Public health consequences of armed conflict in Sudan in the face of global donor fatigue


Musa M.K. Eshun G. Modber M.A.A. Haruna U.A. Abdulsalam A. Zailani A.S. Zakariya F. Adamu N.A. Musa M.B. Biney G.K.
January 2024John Wiley and Sons Inc

Public Health Challenges
2024#3Issue 1

Sudan, a country located in northeastern Africa, is grappling with a profound health crisis resulting from the recent war that erupted on April 15, 2023. This conflict has inflicted significant damage on the countrys health system, particularly through the destruction of healthcare infrastructure. Approximately 61% of health facilities have been destroyed, leaving only 16% operating optimally in Khartoum. Hospitals and clinics, vital for public health, have become targets of violence, exacerbating the challenges faced by the nation. The World Health Organization has noted the closure of roughly 16 hospitals since the start of the conflicts due to staff safety concerns as well as a shortage of hospital supplies, consumables, and medication. There has also been a gradual waning of donor support and resources allocated to address protracted crises and emergencies worldwide Sudan receives very little funding from donor organizations to maintain its healthcare system, which worsens the nations general public health architecture. This makes the country vulnerable to serious challenges like disease outbreaks, starvation, infectious diseases, deteriorating health infrastructure, and mental health issues. To successfully reduce the severity of negative impacts on public health, the crisis must be ceased and facilities reopened. An emergency disease surveillance system for infectious diseases should be established, women and child health should be prioritized, and mental health awareness programs and services should be implemented. The global community must support the efforts to mitigate the devastating effects of this crisis. This article aims to highlight the critical impact of the recent war on Sudans healthcare, advocating for urgent measures, including facility reopening, disease surveillance, and global support to mitigate devastating consequences.

armed conflict , disease outbreaks , donor fatigue , healthcare infrastructure , public health , Sudan

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Department of Medicine, Nazarbayev University School of Medicine, Astana, Kazakhstan
Seventh-Day Adventist Hospital, Agona-Asamang, Ghana
Faculty of Nursing Sciences, University of Khartoum, Khartoum, Sudan
Department of Biomedical Sciences, Nazarbayev University School of Medicine, Astana, Kazakhstan
Faculty of Pharmaceutical Sciences, Ahmadu Bello University, Zaria, Nigeria
Faculty of Pharmaceutical Sciences, University of Abuja, Abuja, Nigeria
Division of Experimental Medicine, McGill University, Montreal, Canada
Faculty of Pharmacy, Omdurman Islamic University, Khartoum, Sudan
Department of Biostatistics and Epidemiology, School of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst, MA, United States

Department of Medicine
Seventh-Day Adventist Hospital
Faculty of Nursing Sciences
Department of Biomedical Sciences
Faculty of Pharmaceutical Sciences
Faculty of Pharmaceutical Sciences
Division of Experimental Medicine
Faculty of Pharmacy
Department of Biostatistics and Epidemiology

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