Sudan: “This is a war against civilians”

What are the obstacles faced by people who wish to access health care?

The Darfur is an extremely isolated region and the distances to be covered are immense. Some health services provided by MSF in the Jebel Marra region, for example, are only accessible by donkey, after several hours of driving, and can easily find themselves cut off from the world during the rainy season. This compromises both the supplies and patient access to care.

It took us between four and six hours to drive from one town with a hospital to another, crossing rough terrain. For people in need of care, getting to a health facility is extremely difficult. Transport is expensive, often involves the use of donkey carts and takes time.

The distance, cost and lack of infrastructure increase the risk of illness and death. 

As a doctor, how did you feel when you discovered the living conditions of the people of Darfur?

I am deeply worried. I spent a day in the camps around Tawilawhere hundreds of thousands of people live in inhumane conditions. People reported eating only one meal per day. They spoke of thirst, long queues for water and rapidly dwindling resources.

They are also worried about the arrival of the rainy season because their shelters are made of reeds and grass. Emergency latrines are already full, forcing people to relieve themselves outside. This creates serious health risks.

Sudan has been the scene of repeated attacks on health facilities. What are the consequences for patients and staff?

These attacks create a real sense of fear among our staff. Health services are themselves targeted.

We have witnessed strikes in recent months, particularly on hospitals of Al Jabalainin theWhite Nile State andAd Daeinin theEast Darfur Statewhich caused the death of patients and healthcare professionals.

MSF continues to remind the warring parties of their obligations under international law : protect hospitals. Even if we take all necessary precautions, nothing can protect healthcare facilities from a large-scale drone strike.