in Aj Jazirah. About 205,500 of them were displaced in other safe locations within Aj Jazirah, and another 304,336 IDPs fled to other states across Sudan, including Gedaref (64,551 IDPs), Sennar (60,000 IDPs), Red Sea (50,035 IDPs), White Nile (40,750 IDPs), River Nile (30,000 IDPs), Kassala (30,000 IDPs), Blue Nile (15,000 IDPs), and Northern (14,000 IDPs) states. 

The 6 million internally displaced persons (IDPs) are sheltering in 6,282 locations across all of Sudan’s 18 states, an increase of 343 locations over the past month. The highest number of IDPs were observed in South Darfur (12 per cent), East Darfur (11 per cent), River Nile (11 per cent), Aj Jazirah (8 per cent), White Nile (8 per cent), and North Darfur (8 per cent). IOM DTM field teams report that the IDPs were originally displaced from 12 states, the majority of whom (about 3.7 million people or 61 per cent of the total displaced) were reportedly displaced from Khartoum State, followed by South Darfur (15 per cent), North Darfur (8 per cent), Aj Jazirah (5 per cent), Central Darfur (4 per cent), West Darfur (3 per cent), and the rest in other six states. In addition, more than 1.4 million people have crossed into neighbouring countries since 15 April 2023, according to the UN Refugee Agency (UNHCR). 

Expanding conflict and displacement drive even higher needs during the harvest – FEWS NET

The expansion of fighting between the SAF and the RSF into parts of central and eastern Sudan—the country's most important regions for crop production—has driven a significant increase in humanitarian needs during the harvesting season (December and January),reports FEWS NET. This development is expected to lead to considerable deterioration in acute food insecurity in the southeast from what was previously expected, worsening an already dire situation, according to FEWS NET’s Sudan - Food Security Outlook Update. Widespread Crisis (IPC Phase 3) levels of food insecurity are expected across much of the country, with Emergency (IPC Phase 4) outcomes expected in the heavily conflict-affected urban areas of Khartoum, greater Darfur, greater Kordofan, and parts of Blue Nile states. Of highest concern are populations in parts of Khartoum, Ag Geneina, Nyala, Wad Madani, and among the displaced due to the impact of intensive fighting and disruption to humanitarian assistance.

Impact of conflict on civilians

In South Kordofan State, clashes renewed on 7 January between the Sudanese People’s Liberation Movement-North (Al-Hilu faction) and SAF against the RSF in Abu Zaid and Al Matar neighbourhoods of Dilling town, South Kordofan State. The incident follows previously reported clashes on 9 December 2023.IOM DTM field teams reported that 2,840 people were displaced and sought refuge in Khamis village in Dilling locality following the clashes, while about 320 newly displaced people arrived in Dibebad town in Al Quoz locality in South Kordofan.

In North Kordofan State, tensions rose on 3 January between the RSF and Sudanese People’s Liberation Movement-North Al-Hilu faction in Broka village of Ar Rahad locality, reports IOM DTM. As a result, about 430 people (86 families) were displaced and are taking refuge in Al Huda, Al Safa, and Al Shati’ neighbourhoods in Ar Rahad Town as well as in Aradeba, Tendalti, Umm Habila and As Sawani villages in Ar Rahad locality. The situation remains tense and unpredictable. There are 137,300 IDPs in North Kordofan State post-April 2023, according to IOM DTM.

On 8 January 2024, armed clashes renewed between the SAF and the RSF in El Obeid town, the capital of North Kordofan State. Clashes were reported in southern neighbourhoods of El Obeid town. While no civilian displacement was reported, the situation on the ground remains tense and unpredictable, IOM DTM reported.

In North Darfur State, clashes between SAF and RSF renewed on 9 January at the Melit checkpoint in Al Fasher Town, Al Fasher locality. IOM Field teams reported that approximately 250 people (50 families) were displaced from Abu Shock and Al Salam IDP camps to neighbourhoods in the west of Al Fasher Town. The situation remains tense and unpredictable.

