SITUATION UPDATE

Sudan Conflict
Situation Report #21
August 15, 2024

FAST FACTS• Sudan is facing catastrophic levels of hunger inthe midst of the rainy and lean season. Morethan half of the population (25.6 million people)
are facing acute levels of hunger.
• Almost 11 million people (2.1 million families)
have been displaced inside and outside ofSudan, marking it the world’s largest
displacement crisis.
• Recent clashes in Sennar state have displaced
more than 151,750 people.

OUR FOOTPRINT

Displaced families from conflict-struck Sennar continue to arrive in Kassala
seeking safety.

According to the International Organization for Migration (IOM),
10.7 million people are internally displaced in Sudan. More than ayear since the conflict began in April 2023, the humanitarian crisis in
Sudan has continued to worsen. Violent clashes between armed
groups continue to rage on in Khartoum, Al Jazirah, North Darfurand West Kordofan states.

• Since 2004, International Medical Corps has
been providing health, nutrition, protection,
mental health and psychosocial support(MHPSS), and water, sanitation and hygiene(WASH) services in Sudan.

OUR RESPONSE• International Medical Corps has establishedoperations in Kassala to address the influx ofpeople displaced from Sennar and to meet theurgent humanitarian needs in the region.
• Serving 67 nationwide health facilities
potentially accessed by more than 2.7 million
people, International Medical Corps delivers
integrated health, nutrition, protection, MHPSS,and WASH services to conflict-affected
communities.

Western and eastern parts of the country have been affected byheavy rains and flooding since July. The UN Office for theCoordination of Humanitarian Affairs (OCHA) estimates that 73,000
people have been affected, with hundreds of homes destroyed,
adding to the already significant displacement crisis in the country.
Flooding has affected settlements for internally displaced persons• International Medical Corps operates a network(IDPs) in Kassala, where many people have sought safety since theof 56 nutrition centers for malnourishedoutbreak in June of conflict in Sennar. The majority of affected IDPs
children with life-threatening conditions.
have been forced to live in the open without access to food, cleanwater or safe sanitation facilities, raising concerns that the lack ofsanitation will cause a possible spike in water-borne diseases. The Sudanese Ministry of Health has confirmed an
outbreak of cholera in Kassala, as well as in Al Gezira and Khartoum states. The Wad El Hilu area in Kassala has
witnessed the highest case load, with more than 150 cases of cholera and seven deaths.
Last month, the Integrated Food Security Phase Classification (IPC)—a multi-partner initiative for improving food security,
nutrition analysis and decisionmaking—declared famine in Zamzam camp and surrounding areas of El Fasher, the capitalof North Darfur. The estimated death toll is equivalent to 3,000 famine deaths every month. Famine conditions arepredicted to continue through the end of October. Al Jazirah and Khartoum states, along with the greater Darfur andKordofan regions, are likely to experience catastrophic consequences if the conflict intensifies, leading to prolonged
displacement and severely restricted or entirely blocked humanitarian access for those in need. To address these criticalneeds and to avoid famine, additional funding is urgently required.

International Medical Corps Response
International Medical Corps delivers comprehensive emergency interventions—including health, nutrition, protection,
mental health and psychosocial support (MHPSS), and water, sanitation and hygiene (WASH) services—in 18 localities
across seven states, providing essential support to 34 health facilities that serve a combined catchment population of 1.3

million people. Our integrated approachensures that vulnerable communities receive
timely and effective assistance, addressing
both immediate and long-term needs toimprove their overall well-being andresilience.
In response to the food-insecurity crisis inSudan, International Medical Corps issupporting a robust network of 56 nutrition
centers, including outpatient therapeutic
program (OTP) sites, 53 targeted
supplementary-feeding program (TSFP) sites
and six stabilization centers (SCs) in sixstates, including Blue Nile, Central Darfur,
South Darfur, West Darfur, Khartoum andSouth Kordofan. According to the National
Nutrition Cluster's classification of priority
locations based on the IPC across 190
localities in Sudan, 40% of the sites targetedby International Medical Corps arecategorized as Phase 4 (Emergency), 45%
as Phase 3 (Crisis) and 15% as Phase 2(Stressed).
Since the start of the conflict, International Medical Corps’ nutrition teams have admitted 1,266 children between the agesof 6 and 59 months with severe acute malnutrition (SAM) without medical complications into our outpatient therapeutic
program for treatment, and 2,103 children with moderate acute malnutrition (MAM) into our targeted supplementary
feeding program across our operational nutrition centers. Since June, we have also admitted 54 children with SAM intostabilization centers for treatment.
In coordination with UNICEF and the World Food Programme, and in partnership with four local non-governmentalorganizations, International Medical Corps is providing community management of acute malnutrition, as well as infant
and young-child feeding (IYCF) services, to thousands of malnourished children and women across our supported
nutrition sites and communities. International Medical Corps is supporting more than 70 mother-support groups, which areinstrumental in fostering best practices for maternal and child nutrition. In coordination with the State Ministry of Health,
we also offer integrated counseling and support to pregnant women and caregivers of young children, ensuring thatessential nutritional guidance is accessible both in health facilities and community environments.
Because access to WASH services remains the primary need of IDPs across the country, particularly in the Darfur andKordofan regions, International Medical Corps is providing lifesaving WASH services across the targeted communities
and health facilities. International Medical Corps is also working to rehabilitate and maintain an additional 24 water supply
systems in communities, IDP settlements and health facilities, which will provide more than 42,000 people withsustainable and equitable access to safe water sources for drinking and domestic use. Meanwhile, we are supporting
emergency water trucking to IDP settlements as we work to rehabilitate and maintain the water points.
Since the conflict began, International Medical Corps has provided 868,069 medical consultations addressing various
health concerns in the communities we serve. Our educational sessions—which cover nutrition, hygiene, reproductive
health and mental health topics—have reached 144,423 participants. We have delivered 64,009 vaccinations to safeguard
children and pregnant women against vaccine-preventable diseases. We have helped 11,632 children through ouroutpatient therapeutic programs, where we address cases of SAM. We have helped support 101,015 antenatal care(ANC) visits for women, safely delivered 14,944 newborns and provided essential services such as skilled birthattendance, emergency obstetric care and newborn care. Following delivery, we have facilitated postnatal care visits for
9,871 women, offering them necessary follow-up services and support. Finally, we have conducted 4,633 MHPSS
consultations for people with common mental, neurological and substance-use (MNS) conditions. We have also delivereda range of psychosocial support activities, including psychoeducation mental health case management and psychologicalfirst aid, to enhance the well-being of conflict-affected populations.
In July 2024, International Medical Corps’ teams conducted 89,655 medical consultations, assisted with 1,707 deliveries
and provided 912 postpartum consultations for mothers and newborns. Additionally, 6,516 women attended ANC visits.
We administered 6,398 vaccinations and supported 424 mental health consultations for individuals with common MNSconditions. Finally, we reached 15,957 people through group education and awareness-raising sessions.