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“In El Fasher, I couldn’t have any health check-ups because there were no hospitals left near us,” said Zainab , 26, who was pregnant when describing a brutal siege that lasted 18 months in the capital of North Darfur State.

For nearly two months, the city of El Fasher has been cut off from the outside world.

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Refugees arrive in Al Affad camp in Northern State fleeing violence in Tawila, in North Darfur State

More than 107,000 people — most of them women and children — escaped a brutal siege in El Fasher. For over a year, people in El Fasher had to survive without transport, food, or money. In October 2025, the siege culminated in a massacre that has left 60,000 people dead on the low end. Many survivors fled to Al Affad, an overcrowded displacement camp where healthcare and safety remain elusive.

Sudan is the world’s largest humanitarian emergency, and millions of women and girls are enduring violence, displacement, and hunger every single day — but right now, you can help. Make a gift to provide urgent support to women and girls in Sudan and where it’s needed most. [[link removed]?]

PROVIDE URGENT SUPPORT [[link removed]?]

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Dr. Ikhlas is an obstetrician displaced from El Fasher, who is now working with a UNFPA medical team at Al Affad displacement camp, in Sudan’s Northern State.

Dr. Ikhlas , a displaced obstetrician and mother of three, described the conditions of a blockade: “Between my house and the Saudi Maternity Hospital [where I worked] there were more than 100 bombs a day. I would sleep overnight at the hospital, because if I tried to go back home I could be hit by a bomb. Many of my colleagues were killed that way.”

She and her colleagues resorted to desperate measures. “We worked using cut-up bedsheets and mosquito nets — we did everything we could. We were performing procedures like amputations outside the operating room.”

Today, Dr. Ikhlas is displaced but continues to provide medical care. She has joined UNFPA medical teams in Al Affad, helping women and girls like Farha .

Farha encountered Dr. Ikhlas after fleeing El Fasher. For a week, she trekked over rough terrain and navigated armed troops, while pregnant and carrying her three-year-old daughter.

“We had no one with us. My children’s father, my father, and my brothers were all killed. I was exhausted… When I arrived, I was sitting in the heat, under the sun, without supplies or anything to eat. Dr. Ikhlas found me and took me to Al Dabba Maternity Hospital.”

Thanks to Dr. Ikhlas, Farha gave birth at the hospital. “She brought me everything I needed,” Farha shared. “She stayed with me throughout, and even after I was discharged, she continued to follow up with me until she brought me here [to the clinic].”

UNFPA is strengthening emergency obstetric care at Al Dabbah Maternity Hospital and operating a reproductive health clinic in Al Affad displacement camp in Northern State. Midwife teams are also being deployed and trained on the clinical management for survivors of sexual violence.

You have the power to provide lifesaving sexual and reproductive healthcare to women and girls in Sudan and humanitarian emergencies around the world. Please donate now — every second counts in an emergency.

In the world’s largest humanitarian emergency, will you make a gift for women and girls to provide them with access to midwives, medical supplies and medicines, safe spaces, and clinical care today? [[link removed]?]

MAKE A LIFESAVING GIFT [[link removed]?]

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The once small rural outpost of Tawila is now bursting. Families are sheltering in makeshift tents or sleeping out in the open.

Thank you for being there for women and girls everywhere. Your gift delivers hope to those who need it most.

— USA for UNFPA
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