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Sudan Humanitarian Crisis

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“This is the largest humanitarian crisis on the face of the planet. And yet, somehow, it threatens to get worse.” ~ Linda Thomas-Greenfield, the US ambassador to the UN

Due to the civil war that began April 15, 2023, between the Sudanese Army and the paramilitary Rapid Support Forces (RSF), Sudan now faces the world’s: biggest displacement crisis, largest child displacement crisis and biggest hunger crisis. The numbers shared by The New Humanitarian, United Nations agencies and NGOs for this crisis are devastating:

  • Millions of people have been displaced including the highest number of internally displaced people (IDPs) in the world.
    • More than 10.7 million people (more than 2 million households) are IDPs.
    • At least 7.9 million people have been displaced since the conflict started.
    • Approximately 2.27 million people have crossed into neighboring countries.
  • Sudan risks the world’s deadliest famine since the Ethiopia crisis in the early 1980s, some 40 years ago.
    • The biggest global hunger crisis includes “750,000 people … experiencing catastrophic levels of food insecurity [and] 25.6 million people in crisis levels of hunger.”
    • There are estimates of 2.5 million starvation deaths by September 2024. This is 15% of the population in Kordofan and Darfur. When hunger reaches the level of famine approximately 1,000 people die every day, most of them children.
  • At least 25.6 million people need humanitarian assistance, mostly nutrition and food assistance.

And now, famine has officially been declared in North Darfur State by the Famine Review Committee (FRC). They have said that areas of the state near the capital Al Fasher, including in the Zamzam IDP camp are in famine (IPC Phase 5). The Zamzam camp is home to 600,000 people and the FRC says other sites in the Al Fasher area are likely in similar conditions, particularly the Abu Shouk and Al Salam camps. At the end of June 2024, there were 14 areas at risk for famine including Zamzam and the FRC said similar conditions may exist in the other 13 as well.

U.S. officials told reporters on August 2, that this famine has the potential to be worse than the famine in Somalia in 2011 that killed at least 250,000 people, mostly children.

This is the first time in seven years that the FRC has made a famine determination; the third time in the 20 years since it was established.

One of the fastest unfolding crises in the world, the country faces imminent famine in more than just the north. According to IOM, 89% of displaced households couldn’t afford food. Yet, despite these issues, Sudan is also highly ignored by funders, both philanthropic and government.

In August 2023, CDP posted a call to action for funders to address the inequities in how philanthropy has responded to Sudan compared to other conflicts, such as the crisis in Ukraine.

Regional crises in neighboring countries exacerbate the challenges in Sudan. CDP also maintains profiles on the complex emergencies in Ethiopia and South Sudan, as well as the hunger crisis in the Horn of Africa.

To learn more, the Washington Post recently produced a lengthy discussion program that covers the issues and concerns: Inside the humanitarian and displacement crisis in war-ravaged Sudan

(Photo: People fleeing violence in Sudan. Credit: USAID Bureau for Humanitarian Assistance Lead via Twitter)

Since its independence from Britain in the 1950s, Sudan has experienced cycles of coups, insecurity and civil wars. The complex crisis over decades has contributed to poor economic conditions, internal and cross-border displacements, widespread food insecurity, and a lack of essential services, particularly health care. Extreme weather events further exacerbate these conditions.

The 2019 Sudanese Revolution marked the end of President Omar al-Bashir’s thirty-year dictatorship, one of Africa’s longest-ruling leaders, and paved the way for a transition toward civilian rule and democracy. However, a military coup by General al-Burhan in October 2021 added new dangers to the transition and the country. International financial support and debt relief amounting to billions of dollars were paused following the coup, worsening the economic crisis and humanitarian situation in the country.

On April 15, 2023, fighting broke out between the Sudanese Armed Forces (SAF), led by Gen. Abdel Fattah al-Burhan, and the Rapid Support Forces (RSF), led by Gen. Mohamed Hamdan Dagalo (known as “Hemedti”). The fighting, which initially started in Khartoum over a dispute on the integration of the RSF into the army, quickly escalated to a civil war and spread to other areas, including Darfur, North Kordofan and Gezira state. The conflict has led to mass civilian suffering and large-scale destruction.

