Sudan/ Ministry of health performance report

I. GENERAL FRAMEWORK AND THE BEGINNING OF INSTITUTIONAL OPERATIONS

Following the announcement of the Founding Alliance of Sudan in the city of Nyala on June 26, 2025, work on the health sector began gradually through field visits to a number of health institutions in Nyala, including Nyala Teaching Hospital, the Turkish Hospital, and the Specialized Hospital, in addition to coordination with health authorities in areas under the jurisdiction of the Government of Peace.

On September 8, 2025, Dr. Alaa El-Din Awad Naqd was appointed Minister of Health in the Transitional Government of Peace, marking a new phase of institutional work aimed at unifying health-sector efforts, coordinating emergency response, and strengthening cooperation with international organizations and agencies operating in the health sector.

The establishment phase focused on developing coordination mechanisms, documenting the health-sector workforce, assessing damage to health facilities and infrastructure, and establishing urgent priorities to address health needs arising from the conditions of war.

II. BUILDING THE HEALTH COORDINATION SYSTEM

As part of efforts to unify health-sector activities, a Joint Operations Coordination Room was established, bringing together health authorities from different areas under the Government of Peace. Its purpose was to coordinate health policies and programs and facilitate the exchange of information and medical supplies according to needs and priorities.

The Ministry also began to:

Document the human resources and workforce in the health sector.
Assess damage to health facilities and infrastructure.
Identify urgent needs for medicines and medical supplies.
Monitor health emergencies and disease outbreaks.
Coordinate among health authorities in different areas.
Monitor grants and donations provided by international organizations and agencies.
Establish a health information database to support planning for the next phase.

This process represents an essential step toward moving from emergency response to the development of a more organized and coordinated health system.

III. STRENGTHENING COOPERATION WITH INTERNATIONAL ORGANIZATIONS

On July 9, 2025, the Ministry of Health held meetings with representatives of the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) in Nyala. The meetings addressed the health situation during the new phase and the challenges facing the sector, particularly shortages of medicines and medical supplies, emergency response, and efforts to prevent and control cholera outbreaks.

The meetings also addressed mechanisms for delivering cholera vaccines and immunization supplies through Chad to support health-response efforts in affected areas.

During the subsequent period, the Ministry continued working with international and regional organizations through direct meetings and virtual communications, with the aim of expanding health support and ensuring that assistance is directed according to actual needs.

IV. WOUNDED PERSONS AND MEDICAL REHABILITATION

The Ministry placed particular emphasis on the issue of wounded persons. On July 11, 2025, it held a meeting with the Wounded Persons Committee to assess treatment conditions and medical needs.

The Ministry also prepared a proposal for a specialized workshop to discuss:

Treatment protocols for wounded persons.
Development of medical-care mechanisms.
Addressing challenges affecting treatment.
Establishing an organized mechanism for referring cases requiring treatment outside the country.
Improving coordination among health institutions and relevant authorities.

The proposal was submitted to the competent authorities; however, the workshop was not implemented during the period covered by this report.

On October 9, 2025, the Ministry visited the Prosthetics Center in Nyala to assess the center’s needs and the challenges it faces and to explore ways to strengthen its role in rehabilitation and follow-up care for wounded persons.

V. EPIDEMIC AND HEALTH EMERGENCY RESPONSE

Disease control and epidemic response were among the Ministry’s leading priorities during the period under review, particularly in light of the complex humanitarian and health conditions created by the war.

In this context, the Ministry supervised the cholera vaccination campaign in South Darfur, which began under the supervision of the Ministry of Health – Government of Peace. The Minister of Health administered the first dose of the vaccine on September 21, 2025.

On September 28, 2025, activities supporting preventive medicine and strengthening environmental health efforts were also launched.

On October 25, 2025, the Ministry held its first press conference in Nyala, during which it reviewed efforts to combat cholera and indicators showing a decline in the outbreak in areas covered by the health response. The Ministry also announced the emergence of dengue fever cases in South Darfur State as a new health challenge requiring preventive and therapeutic measures.

VI. HEALTH PERFORMANCE INDICATORS – FIRST HALF OF 2026

1. Expanding immunization coverage

According to Ministry of Health data, during the first half of 2026, more than two million children who had been deprived of immunization services during the previous three years were vaccinated.

This figure represents an important indicator of the expansion of immunization campaigns and the Ministry’s ability to reach populations whose health services had been affected by the war and the disruption of numerous preventive-health programs.

2. Improved Epidemic-control indicators

The Ministry continued strengthening epidemic-response capacity by coordinating medical-supply operations among different areas, cooperating with international organizations, and supporting isolation and rapid-response centers.

South Darfur

According to Ministry data, cholera cases declined significantly. More than 300 cases were recorded during the corresponding period of 2025, compared with 3 cases according to the current data reported by the Ministry.

The Ministry considers this decline an important indicator of improved epidemic response, while emphasizing the continuing need for surveillance, prevention, and early intervention.

West Kordofan

The Ministry reported that the cholera outbreak that began on May 13, 2026, experienced a significant decline, with some isolation centers reporting zero cases.

