MSF teams have started water and sanitation activities in the main displacement camp of El Obeid, the capital of North Kordofan state, and we are ready to expand healthcare activities in the city and other areas of the Kordofans region.
As violence continues to spread across Sudan, the Kordofans, in the south-central part of the country, has remained one of the most volatile and active conflict zones. This is coupled with being one of the least accessible regions for humanitarian organisations. At the heart of this vast area, the city of El Obeid, the capital of North Kordofan state, is a major refuge for displaced families fleeing violence. Living conditions here are precarious: access to healthcare is limited, safe drinking water is scarce, and sanitation facilities are insufficient to meet rapidly growing needs.
In response, Doctors Without Borders/Médecins Sans Frontières (MSF) launched emergency activities in El Obeid, in late January. The first phase of this response is focused on improving the water and sanitation services in the city’s main displacement site.
Al-Mina Al-Muwahad, the main displacement site of El Obeid, hosts approximately 25,000 people as of the end of January 2026, according to MSF’s assessment. At the site, we saw an alarming lack of services for the amount of people living there. There are severely inadequate sanitation services, with 500 people sharing one latrine at times. As well, there is limited access to safe drinking water, with only three litres per person per day. This significantly increases the risk of disease outbreaks, placing particularly children, pregnant women, and the elderly at heightened risk.
MSF is strengthening water and sanitation services in the camp by constructing additional latrines, installing water bladders, and supporting community-based disease and nutrition surveillance through Ministry of Health community health volunteers. As people’s needs far exceed the capacity of an already fragile health system, MSF is coordinating with the local authorities to support the provision of healthcare activities in the camp as well as at El Obeid Teaching hospital.
MSF’s current response in El Obeid follows months of engagement with local and federal authorities to gain access to the city. In July 2025, we launched a remote response to support with trainings and technical advice the Ministry of Health during a cholera outbreak and in September last year we found major humanitarian needs among the community, as well as cases of measles and cholera, during an assessment carried out on site.
According to the International Organization for Migration, since the conflict in Sudan began on 15 April 2023, more than 15 million people have been forced from their homes, including 11.5 million displaced within Sudan and approximately 4 million who fled across borders at the peak of the crisis. MSF runs or supports 20 hospitals and 16 healthcare centres in Sudan. Our medical teams provide surgical care, wound management, physiotherapy, maternity, nutrition and paediatric services, general healthcare, routine and reactive vaccination campaigns, and mental health support in eight of country’s 18 states.