RSF’s origins are rooted in the Janjaweed militia that carried out ethnic cleansing in Darfur in starting 2003. The RSF seems to be hiding in urban areas, as so much of the conflict is happening in densely populated areas and is impacting civilians.

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Key facts
  • As of July 5, 2024, more than 18,760 fatalities (since April 15, 2023) were recorded by the Armed Conflict Location & Event Data Project (ACLED).
  • At least 20% of the population has been displaced either internally or externally since the crisis broke out. Additionally, 1 in 7 IDPs worldwide are Sudanese, and 14% of IDPs live in Sudan).
  • Sudan is facing the worst levels of acute food insecurity ever recorded by the IPC in the country. North Dafur has an official declaration of famine by the Famine Review Committee.
  • Women and girls are disproportionately impacted by conflict, where sexual violence is used as a weapon of war. According to CARE International, “Even before the most recent conflict, a staggering 3 million women and girls lived in fear of sexual or gender-based violence.”
  • Humanitarian workers have faced increasing violence. Despite this, 163 organizations support the people of Sudan, including 87 national nongovernmental organizations (NGOs), 58 international NGOs, 11 UN agencies, six government partners and the Sudanese Red Crescent.
  • In 2022, with a score of 0.516, Sudan ranked 170 out of 193 on the Human Development Index (HDI). By comparison, the world average score was 0.739. The U.S. was ranked 20th with a score of 0.927. “The HDI is a summary measure for assessing average achievement in three basic dimensions of human development: a long and healthy life, access to knowledge and a decent standard of living.”
Famine, hunger and malnutrition

On Aug. 1, the Famine Review Committee (FRC) released a report indicating that conditions for famine were present at Zamzam camp and likely in as many as 13 other areas. They said, “The main drivers of Famine in Zamzam camp are conflict and lack of humanitarian access, both of which can immediately be rectified with the necessary political will. Famine conditions will only worsen and be further prolonged if conflict continues and humanitarian and full commercial access is not made possible.”

There had been rapid deterioration between December 2023, when the last hunger projection was released, and June 2024,

  • Approximately 25.6 million people face acute hunger between June and September 2024. They were already struggling to feed themselves or their families. This was an increase of eight million people from December 2023.
  • At least 8.5 million people (18% of the population) were at-risk of emergency levels of hunger, compared to 5 million people in 2023.
  • Catastrophic/Famine/Famine-Like conditions were estimated to reach 755,000 people (and increase from none) across 10 states, including all “five states of Greater Darfur as well as South and North Kordofan, Blue Nile, Al Jazirah, and Khartoum states.”

Source: IPC

A June 2024 UNICEF press release said, “This is the first time that catastrophic conditions have ever been confirmed in Sudan since … 2004. Unlike the Darfur crisis of twenty years ago, the present crisis spans the whole country, with catastrophic levels of hunger even reaching the capital Khartoum and Gezira State, once Sudan’s breadbasket.”

It is important to note though, that famine does not need to be present for death to occur, especially among children.   In March 2024, Save the Children reported that nearly 230,000 children and new mothers were at-risk of dying in the coming months due to hunger and malnutrition.

Hunger and starvation have caused already vulnerable populations to take up harmful coping mechanisms. With aid groups unable to reach areas in Darfur, specifically IDP camps,  eight out of every 10 families in camps eat only one meal a day. Similarly, Save the Children nutrition experts witnessed pregnant women skip meals to allow their children to eat.

Widespread violence and access impediments

Since the start of the current civil war, civilians, including humanitarian personnel, have been killed in both deliberate and indiscriminate attacks by both the RSF and SAF.

As of Aug. 2, 2024, there have been more than 19,395 deaths, including military and civilian casualties, according to ACLED.

Researchers have mentioned that these numbers are “a conservative estimate due to methodological limitations of real-time reporting in a conflict of this nature.”

The violence and insecurity have resulted in movement restrictions for Sudanese populations and humanitarian actors, preventing many from receiving aid. In December 2023, ACAPS released its annual Humanitarian Access snapshot and rated the constraints on humanitarian access in Sudan as extreme (5 out of 5).

As the war spirals and atrocities mount, the U.S. determined the two warring parties have committed war crimes, including crimes against humanity and ethnic cleansing in Darfur.

Displacement

As of July 16, 2024, more than  10.7 million people have been displaced within and across borders, making it the largest internal displacement crisis in the world. This means that 1 in 5 people in Sudan are displaced.

