Skip to main content
Urgent Mass atrocities against civilians continue in El Fasher, Sudan Read the report

    Sudan: A dire malnutrition crisis threatens lives in South Darfur

    MSF staff offloading the truck to prepare for the distribution in outskirts of Nyala, South Darfur.

    Doctors Without Borders staff offloading the truck to prepare for the distribution in outskirts of Nyala, South Darfur. Sudan, February 2025. © Hani Dweik/MSF

    Children under five years old, as well as pregnant and breastfeeding mothers are among the most vulnerable groups affected by this worsening malnutrition crisis. In 2024, over 7,200 children under five years old and pregnant and breastfeeding women from Nyala and surrounding areas were admitted into Doctors Without Borders outpatient feeding programs with severe malnutrition. With limited access to nutritious food, these groups face heightened risks of severe acute malnutrition (SAM), which, if left untreated, is life-threatening. 

    Limited humanitarian presence, increased needs

    The scarcity of humanitarian activities run by UN agencies and the lack of a humanitarian response commensurate with the needs imposes challenges on efforts to address the food situation and the overall crisis in South Darfur and across Sudan. This reality means limited resources, resulting in continued gaps in life-saving services, especially the treatment of malnutrition

    Doctors Without Borders/Médecins Sans Frontières (MSF) had already initiated emergency nutritional support in some of the most affected areas, but under the current circumstances, our teams are facing considerable pressure to expand and sustain these efforts. 

    People load parcels of food onto a camel in Kaloketting, South Darfur.

    People load parcels of food onto a camel in Kaloketting, South Darfur. Sudan, March 2025. © Hani Dweik/MS 

    A nutrition response under pressure

    In December, Doctors Without Borders began distributing food parcels to families of children and families of pregnant and breastfeeding women enrolled in our malnutrition treatment programmes. The aim was to offer some short-term relief to those facing the harshest consequences of food insecurity, particularly as the economic situation continues to deteriorate. 

    In South Darfur, communities have been exposed to extreme levels of violence. Many have been displaced—with women in particular often left to care for large families on their own, cut off from income and support networks. With few options available, people struggle to meet their most basic needs.

    "In order to reduce instances where the child's therapeutic food is divided amongst the hungry relatives, we provide a family ration for a duration of two months,” says Hunter McGovern, Doctors Without Borders' Targeted Food Distribution Project Coordinator in South Darfur. 

    One of the many mothers admitted to Doctors Without Borders' program to care for lactating and pregnant women suffering from severe malnutrition, stands in line waiting for her turn to receive the food basket in Nyala, South Darfur.

    One of the many mothers admitted to Doctors Without Borders' program to care for lactating and pregnant women suffering from severe malnutrition, stands in line waiting for her turn to receive the food basket in Nyala, South Darfur. Sudan, February 2025. © Abdoalsalam Abdallah

    “This allows the child to receive the full course of their nutrition therapy while increasing the nutritional situation of the whole family. Even with this activity in progress, the needs remain overwhelming," McGovern continued.

    Doctors Without Borders' response provides food rations amounting to 2,000 calories per day per person for families, at an average of five persons per family, to cover a period of two months. This programme helps give the whole family the food they need, which in turn supports the treatment of malnourished children towards a healthy weight. 

    "During our distributions, we found that the average family size is much larger than what we had initially planned for—sometimes as many as ten people per household. This underscores just how critical the food shortage is and how much more assistance is required to meet the real needs of the population," McGovern said. People travel when they hear a relatives' family has received food assistance, underscoring the critical nutrition shortage on ground.

    The need for a stronger humanitarian response

    Doctors Without Borders remains committed to addressing the urgent nutritional needs of populations affected by the conflict in South Darfur. The scale of the crisis far exceeds the capacities of the limited numbers of organizations responding to the malnutrition crisis. 

    MSF staff offloading the truck to prepare for the distribution in outskirts of Nyala, South Darfur.

    Doctors Without Borders staff offloading the truck to prepare for the distribution in outskirts of Nyala, South Darfur. Sudan, March 2025. © Hani Dweik/MSF

    We are fast approaching the rainy season and the hunger gap, the time of the year when it is most difficult for people in South Darfur to access food and when it is most difficult for humanitarian supplies to reach the state. Supplies for the treatment of malnutrition, and for food distribution programmes, have to be pre-positioned now before communities are cut off. Local responders need funding and support to continue and expand food distribution programmes for their communities. Running food distributions and expanding inpatient and outpatient therapeutic feeding programmes in South Darfur is challenging but possible - and can help prevent needless suffering and mortality.

    With food security deteriorating and malnutrition rates rising, urgent action is needed to scale up humanitarian assistance and ensure that children and families receive the support they desperately need. Without a concerted effort, the crisis will only deepen, putting countless lives at risk.



    Will you support our emergency response work?

    Help us provide lifesaving medical care during emergencies by making a donation today.