Sudan: UN Agencies Calls for Urgent Action As Sudan’s Humanitarian Crisis Reaches Breaking Point
United Nations — In recent weeks, Sudan’s humanitarian crisis has deteriorated considerably, as escalating hostilities, mass displacement, disease outbreaks, and a widespread lack of access to basic, essential services continue to endanger civilians across the country. The situation has been further compounded by a sharp increase in attacks on healthcare facilities throughout October, which has severely weakened the country’s already fragile health system and deprived thousands of people of lifesaving care.
On October 23, several United Nations (UN) agencies–including the International Organization for Migration (IOM), the United Nations High Commissioner for Refugees (UNHCR), the United Nations Children’s Fund (UNICEF), and the World Food Programme (WFP)–issued a joint statement highlighting the rapidly worsening humanitarian crisis in Sudan and calling for urgent, coordinated international action. According to the organizations, over 900 days of protracted conflict and the collapse of lifesaving services have “pushed millions to the brink of survival”, with women and children being disproportionately affected.
“This is one of the worst protection crises we’ve seen in decades,” said Kelly T. Clements, Deputy High Commissioner at UNHCR. “Millions are displaced inside and outside of the country and returning families have little support with the absence of other options. I spoke with families who recently fled El Fasher with horrific stories of being forced to leave everything behind, taking treacherous routes at great risk. It’s a dynamic environment and support is needed everywhere.”
An estimated 30 million people in Sudan are in urgent need of humanitarian assistance, including nearly 15 million children. The conflict has forced more than 9.6 million people to flee their homes, making Sudan the largest internal displacement crisis in the world. At the same time, approximately 2.6 million people have returned to areas of active conflict–such as Khartoum, where around one million have returned–only to find their homes and livelihood destroyed and essential services virtually wiped out.
According to IOM, Khartoum currently hosts nearly 900,000 refugees, while Tawila shelters more than 600,000–many of whom lack adequate housing or access to protection services. Aid organizations have expressed growing concern over rising anti-foreigner sentiment, stressing that protection assistance remains “lifesaving for hundreds of thousands” of displaced individuals facing heightened risks of violence and discrimination.
“This scale of return to Khartoum is both a sign of resilience and a warning,” said Ugochi Daniels, IOM’s Deputy Director General for Operations. “I met people coming back to a city still scarred by conflict, where homes are damaged and basic services are barely functioning. Their determination to rebuild is remarkable, but life remains incredibly fragile.”
After three years of conflict, Sudan’s education system has been among the hardest hit, with an estimated 14 out of 17 million school-aged children without access to schooling. Additionally, hunger levels remain catastrophic, with famine having been confirmed in parts of Sudan last year. Children continue to face heightened risks of malnutrition and thousands are projected to be at an “imminent risk of death” if nutritional support is not secured soon.
“It was a really grave moment when famine was first confirmed in parts of Sudan, and given the scale and growing intensity of the crisis, we have all been investing significant effort in enhancing our operational capacity to meet the huge and growing needs,” said WFP Assistant Executive Director Valerie Guarnieri. About 25 million people in Sudan, or half its population, face acute food insecurity. WFP has been able to support 4 million people in recent months, including 85 percent of the population living in famine or famine-risk areas. Yet Guarnieri warned on Friday that they have “reached the limits, not of our capacity, but of our resources.”
For over 16 months, El Fasher has experienced heightened levels of insecurity, with over 260,000 civilians, including roughly 130,000 children, trapped under siege and cut off from food, water, and healthcare. On October 20, UN sources reported that a siege in one of the most densely populated areas of El Fasher led to intense shelling and the displacement of more than 109,000 people across 127 sites. The UN has also received numerous reports of extrajudicial killings, sexual violence, and forced recruitment.
October has been particularly volatile for Sudan’s already fragile healthcare system, with a surge in attacks targeting medical facilities in the Kordofan and Darfur states. On October 5, the Rapid Support Forces (RSF) carried out two drone strikes on hospitals in El Obeid City, North Kordofan.
Two days later, the RSF conducted an artillery shelling in the maternity ward of the Saudi Hospital for Women and Maternity in El Fasher’s Al Daraja neighborhood–the last functioning medical facility in the city. Thirteen civilians, including several children, were killed, and sixteen others were injured, among them a female doctor and a nurse. The hospital sustained significant damage to much of its medical equipment.
Additionally, Sudanese families continue to struggle with aggressive outbreaks of cholera, dengue, malaria, and measles, which have been exacerbated by non-functional healthcare systems and destroyed water systems. According to updated figures from UNHCR, the Darfur and Kordofan regions have been among the hardest hit by cholera. In North Darfur’s Tawila locality alone, more than 6,000 infections and 11 deaths have been recorded since May–most within displacement shelters. In South Darfur, UNHCR has documented 3,229 confirmed cases and 177 deaths since late August.
“What I witnessed in Darfur and elsewhere this week is a stark reminder of what is at stake: children facing hunger, disease, and the collapse of essential services,” said Ted Chaiban, UNICEF Deputy Executive Director. “Entire communities are surviving in conditions that defy dignity. Children are malnourished, exposed to violence, and at risk of dying from preventable diseases. Families are doing everything they can to survive, showing extraordinary resolve in the face of unimaginable hardship.”
The 2025 Humanitarian Response Plan for Sudan calls for USD 4.2 billion, but remains severely underfunded, with only 25 percent of the required amount secured so far. Despite these gaps, aid groups have been able to reach over 13.5 million people this year, including those in the most crisis-afflicted regions, such as Darfur, Khartoum, and Al Jazira. The UN stresses the need for continued humanitarian cooperation and increased donor support, as funding shortfalls are projected to force several key humanitarian agencies to scale back or suspend critical operations, putting millions of lives at risk.
UN officials also made the call for development investment to rebuild critical infrastructure and services in health, sanitation and energy. “Sudan urgently needs to rebuild and rehabilitate its key infrastructure, restore access to public services, and provide direct support to vulnerable returnees, IDPs, and the communities that host them,” Daniels said on October 24.
“We can’t wait for longstanding peace to take hold. Development actors are needed now to come in for bigger rehabilitation and construction and investment, so that people can rebuild their lives with dignity,” Clements said. She remarked that development actors would be critical in devastated areas like Khartoum where at present, more than a million people have returned and require basic services. “It’s that kind of reconstruction, rehabilitation, bringing back basic services, where development actors have a much larger role to play than humanitarian actors like ourselves.”
By UPS
