Below shelling and gunfire, Esraa cradled her new child son. Because the battle in Sudan broke out in April 2023, she was making an attempt to achieve a well being clinic for remedy for her child, who had been fighting infections and respiration difficulties. However with the roads blocked by preventing, the younger mom by no means made it to the clinic; her son died in her arms.
When she grew to become pregnant once more in August final yr, she was haunted by the worry of shedding one other youngster. “There’s just one functioning maternal hospital left in Khartoum,” mentioned Esraa. “It’s extremely harmful to maneuver across the metropolis – one among our neighbours died on her solution to the hospital.”
All through the battle, Esraa and her household have been compelled to maneuver repeatedly as areas that had been protected in the future grew to become deadly the following. They finally discovered refuge in a crowded shelter with different displaced folks from Khartoum.
‘It was like shifting from one grave to a different’
As soon as the biggest metropolis in Sudan, Khartoum now has huge areas that resemble ghost cities. In shelters arrange for folks compelled from their properties, situations are dire: Overcrowding is rampant and primary hygiene necessities largely lacking. Meals can be more and more scarce, leaving many battling extreme starvation as Sudan faces the worst ranges of acute meals insecurity ever recorded within the nation.
Because the disaster deepens and ailments like polio and cholera unfold, accessing well being care has change into one of the vital essential challenges for the folks of Khartoum. Most medical services have been compelled out of service because of destruction and a extreme lack of provides.
“I used to be 5 months pregnant after I arrived on the shelter,” mentioned Esraa. “For me, it was like shifting from one grave to a different. We had been continuously anticipating one thing dangerous to occur. Hope had no place in our hearts.”

© UNFPA Sudan/Sufian Abdul-Mouty
Midwives and different well being professionals on the Khartoum Maternity Hospital, Sudan..
Roving responders
Amid these dire situations, a cell well being staff supported by UNFPA arrived on the shelter to offer reproductive well being and safety providers to the ladies and women residing there. “The cell well being groups play a vital function in stopping maternal deaths, providing a complete vary of medical providers in war-affected areas of Sudan,” defined Mohamed Hasan Nahat, coordinator of the staff.
Esraa acquired antenatal care and micronutrients from the staff, who made common visits to take care of her and the opposite girls and women within the shelter. “They not solely helped me with medical care but additionally gave me a way of security and hope that I hadn’t felt in months,” she mentioned.
4 months later, Esraa gave beginning to a wholesome child boy, assisted by the cell staff. “I gave beginning within the shelter. They took care of me and the child – I even named him Mohamed after the physician who helped me.”
UNFPA has deployed 56 cell well being groups throughout 11 states in Sudan, which give sexual and reproductive well being providers and gender-based violence safety and response. Because the battle started, the groups – together with docs, pharmacists, lab technicians, psychologists and midwives – have carried out over 150,000 medical consultations.

© UNFPA Sudan/Sufian Abdul-Mouty
Midwives and different well being professionals on the Khartoum Maternity Hospital, Sudan..
Though they’re saving lives and offering the one medical help many have acquired, humanitarians like social employee Nisreen Kamal Abdulla felt there was nonetheless extra they needed to do for these communities.
“The time accessible on the clinic was not sufficient to deal with everybody – we should always go to each group extra continuously to achieve extra folks and supply constant care,” she instructed UNFPA. “A lot of the girls we met who’ve psychological points have stopped their remedy as a result of they will’t afford the medication.”
Reaching distant communities
The mobility of the groups is essential for rising entry to very important providers in distant areas, stopping maternal deaths because of unsafe childbirth and high-risk pregnancies. Too typically a scarcity of transportation means many merely can’t get to a well being centre in time – or in any respect.
On common, a staff will cowl three totally different places per week, spending one to 2 days in every, based mostly on the group’s measurement and wishes.
“Though I didn’t go away Khartoum through the battle and continued working in its hospitals, this expertise was totally different,” defined Dr. Nahat.
“I reached far-away areas and related with folks I had not been capable of attain earlier than. It was an incredible morale increase for them to know there are organizations that care about them and aren’t leaving them behind.”