Sudan conflict overwhelms humanitarian aid, exposing dire child abuse and system failures

A Lancet report titled “Health in a World of Crises and Impunity” warns that the global humanitarian system is no longer fit for purpose, citing the overwhelming emergencies in Sudan and Gaza. Co‑author Dr. Paul Spiegel said bureaucracy and slow responses cripple aid delivery and called for major reforms, including direct funding to local communities, greater accountability and recognition of health as a basic right.

Since the civil war erupted in April 2023 between the Sudanese Armed Forces and the Rapid Support Forces, the conflict has displaced about 12.9 million people and killed more than 150 000. UNICEF has documented over 221 verified cases of child rape since 2024, with experts estimating the true number to be far higher. Sexual violence is being used as a weapon, especially in Darfur, where children have been abducted, forced to witness atrocities, or subjected to sexual slavery. The collapse of health, police and judicial services leaves children especially vulnerable, while aid agencies report exploitation of displaced families for food and shelter. The report urges an overhaul of the aid architecture, highlighting the need for reforms to the United Nations and the United States Agency for International Development.