Alleviating suffering in the face of war – Part 2 | Doctors Without Borders / Mdecins Sans Frontires (MSF …

“I will continue to support those crushed by this brutal war.”

Published: Nov 28, 2024Updated: Nov 28, 2024

By Dr. Mohamed Bashir, MSF staff 

Do you remember me? I am Dr. Mohamed Bashir, MSF’s former deputy medical coordinator in Sudan. I once wrote a reflection, Alleviating suffering in the face of war, in which I shared my firsthand experience of the civil war – not only as a medical humanitarian but as a Sudanese person. 

I’m still with MSF, but now on an assignment in South Sudan, across the border from home. Although I’m physically far away, the effects of the war are ever-present, pulling me back with every news update as I compare the devastation I hear of with the global news headlines that seem to barely notice.  

An MSF staff in consultation with a patient inside the MSF clinic at the Bulukat transit centre. Thousands of people who have fled the war in Sudan have sought safety in Bulukat and other centres. South Sudan, 2024 © Kristen Poels/MSF  

Sudan and its suffering people have slipped down the world’s list of priorities – forgotten by the media, neglected by political will and overlooked by the humanitarian donor institutions that should be putting this catastrophe front and centre. I ask myself: What can I do as an individual? My resolve is clear – I will continue to support those crushed by this brutal war.   

Here in Twic County in South Sudan, many of our patients are South Sudanese returnees who have been displaced twice in about a decade. Thousands of Sudanese refugees have also crossed into different parts of South Sudan, scattered in host communities or crowded into refugee camps. 

I know this pain 

This war continues to torment us, tearing families apart. Those fleeing Sudan share the same stories of loss, uncertainty and fading hope for peace. I know this pain too well. 

Internal borders and front lines controlled by warring parties have sliced through a nation where lives are being lost, homes destroyed, and livelihoods wiped out.  

As for the people – us – we are left alone. 

My family escaped Khartoum, among the millions displaced, not once but several times in just 18 months. They left everything behind, with no clear path to survival and little attention from the world. We are still suffering from the disappearance of a relative of mine, a civilian taken from his home by a warring party over 10 months ago. We have no news – no information about his health or whether he will ever be released. 

Every small act matters, and every effort counts. 

Even for those who escape the violence or reunite after separation, new challenges arise – floods, disease outbreaks – under a collapsed healthcare system. Most hospitals lie destroyed. Those that remain functional are marooned without medicine, staff, or resources. This is deliberate deprivation, a cruel tactic of war.  

Surviving on the bare minimum, people have been left waiting for a miracle, yet more displacement, or even worse: death. 

Do not turn away 

Despite all this, I’m here to share our resilience. As humanitarians – medics, logisticians, and nurses – we do everything we can to support those in need. Every small act matters, and every effort counts. 

This is exactly what I’ve been doing for the past months in Twic as the MSF project medical referent at Mayen Abun County hospital.  

The area was already overwhelmed by humanitarian needs, having witnessed previously internal displacement of thousands of South Sudanese uprooted due to intercommunal violence in Agok in 2022. It’s a place where the health system has collapsed, burdened by malaria, hepatitis E, and malnutrition. 

The work here provides a window into another dimension of my country’s war. I see firsthand the dire conditions faced by those who forced to flee Sudan. What astonishes me even more is how overlooked this crisis remains—there is so little mainstream knowledge about the displacement of Sudanese people to South Sudan, Chad, and other countries, despite the overwhelming needs of families seeking refuge. 

Halima Abdurahman Dawud holds her daughter Aszed Mohammed as she is vaccinated at the transit site in Renk for people escaping the war in Sudan. MSF provides vaccines to children who left Sudan without vaccination or have incomplete vaccines. South Sudan, 2024 © MSF 

We live in a time of escalating crises – both humanmade and environmental. The casualties of today’s wars, in different places and contexts, are almost too tragic to comprehend.  

Amid all this, I plead with the world: Do not let Sudan slip from your attention. At times, it feels as though no one cares, as if Sudan has been deliberately deprioritized by the global decision makers, pushed aside for other crises. How much longer can we tolerate this inaction? 

About Dr. Bashir 

Dr. Bashir has worked in several MSF projects in Sudan, including supervising medical activities at the MSF-supported Umdawanban and Alban Aljadeed hospitals in Khartoum state. He also played a key role on the medical team at Um Rakuba refugee camp in Al Gedaref State, where MSF delivered 40,000 outpatient consultations in 2023. Additionally, his responsibilities included managing health emergencies, such as MSF’s response to a cholera outbreak in 2023. 

Currently, Dr. Bashir is working with MSF in Warrap state, South Sudan, where our teams are providing comprehensive care in Twic county and Abyei town at several facilities, as well as supporting integrated community case management sites in camps for people who are displaced.  

MSF’s work in South Sudan 

MSF continues to collaborate with the South Sudanese Ministry of Health to run surgical and emergency medical activities in the only secondary healthcare facility in the Abyei Special Administrative Area. 

Due to ongoing inter-communal violence in South Sudan and the toll of the war in Sudan, MSF teams in Abyei and Twic are handling a continuous influx of violence-related surgeries.  

From January to June 2024, MSF conducted 16,885 emergency consultations and performed 1,914 surgical operations. Of these, 815 patients required care for violent trauma, including gunshot wounds, blast injuries and stabbings.  

Despite these efforts, there remains a significant shortage of hospital care in this region, along with limited surgical capacity and operating room availability. 

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