Underneath shelling and gunfire, Esraa cradled her new child son. Because the warfare in Sudan broke out in April 2023, she was making an attempt to succeed in a well being clinic for remedy for her child, who had been scuffling with infections and respiratory difficulties. However with the roads blocked by combating, 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 concern of shedding one other baby. “There’s just one functioning maternal hospital left in Khartoum,” stated Esraa. “It’s extremely harmful to maneuver across the metropolis – considered one of our neighbours died on her strategy to the hospital.”
All through the warfare, Esraa and her household have been pressured to maneuver repeatedly as areas that had been secure sooner or later grew to become deadly the subsequent. They ultimately discovered refuge in a crowded shelter with different displaced individuals from Khartoum.
‘It was like shifting from one grave to a different’
As soon as the most important metropolis in Sudan, Khartoum now has huge areas that resemble ghost cities. In shelters arrange for individuals pressured from their houses, situations are dire: Overcrowding is rampant and fundamental hygiene necessities largely lacking. Meals can also 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 illnesses like polio and cholera unfold, accessing well being care has turn into some of the important challenges for the individuals of Khartoum. Most medical amenities have been pressured out of service as a result of destruction and a extreme lack of provides.
“I used to be 5 months pregnant once I arrived on the shelter,” stated Esraa. “For me, it was like shifting from one grave to a different. We had been consistently anticipating one thing unhealthy 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 cellular well being workforce supported by UNFPA arrived on the shelter to supply reproductive well being and safety providers to the ladies and women dwelling there. “The cellular well being groups play an important 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 workforce.
Esraa obtained antenatal care and micronutrients from the workforce, who made common visits to take care of her and the opposite ladies and women within the shelter. “They not solely helped me with medical care but in addition gave me a way of security and hope that I hadn’t felt in months,” she stated.
4 months later, Esraa gave delivery to a wholesome child boy, assisted by the cellular workforce. “I gave delivery 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 cellular 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 warfare started, the groups – together with medical doctors, 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 obtained, humanitarians like social employee Nisreen Kamal Abdulla felt there was nonetheless extra they wished to do for these communities.
“The time out there on the clinic was not sufficient to deal with everybody – we should always go to each group extra regularly to succeed in extra individuals and supply constant care,” she instructed UNFPA. “A lot of the ladies we met who’ve psychological points have stopped their remedy as a result of they’ll’t afford the drugs.”
Reaching distant communities
The mobility of the groups is essential for growing entry to important providers in distant areas, stopping maternal deaths as a result 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 workforce will cowl three completely different areas per week, spending one to 2 days in every, based mostly on the group’s dimension and wishes.
“Regardless that I didn’t depart Khartoum in the course of the warfare and continued working in its hospitals, this expertise was completely different,” defined Dr. Nahat.
“I reached far-away areas and related with individuals I had not been capable of attain earlier than. It was an important morale enhance for them to know there are organizations that care about them and should not leaving them behind.”