According to IOM, over half (52%) of IDPs were reportedly “children under the age of 18-years-old.”

There is a connection between displacement, conflict and hunger. They say, The IOM adds, “Over 97% of IDPs across Sudan are in localities with high levels of acute food insecurity or worse.”

Collapsing health care system

Since the conflict in April 2023, Sudan’s health system has been stretched to near collapse despite the rise in disease outbreaks, malnutrition and non-communicable diseases. As of April 2024, approximately two-thirds of the Sudanese population did not have access to healthcare, and between 70-80% of health facilities were no longer functioning. This crisis has only grown since then.

To make matters worse, systematic blocking of aid and attacks on humanitarian actors have prompted aid organizations to warn of suspension of operations and to close hospitals. In a new report, Médecins Sans Frontières (MSF) said, “MSF teams working across Sudan have treated thousands of patients for conflict-related injuries since the start of the war, most injured by explosions, gunshots, and stabbings.”

Disease outbreaks, including malaria, measles and cholera, are present in two-thirds of Sudan’s states. About 1.8 million people have been reached with health care services (of the 4.9 million people targeted).

According to the World Health Organization (WHO) Surveillance System of Attacks on Healthcare, since the start of the conflict there have been an alarming and increasing number of attacks on health care facilities, resulting in hundreds of deaths and injuries.

Economic crisis and livelihoods

Even prior to the outbreak of conflict in April 2023, Sudan’s economy suffered from rampant inflation, shortages of basic goods and high poverty rates. On July 29, the first economic data from Sudan’s statistics agency since the conflict started was released. It showed an inflation rate of 136.67%. This was highest (721.71%) in the Northern State and lowest (109.61% in East Darfur State). Inflation cost increases were connected to increased rental and housing rates, high healthcare and medicine costs, and an increase in the costs of food.

The exchange rate of the Sudanese pound has decreased against the U.S. dollar and other foreign currencies as well. On July 25, the central bank said it had created a $1 billion fund, led by the Bank of Khartoum, to prop up the pound by increasing imports.

Extreme weather

Sudan is one of the ten countries most vulnerable to climate change.

These vulnerabilities include seasonal rains becoming more unpredictable, increasingly frequent droughts and rise in temperature. Land degradation and forestation compound the impacts of climate hazards.

Climate change has also been a source of conflict due to competition for water resources, grazing land and pastures.

Women and children

The conflict has an outsized impact on women and girls, particularly new mothers. The lack of available health care, high food insecurity and displacement have caused many to forego meals and health care services.

The conflict in Sudan has led to an increase in the risks of gender-based violence (GBV), with women bearing the brunt of displacement, food insecurity, and unmet sexual and reproductive health needs. The conflict has also reversed gains made during the transitional period and effectively created a “war on women.”

Due to the ongoing conflict, children are losing out on education, and an entire generation of Sudan’s children are exposed to the impact of war and trauma, some as child soldiers. As a result of the conflict, harmful coping mechanisms such as child marriage and reduced food intake are being reported.

In addition to children, women and displaced people, farmers and nomad communities have long been at the crossroads of conflict.

Four areas need to be addressed in the Sudan humanitarian response:

  1. Support locally-led action such as national NGOs and mutual aid groups.
  2. Providing for immediate humanitarian needs is an important initial step to allow improved recovery. Improving humanitarian access and reach and the ability of those in need to find humanitarian services is vital.
  3. Supporting vulnerable populations such as women, children, IDPs and refugees through protection and provision of essential services.
  4. Addressing the needs of host communities in neighboring countries, specifically when local infrastructures and systems are not equipped and adequate to respond to the influx of Sudanese refugees and asylum-seekers.

During any complex humanitarian emergency (CHE), immediate needs always include shelter; food; WASH; emergency health care; education; protection of at-risk populations and case management. These needs will continue throughout the course of the CHE. As the crisis becomes more protracted issues include restoration of livelihoods, mental health, cash assistance, as well as preventative disease and chronic health disease management.

Mutual Aid and Emergency Response Rooms

Grassroots mutual aid organizations have created emergency rooms to provide services in communities and can work in areas where humanitarian organizations have pulled their staff.  The New Humanitarian explains that the groups “drew members from a vibrant pro-democracy movement, and brought ideas rooted in a rich heritage of social solidarity, best represented in the tradition of nafeer (‘a call to mobilise’).”

