Sudan: Malnutrition crisis threatens mums

29 Apr 2025

The war in Sudan is not only devastating healthcare but also severely compromising food security, leaving millions in danger, particularly in the conflict-affected state of South Darfur. People forced from their homes, who struggle to secure even basic items, are among those enduring the most in what is a worsening malnutrition crisis.

The most vulnerable include children under five years of age and pregnant and breastfeeding mothers. More than 7,200 of them from in and around the capital, Nyala, were admitted to MSF outpatient therapeutic feeding programmes in 2024. With limited access to nutritious food, these people face heightened risks of severe acute malnutrition, which, if left untreated, is life threatening.

Women wait for food parcels

Mothers admitted to MSF’s therapeutic feeding programme for pregnant and breastfeeding women suffering severe malnutrition wait to receive food parcels. | February 2025 © Abdoalsalam Abdallah

Limited humanitarian presence, increased needs

The scarcity of humanitarian activities by UN agencies and the lack of a humanitarian response equal to needs impose challenges on efforts to address food security and the malnutrition crisis in South Darfur and across Sudan.

This means limited resources, which lead to gaps in lifesaving services, particularly the treatment of malnutrition. MSF had initiated emergency nutritional support in some of the most affected areas, but our teams are facing considerable pressure to sustain and expand the support. 
 

We provide a family ration for two months, [but] we found the average family size is much larger. . . . People travel when they hear a relatives’ family has received food assistance. This underscores how critical the food shortage is.

Hunter McGovern
MSF targeted food distribution project coordinator, South Darfur

A nutrition response under pressure

In December, MSF began distributing food parcels to families of children and of pregnant and breastfeeding mothers enrolled in our malnutrition treatment programmes. The aim: to offer short-term relief to those facing the harshest consequences of food insecurity, particularly as the economic situation continues to deteriorate. In South Darfur, people have been exposed to extreme levels of violence. Many have been forced from their homes—cut off from income and support networks, women are often left to care for large families on their own. With few available options, meeting basic needs is difficult.

For instance, hungry relatives might divide a child’s therapeutic food among themselves. To reduce this, we provide a family ration for two months. The ration amounts to 2,000 calories per day per person, at an average of five persons per family, for two months. This programme helps give the whole family the food they need, which supports the treatment of malnourished children towards a healthy weight.

Even so, “the needs remain overwhelming,” says Hunter McGovern, MSF’s targeted food distribution project coordinator in South Darfur. “We found the average family size is much larger—sometimes as many as 10 people per household.” People travel when they hear a relatives’ family has received food assistance. “This underscores how critical the food shortage is and how much more assistance is required.”

Staff carry food items

MSF staff carry food items from the warehouse for delivery in Nyala. | February 2025 © Abdoalsalam Abdallah

The need for a stronger humanitarian response

MSF remains committed to addressing the urgent nutritional needs of people affected by conflict in South Darfur, but the scale of the crisis far exceeds the capacity of the limited number of organisations responding to it.

And rain is coming. The wet is the most difficult season for people in South Darfur to access food and for humanitarian supplies to reach the state. Supplies for the treatment of malnutrition and for food distribution programmes must be organised now before communities are cut off. Local responders need funding and support to continue providing—and expand—programmes for their communities.

Woman with food parcel

“I’m enrolled in the breastfeeding support programme and this is my first food parcel,” says Nadia, who lives in the Autash camp for displaced people. “It will help me a lot—it means I don’t have to go with my baby to the market to work. I can now focus on caring for and raising him.” | February 2025 © Abdoalsalam Abdallah

Providing food distribution programmes and expanding inpatient and outpatient therapeutic feeding programmes during this so-called “hunger gap” is challenging but possible and can help prevent needless suffering and mortality.

With food security deteriorating and malnutrition rates rising, we need your help to urgently scale up humanitarian assistance so women and children can receive the support they desperately need. Without acting now, the crisis will only deepen, putting countless lives at risk.
 

Help us bring crisis care

As an independent, impartial and neutral medical humanitarian organisation, Médecins Sans Frontières/Doctors Without Borders responds rapidly to emergencies, delivering urgent treatment to people in need no matter where they are.
 
Your donation will ensure our teams can continue providing crisis care where it is needed most—in Sudan and around the world.
 

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