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Sudan: Violent attacks lead to suspension of MSF activities at key Khartoum hospital

“Without the security to operate safely, it has become untenable to continue,” said MSF’s Claire San Filippo.

MSF staff member in an operation theater at Bashair Teaching Hospital in Khartoum, Sudan.

Nora Zergi, anesthetist prepares the operating theater for surgery a month after the war started. | Sudan 2023 © MSF

Doctors Without Borders/Médecins Sans Frontières (MSF) strongly condemns ongoing violent attacks on patients and staff at Bashair Teaching Hospital, located in a Rapid Support Forces-controlled area of Khartoum, Sudan. Despite extensive engagements with all stakeholders, these attacks have continued in recent months, leading MSF to make the difficult decision to suspend all medical activities in the hospital. 

In the 20 months that MSF teams have worked alongside hospital staff and volunteers, Bashair Teaching Hospital has experienced repeated incidents of armed fighters entering the hospital with weapons and threatening medical staff, often demanding fighters be treated before other patients. On November 11, 2024, a patient was shot and killed inside the hospital. On December 18, attackers fired weapons inside the emergency ward, directly threatening medical staff. In an earlier incident, weapons were fired at the hospital, bullets entered the hospital compound, and one person was wounded. 

Intense and extreme violence continue daily. Shortages and blockages of food, supplies, and humanitarian aid leave people scrambling to survive. 

Claire San Filippo, MSF emergency coordinator

“The suffering we witness in Khartoum is enormous,” said Claire San Filippo, MSF emergency coordinator. “Intense and extreme violence continues daily. Shortages and blockages of food, supplies, and humanitarian aid leave people scrambling to survive. The medical needs are overwhelming. Injuries are often horrific. Mass casualty incidents have become almost routine. Our team, hospital staff, and volunteers have worked tirelessly in very difficult conditions to provide medical care. But without the security to operate safely, it has become untenable to continue as the lives of our staff and patients are threatened.” 

Damage in the ER at Bashair teaching hospital
Damages in the ER at Bashair teaching hospital

The emergency room of Bashair Teaching Hospital was damaged by bullets fired by Rapid Support Forces soldiers in December 2024. Sudan 2024 © MSF

Fewer and fewer health care options in south Khartoum

Bashair Teaching Hospital is one of the last functioning hospitals in south Khartoum offering free medical care. Since the end of September, the hospital has seen a surge in cases of people with violent trauma injuries as fighting has escalated. At times, dozens of people have arrived at the hospital en masse after shelling or airstrikes on residential areas and markets. On Sunday, January 5, 2025, 50 people were brought to the emergency room—12 of them already dead—after an airstrike less than one mile from the hospital. 

At the same time, our teams have seen an increase in pediatric and maternity patients as other health facilities have shuttered or reduced services. We have also been responding to cholera, malaria, and dengue outbreaks, and are seeing very worrying levels of malnutrition.

It is devastating to have to stop supporting lifesaving medical care at this hospital, particularly in the face of such great and growing medical needs.

Claire San Filippo, MSF emergency coordinator.

The hospital has already faced serious difficulties. In October 2023, all surgeries were temporarily suspended after surgical supplies were blocked by the Sudanese Armed Forces. The transport of medical supplies and staff movements from Port Sudan have now been blocked for more than a year. MSF had to suspend medical activities at the nearby Turkish Hospital in July last year as a result of threats to and violence against staff. 

“It is devastating to have to stop supporting lifesaving medical care at this hospital, particularly in the face of such great and growing medical needs,” said San Filippo. “Every time an organization is forced to suspend activities, patients have less access to medical care they desperately need. Hospitals must be places where people can seek health care without risking their lives and where medical professionals can safely deliver care.”

Wounded MSF patients on hospital beds and stretchers at Bashair Teaching Hospital in Khartoum, Sudan.
Bashair Teaching Hospital received over 60 wounded patients and 43 deaths after an explosion in a market on September 10, 2023.

MSF in Bashair Teaching Hospital

An MSF team first joined volunteers and medical staff who had reopened the hospital in May 2023, shortly after the start of the war in Sudan. Between May 2023 and December 2024, the hospital treated 25,585 patients in the emergency room, more than 9,000 due to violence, such as blast and gunshot wounds. During the same period, the team performed 3,700 surgical procedures—the vast majority violence-related injuries—and assisted in almost 3,800 deliveries, including 850 cesarean sections. MSF continues to work in 11 states in Sudan, including the city of Omdurman in Khartoum state. We hope that conditions will allow us to return to Bashair Teaching Hospital in the future and restart medical activities.

Sudan crisis response