Almost 9,000 suspected cases of cholera – a 43 per cent increase in one month

Almost 9,000 suspected cases of cholera, including 245 associated deaths, were reported as of 6 January 2024 from 46 localities of nine states, according to the Federal Ministry of Health (FMoH) and the World Health Organization (WHO) Sudan Outbreaks Dashboard. This is an increase of about 43 per cent compared to the number of cases reported on 6 December 2023. However, this indicates a downward trend and a much lower increase compared to previous months. Between 6 November – 6 December the number of cases increased by 143 per cent, and between 6 October and 6 November the increase was 175 per cent. During December 2023, oral cholera vaccination campaigns have been organized in Gedaref and Aj Jazirah states, with about 2.2 million people vaccinated. There are 2,746 suspected cases and 95 associated deaths in Red Sea; 2,036 suspected cases of cholera and 50 associated deaths in Gedaref; 1,860 suspected cases and 26 associated deaths in Aj Jazirah; 1,246 suspected cases and 32 associated deaths in White Nile; 525 suspected cases and 26 associated deaths in Khartoum; 346 suspected cases and eight associated deaths in South Kordofan; 121 suspected cases and four associated deaths in Sennar; 99 suspected cases and four associated deaths in Kassala; and three suspected case in Blue Nile State.

Increase in desert locust groups and small bands in December 2023

During December, the first winter generation of locust hatching finished on Sudan’s Red Sea coast from Eritrea to Egypt, according to the most recent Desert Locust Bulletin of the Food and Agriculture Organization. As a result, there was an increase in the number of desert locust hopper groups and small bands during the month. Hopper groups are forming ground or basking groups, with 20 and more adult locusts per 400 m foot transecting or 500 or more locusts per hectare. According to the FAO, in response to environmental stimuli, dense and highly mobile desert locust swarms can form. They are ravenous eaters who consume their own weight per day, targeting food crops and forage. A single square kilometre of swarm can contain up to 80 million adults, with the capacity to consume the same amount of food in one day as 35,000 people. Large swarms pose a major threat to food security and rural livelihoods. In the second week, fledgling and immature groups formed, while a few mature groups were copulating near Karora and the Eritrea border. Hoppers, adults, and some groups were observed in the northeast subcoastal region from Tomala to Sufiya and the Egypt border. Control operations treated 22,677 hectares of land along the coast, of which 3,550 were by air. Hoppers, adults, groups, and very small bands and swarms will continue during January along the Red Sea coast and subcoastal area. A second generation could occur with hatching and hopper groups and bands from the second half of January and new adult groups appearing in early March.

HUMANITARIAN RESPONSE

Various challenges - insecurity, looting, bureaucratic impediments, poor network and phone connectivity, lack of cash, and limited technical and humanitarian staff on the ground – have been affecting the delivery of humanitarian assistance in many parts of the country. Fuel shortages also affect the movement of humanitarian staff and supplies and the generation of power needed for operations (maintaining cold chain storage, supplying water, etc). Despite all these challenges, humanitarian partners continue to provide life-saving assistance to the vulnerable people they can reach. 

Overall, between 15 April and 30 November 2023, 163 humanitarian partners provided about 5.2 million people across Sudan with life-saving assistance according to the latest Humanitarian Response Dashboard. 

For more information on cluster-specific response see the latest Sudan Humanitarian Response Dashboard.

HUMANITARIAN RESPONSE PLAN FUNDING OVERVIEW

The 2024 Sudan Humanitarian Needs and Response Plan (HNRP) requires US$2.7 billion to provide life-saving multi-cluster and protection assistance to 14.7 million people across Sudan in 2024. As of 14 January 2024, the appeal is 3.1 per cent funded, with $83.8 million received, according to the Financial Tracking Service. The Sudan Humanitarian Needs and Response Plan for 2023 was 41.8 per cent funded. 

***

See entire digital situation report for Sudan

Previous updates: Sudan Humanitarian Update, 4 January 2024

OCHA coordinates the global emergency response to save lives and protect people in humanitarian crises. We advocate for effective and principled humanitarian action by all, for all. https://www.unocha.org/sudan

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Protest for Sudan outside the UAE Embassy in London

PROTEST FOR SUDAN: gather outside UAE Embassy, 1-2 Grosvenor Cres, London SW1 on Sunday 14 Jan at 12pm noon to show support for Sudan.

Happening tomorrow for anyone in London who wants to show support for #Sudan. #KeepEyesOnSudan https://t.co/lzajZ5NWic

— Munchkin (@BSonblast) January 14, 2024

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