Despite the great work they are doing, they receive little financial support from international donors (most money comes from local or diaspora donations) and are being threatened by both factions in the war. The emergency rooms are supporting hospitals, sheltering displaced people and providing food and water.

There are two different models of the Greater Khartoum kitchens according to The New Humanitarian. “Under the takaya system, religious and community leaders feed people on the streets, in houses, or under trees; but there are also more structured kitchens run in defined spaces by the emergency response rooms.”

Mutual aid recognizes that everyone has needs and assets. Spaces established through mutual aid concepts are not just about direct service provision, but are also about connecting, organizing and skills building.

In Sudan, there are women-led cooperatives and alternative educational programs. They also provide a social and networking function as volunteers work on meal prep.

“Several volunteers said their public service helps them feel powerful and resilient, and that before joining the kitchens they had felt traumatised by war and sometimes too afraid to leave their houses.”

Due to restrictions on international humanitarian aid movements and operations, including suspension of programs and layoff of local staff, funders can support locally led mutual aid networks and services to help alleviate humanitarian suffering.

Mutual support and locally led aid efforts by volunteers have been instrumental in supporting people, particularly those trapped by conflict or in hard-to-reach areas for international humanitarian partners. Their efforts are mainly supported by local groups, businesses and members of the diaspora; however, they need more financial support. Within refugee settlements, community initiatives by the larger Sudanese diaspora and refugees have aided thousands of families yet run on low budgets.

As the critical need for aid is ongoing, funders and international agencies must ensure that local initiatives and mutual aid networks are not just seen as a short-term solution to overcome access barriers but a long-term way of delivering humanitarian assistance that embeds response in the communities being helped.

To learn more about Emergency Response Rooms and Mutual Aid, listen to The New Humanitarian podcast.

Cash assistance

As with most disasters and emergencies, cash donations are recommended by disaster experts as they allow for on-the-ground agencies to direct funds to the most significant area of need, support economic recovery and ensure donation management does not detract from disaster recovery needs and quickly re-establishing access to basic needs.

Specific to Sudan, where the conflict has severely curtailed physical movement and banking operations, digital banking applications and wallets have become a lifeline for many. Since the conflict, lack of cash has led many to utilize digital wallets to cover necessities, pay for travel and receive money from abroad. Financial applications, however, suffer from frequent telecommunication and power breakdowns.

CDP recommends cash as a donation method and a recovery strategy. Direct cash assistance can allow families to purchase items and services that address their multiple needs. It gives each family flexibility and choice, ensuring that support is relevant and timely. Cash-based approaches to disaster recovery also give people the freedom to choose how they rebuild their lives and provide a pathway to economic empowerment.

Conflict sensitivity

Humanitarian actors and philanthropy must engage in a conflict-sensitive manner that utilizes ‘do-no-harm,’ a minimum obligation for any action working in and on conflict. The fighting in Sudan is myriad and requires a deep understanding of the key players, stakeholders and civil society.

The Conflict Sensitivity Facility (CSF) recently CSF rolled out four top priorities to prevent sustaining the ongoing violence in the country. Priorities include investment in analysis and learnings to ensure short-term access goals do not exacerbate long-term conflict drivers, support local-level conflict resilience and intercommunal relationships, flexible funding for mutual aid networks and local responders, and lastly, aid sector accountability to Sudan’s civilians to ensure long-term prospects for peace and recovery.

To ensure partners and funders not only address immediate humanitarian needs but also contribute towards long-term recovery, remaining conflict-sensitive is vital.

Protection

Protection has been an ongoing humanitarian concern in Sudan due to the protracted nature of conflict, displacement and other forms of violence.

In addition to violation of laws, displacement contributes to and exacerbates protection risks. Displaced populations, including refugees, are particularly vulnerable to violence, exploitation and abuse and therefore require enhanced protection.

Protection concerns are growing, particularly for at-risk groups, including children, women, elderly persons and persons with disabilities.

Ensuring a solid response to immediate humanitarian needs may help establish a path towards recovery.

CDP's Sudan Humanitarian Crisis Fund supports vulnerable, marginalized and at-risk groups to help prevent and address famine, build longer-term solutions, and meet the ongoing and ever-expanding humanitarian challenges from the conflict and complex crisis in Sudan.

