Country: Sudan Source: Emergency - Life Support for Civilian War Victims Please refer to the attached file. Today, 15 April 2026, marks the third anniversary of the outbreak of the war in Sudan, a conflict that the United Nations has described as the largest humanitarian crisis in the world. After three years of violence, more than 33 million people are in need of humanitarian assistance, the health system has largely collapsed, and millions of civilians continue to bear the highest cost of a conflict that remains largely absent from the international agenda. Through this Advocacy Flash, EMERGENCY, drawing on its operational experience in the country, highlights how the current phase of the conflict is shaped by a convergence of critical factors. Humanitarian needs have reached an unprecedented scale, while the international response remains severely and increasingly underfunded. These challenges are compounded by systematic restrictions on humanitarian access and the destruction of basic infrastructure, which have a direct and devastating impact on the survival of the civilian population. At the political level, the fragmentation of diplomatic efforts and the persistent absence of effective accountability mechanisms continue to undermine prospects for civilian protection and conflict resolution. This situation is further exacerbated by the regional repercussions of the war and the concrete risk of its progressive externalisation, with destabilising consequences that extend far beyond Sudan’s borders. Building on these elements, EMERGENCY has developed a set of recommendations, including: an immediate ceasefire and the protection of civilians and civilian infrastructure, as essential preconditions for any credible pathway towards peace; the full guarantee of safe, unimpeded humanitarian access for personnel and supplies throughout the country; the strengthening of humanitarian financing mechanisms, ensuring they are genuinely needs based, more flexible, and commensurate with the scale of the crisis; the centrality of Sudanese voices, needs, and meaningful participation in all processes aimed at achieving a durable and inclusive peace. EMERGENCY has been operating in Sudan since 2004 and has maintained an uninterrupted presence in the country since the outbreak of the current conflict in 2023. The perspective offered in this Advocacy Flash is therefore grounded in the direct experience of those who continue to deliver free, high quality medical care in a context of growing fragmentation, providing concrete insights into what remains possible – and what is at risk – in the absence of a decisive political shift.

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