KHARTOUM – Médecins Sans Frontières (MSF) said Sudan’s war has entered its fourth year, leaving hundreds of thousands dead and millions displaced, while civilians continue to face deteriorating humanitarian conditions.

The medical charity said ongoing violence, the collapse of infrastructure and the destruction of healthcare services have made daily life increasingly dangerous, affecting communities across the country.

MSF criticized what it described as declining international attention to Sudan, saying the world’s focus has shifted while the suffering of Sudanese civilians continues. It called for renewed international engagement and concrete action to address the worsening humanitarian crisis.

The conflict, which began in April 2023, has triggered one of the world’s largest displacement crises. According to the U.N. refugee agency (UNHCR), nearly 13 million people have fled their homes, including more than 10 million displaced inside Sudan and more than 3.2 million who have sought refuge in neighboring countries. More than half of the country’s population also faces acute food insecurity, with famine conditions confirmed in parts of Sudan.

Humanitarian organizations have repeatedly warned that aid operations are being constrained by insecurity, damaged infrastructure and funding shortages. The United Nations has said insufficient donor funding is forcing humanitarian agencies to scale back food, healthcare, water and protection programs, while relief access remains severely restricted in parts of Darfur, Kordofan and other conflict-affected areas.

Aid agencies have urged donors to increase financial support and ensure sustained humanitarian access, warning that continued underfunding risks deepening an already protracted crisis while efforts to reach a political settlement remain stalled.