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Philanthropic contributions

If you have questions about donating to the CDP Global Recovery Fund, need help with your disaster-giving strategy or want to share how you’re responding to this disaster, please contact development.

(Photo: Homes destroyed by the violence between Sudanese Armed Forces and Rapid Support Forces in Sudan, April 2023. Photo courtesy of Patty McIlreavy.)

Recovery updates

If you are a responding NGO, please send updates on how you are working in this crisis to Tanya Gulliver-Garcia. 

We welcome the republication of our content. Please credit the Center for Disaster Philanthropy.

Philanthropic and government support

CDP provided a $202,488 grant to the Near East Foundation in 2022. The project provided rapid, lifesaving support to highly vulnerable conflict- and crisis-impacted people (IDPs, returnees, and vulnerable host populations) in South Sudan and Sudan, helping them to reduce their risk of food insecurity, recover their livelihoods, and build resilience to future shocks and disruptions through improved agricultural production, inclusive value chain development, and access to finance. The project deployed durable early recovery solutions to complex and chronic emergencies in Sudan and South Sudan.

In 2021, CDP provided a $25,000 grant to World Vision to provide support for the wellbeing of children in the areas devastated by floods and in settings where populations are already vulnerable through WASH emergency interventions, shelter and non-food items, protection of children, and support for health services and mobile clinics.

The 2024 HRP funding need of $2.7 billion is only 32.3% funded, leaving at least $1.82 billion in unmet requirements as of August 2. There are 128 humanitarian partners active in Sudan and they have reached around 7.1 million people with humanitarian assistance. Clementine Nkweta-Salami, the United Nations’ Resident and Humanitarian Coordinator in Sudan said that the shortfall is leaving major funding gaps. “To stop a large-scale famine from taking hold, donors must urgently scale up their financial support while using diplomatic means to push for opening up of humanitarian access. If not, we will see an even more catastrophic situation unfold.”

More ways to help

As with most disasters and emergencies, cash donations are recommended by disaster experts as they allow on-the-ground agencies to direct funds to the most significant area of need, support local economic recovery and ensure material donations do not detract from disaster recovery needs.

Donors can help in the following ways:

  • Provide unrestricted core funding for vetted humanitarian NGO partners that support the HRP. This is an efficient way to ensure the best use of resources in a coordinated manner. Funding the NGOs that have contributed to the HRP ensures that resources are directed to support the plan and use humanitarian partners’ best knowledge. Funders can support humanitarian organizations working in Sudan to provide aid, such as food, water, shelter and medical care, to those in need in the immediate future. CDP is in contact with a number of organizations with long histories of providing support in the country.
  • Understand that recovery and resilience-building is possible in protracted and complex crisis settings. Even while focusing on immediate needs, remember that there are early and long-term recovery needs, too. We know that people who have been affected by shocks in complex humanitarian contexts can recover, improve their situation and build their resilience to withstand future shocks without waiting until the crisis is over, which may take years. Recovery is possible, and funding will be needed for recovery and resilience efforts alongside humanitarian funding. Recovery will take a long time, and funding will be needed now and throughout.
  • Recognize there are places and ways that private philanthropy can help that other donors may not. Private funders can support nimble and innovative solutions that leverage or augment the larger humanitarian system response, either filling gaps or modeling change that, once tested and proven, can be taken to scale within the broader humanitarian response structure. Philanthropy can also provide sustainable funding to national and local organizations that support needed operational costs.

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Famine

Famine

According to the United Nations’ definition, a “famine” has taken hold when: at least 20 percent of households in an area face extreme food shortages; more than two people in 10,000 are dying each day (from both lack of food and reduced immunity to disease); and more than 30 percent of the population is experiencing acute malnutrition. 

Internally Displaced People

Internally Displaced People

Internally displaced persons are those who have been forced to flee their homes, in particular as a result of armed conflict, generalized violence, violations of human rights or disasters, and who have not crossed an internationally recognized border.

Complex Humanitarian Emergencies

Complex Humanitarian Emergencies

CHEs involve an acute emergency layered over ongoing instability. Multiple scenarios can cause CHEs, like the civil wars in Syria and Yemen, the man-made political crisis in Venezuela, or the public health crisis in Congo.