Ever wondered how far medical professionals would go to save lives in war-torn regions?
In Sudan’s El-Fasher, doctors have taken their practice underground—literally.
In the besieged town of El-Fasher, western Sudan, healthcare workers face relentless challenges. With hospitals under constant attack, these dedicated professionals have resorted to performing surgeries in underground shelters, often repurposed shipping containers. This adaptation underscores their unwavering commitment amidst adversity.
The Conflict’s Toll on Healthcare
Since April 2023, Sudan has been engulfed in a power struggle between the Rapid Support Forces (RSF) and the Sudanese National Army (SNA). This conflict has led to:
- Over 14 million people displaced.
- Tens of thousands of fatalities.
- Devastation of civilian infrastructure.
- A looming famine threatening over 750,000 individuals.
El-Fasher, with a population nearing one million, has become a refuge for more than 700,000 internally displaced persons. The RSF’s siege since May has intensified, with indiscriminate attacks targeting civilians and systematically destroying medical facilities.
Underground Medical Facilities
The Al-Saudi Maternal Teaching Hospital, the city’s sole functional public hospital, has suffered 15 attacks during the conflict. A recent drone strike on its emergency department resulted in over 70 deaths. In response, medical staff, including gynecologist Dr. Elaf Mohamed, have moved their operations to underground shelters near the hospital. These makeshift facilities, often dimly lit and lacking essential equipment, have become sanctuaries for both patients and healthcare providers.
Challenges Faced by Medical Staff
Operating in these conditions presents numerous challenges:
- Continuous shelling disrupts procedures.
- Severe shortages of medical supplies.
- Personal safety threats, with reports of medical staff being injured during attacks.
Despite these obstacles, the resilience and dedication of the medical teams remain evident.
Community and Volunteer Efforts
In June 2024, volunteers constructed underground medical bunkers using repurposed shipping containers from the former UNAMID headquarters. These containers were buried and fortified with sandbags to provide concealed and secure treatment areas. However, the escalating conflict has strained the capacity of both medical staff and volunteers, highlighting the urgent need for international support.
“In the face of adversity, the human spirit finds ways to heal and persevere.” – Anonymous
A Mother’s Journey
Marwa Ibrahim, a 27-year-old mother, undertook a perilous journey to reach one of these underground facilities. Traversing nearly 10 miles on foot while in labor, she dodged drones and armed militants. Her story is a testament to the dire circumstances civilians face and the critical importance of these underground medical centers.