South Sudan: Displaced people in central and northeastern regions need urgent support
After escaping violent attacks in Jonglei and Upper Nile, thousands of people are surviving outdoors with little food, water or medical care.
“I have lived through many wars, but this kind of displacement has never happened before,” says Moses, who fled his home in Lankien, Jonglei state, South Sudan, as conflict intensified. “I have never seen civilians’ homes burned to ashes on such a scale. We are now living under the trees.”
An escalation of violence between government forces and opposition groups in and around Lankien, and along the Sobat River in Upper Nile, has forced tens of thousands of people from their homes. Many families fled on foot, walking for days, to escape attacks and burned villages.
At least 25,000 people have sought refuge in Chuil town, Jonglei, and thousands more are scattered across surrounding villages and swamps. Others have moved to Nyangore and Barmach in Ulang county, Upper Nile and an additional 28,000 people have arrived in Minkaman, Lakes state. Many had to flee multiple times. People arrive with nothing and are now living outdoors without any shelter, or in makeshift settlements without adequate food, clean water, or healthcare.
“This situation is about life and death,” says Nyamai, a mother of three who is living in an informal displacement site in Chuil. “At one point, we survived by boiling leaves from the trees and eating them. We had nothing else.”
“The needs go beyond hospital care and medicine,” she says. “We need food, water and shelter. Without these, survival here will not be possible.”
Scaling up activities to support thousands left without care
Doctors Without Borders/Médecins Sans Frontières (MSF) is scaling up medical and humanitarian support for people displaced in Chuil and Ulang county. In Chuil, we have upgraded the healthcare centre, increasing capacity to 60 beds to provide emergency care, treatment for malnutrition, maternal health services and stabilizing trauma cases. Since late February, our teams have provided 2,200 consultations, admitted 172 patients to Chuil healthcare centre and referred 16 for further treatment.
Our teams also distributed relief items – including mosquito nets, blankets, soap, jerry cans, sanitary pads, plastic sheeting and empty sandbags –to more than 1,500 families to help them cope with the harsh living conditions. More distributions will follow. MSF is also building 300 latrines and constructing a water purification plant to help with water and sanitation services.
“We call for an urgent and coordinated scale-up of other humanitarian agencies, to reach people in the hardest-hit areas — especially those still cut off from aid.”
Zakaria Mwatia, MSF country director
MSF teams also travel by boat through swamps and rivers to run mobile clinics in Yakuach, Tanakuacha and Pathiel, areas around Chuil. We have provided 1,349 medical consultations and have referred patients needing higher-level care.
More than 70 MSF staff members who were also displaced from Lankien are now supporting the response in Chuil. In the coming weeks, MSF will establish a health post in Tanakuacha, while our teams will continue running mobile clinics in Yakuach and Pathiel, providing referrals, mental health activities, outpatient consultations and sexual and reproductive health activities.
Since early March, in Minkaman, Lakes state, MSF has provided 2,210 consultations to new arrivals from Jonglei through mobile clinics. We have also made medical donations to Minkaman healthcare centre and are reinforcing their capacity to respond to outbreaks. MSF water and sanitation teams have also drilled two boreholes, repaired broken hand pumps and are rehabilitating the surface water treatment plant and constructing emergency latrines.
Displaced by violence, left without protection
“Humanitarian organizations are increasing activities in Chuil area and in Minkaman, but the response still falls short and many remote communities remain without lifesaving assistance,” says Zakaria Mwatia, MSF country director in South Sudan. “We call for an urgent and coordinated scale-up of other humanitarian agencies, to reach people in the hardest-hit areas — especially those still cut off from aid.”
“Without sustained support, the risk of disease outbreaks and further displacement could rapidly escalate into catastrophe,” says Mwatia.
Major gaps remain, particularly in nutrition, water, sanitation and hygiene, raising the risk of cholera and other waterborne diseases. Screenings by MSF in Chuil show alarming malnutrition levels. Of the 1,263 children under five who were screened, 54 per cent were acutely malnourished. Among 609 pregnant and breastfeeding women screened, 21.5 per cent were acutely malnourished. Referrals of complicated cases remain a challenge as well.
Continued attacks on civilians and health facilities
The crisis is unfolding in a region where access to healthcare was already limited. In 2025, the MSF-supported hospital in Ulang was looted and destroyed and just last month, Lankien hospital was bombed, closing the two main referral hospitals for the region.
“We are seeing a deeply alarming pattern of attacks on health facilities and healthcare workers, alongside violence against civilians,” says Tuna Turkmen, MSF emergency project coordinator. “Chuil now hosts a large number of civilians who have fled fighting, including women, children and older adults.”
“The town also provides one of the few functioning health facilities in the area and many aid organizations are coordinating their medical and humanitarian activities from there,” says Turkmen. “It is essential that communities can access these services and that humanitarian and medical workers can carry out their work safely and without restriction.”
“In swampy areas around Lankien, thousands remain in dire conditions, still waiting for assistance,” continues Turkmen. “People continue to arrive every day. Displaced MSF medical staff there are doing everything they can, but patients die due to lack of medicine. MSF has requested access from local authorities, so far without success.”
Humanitarian access remains limited and irregular. Safe, sustained and uninterrupted access must be guaranteed. MSF calls all parties to the conflict to take all feasible measures to spare civilians from the effects of hostilities. Civilians and civilian infrastructure, including healthcare, must never be targeted; direct attacks against them constitute serious violations of international humanitarian law. Any further escalation of fighting in or around Chuil would have devastating consequences for civilians sheltering there, severely disrupting lifesaving medical and humanitarian assistance.