Ministry data also indicate an improvement in epidemic-related mortality indicators compared with the corresponding period of the previous year, despite the limited number of organizations operating in the state, which the Ministry estimates at three organizations.

North Kordofan

According to the Ministry’s report, health authorities succeeded in containing the cholera outbreak while mobilizing medical supplies and improving response efforts in affected areas.

Ministry data indicate an improvement in epidemic-related mortality indicators, with a rate of approximately 5%, according to the indicator cited in the report.

Editorial Note: The percentages contained in the original data, particularly the “case fatality” indicators cited for West Kordofan and North Kordofan, require a clear statistical definition and technical review before being published as official epidemiological indicators. This is necessary to avoid confusion between the percentage of cases, the percentage of deaths, and the case-fatality rate.

VII. STABILIZATION OF MEDICAL SERVICES AND REOPENING OF HEALTH INSTITUTIONS

According to the Ministry’s assessment, the curative-care sector witnessed improved continuity of operations at a number of major health institutions.

Key indicators include:

Continued operations at Nyala Teaching Hospital.
Reopening of the Nyala Specialized Hospital after a period of suspension.
Reorganization of the Specialized Hospital’s administration and provision of some financial commitments necessary to resume services.
Reopening of a number of health institutions in El Fasher.
Resumption of operations at Saudi Hospital and El Fasher Children’s Hospital.
Opening of the emergency department at El Fasher Teaching Hospital on January 10, 2026.
Continued operations at El Geneina Teaching Hospital, with maintenance work carried out in cooperation with organizations.
Continued medical services at a number of other health institutions despite damage to health infrastructure.

The Ministry emphasizes that these services have continued despite major financial challenges and resource shortages. According to the Ministry, it had not received a dedicated government operating budget as of the date of this report, while adequate independent health budgets were also unavailable in a number of civil health administrations across different areas.

VIII. RESTORATION OF HEALTH SERVICES IN EL FASHER

Following the resumption of civilian and public-service activities in El Fasher, a delegation from the Presidential Council and the Ministry of Health – Transitional Government of Peace participated in efforts to reorganize the city’s health sector.

These steps included:

Reopening a number of hospitals.
Reorganizing the health administration in North Darfur.
Supporting the Children’s Hospital.
Supporting the Saudi Hospital.
Opening the emergency department at El Fasher Teaching Hospital.
Coordinating with organizations operating in the health sector.

The Ministry views the restoration of health services in El Fasher as part of a broader process of rebuilding civilian and public-service institutions.

IX. PREVENTION AND ENVIRONMENTAL HEALTH

The Ministry placed environmental health and preventive medicine among its priorities. In coordination with environmental-health departments and local authorities in Nyala, it began developing an integrated plan for sanitation and improving the health environment.

However, the plan faced a major challenge due to insufficient funding for implementation, preventing it from being carried out as originally planned.

The Ministry considers improved environmental health and public sanitation to be the first line of defense against many communicable diseases. These areas will therefore remain among its priorities during the next phase.

X. INTERNATIONAL PARTNERSHIPS AND HUMANITARIAN SUPPORT

The Ministry continued building cooperative relationships with international and regional organizations.

On October 9, 2025, the Ministry held a meeting with the International Committee of the Red Cross (ICRC), during which it presented its overall health strategy and discussed areas of cooperation for the next phase.

The Ministry also sent introductory letters and needs assessments to a number of international organizations and agencies, including:

The World Health Organization (WHO).
The International Committee of the Red Cross (ICRC).
Humanitarian organizations working in the health sector.
The United Nations Office for the Coordination of Humanitarian Affairs (OCHA).

The correspondence introduced the Ministry of Health of the Government of Peace, presented the 2026 health strategy, and outlined urgent needs and required interventions.

The Ministry indicates that coordination with international organizations has expanded in recent months, alongside regular evaluation meetings and follow-up on program implementation.

XI. SUPPLY MANAGEMENT AND COORDINATION AMONG AREAS

The Ministry worked to develop a mechanism for moving medical supplies among different areas according to health needs and prevailing disease outbreaks.

According to the Ministry’s assessment, this coordination helped direct available resources toward areas with the greatest needs and supported responses to cholera, measles, and other epidemic diseases.

Health authorities in different areas have also become part of a regular coordination mechanism with the Ministry, enabling information sharing and the alignment of health priorities.

XII. KEY CHALLENGES

Despite improvements recorded by the Ministry across a number of indicators, the health sector continues to face significant challenges, including:

First: The absence of sufficient direct government funding for Ministry programs.

Second: Damage to a number of health facilities and infrastructure.

Third: Shortages of medicines, medical supplies, and equipment.

Fourth: Limited human resources in some areas.

Fifth: Difficulties accessing certain areas due to security and logistical conditions.

Sixth: The need to finance environmental-health and public-sanitation programs.

Seventh: The need to develop a unified system for health data and statistics.

Eighth: The continued need for greater international support in emergency response, immunization, nutrition, maternal and child health, and hospital rehabilitation.

XIII. OVERALL ASSESSMENT

The performance of the Ministry of Health during the establishment phase and the first half of 2026 can be summarized across five major areas:

1. Institution building

Establishing coordination mechanisms and connecting health administrations in different areas within a common operational framework.

2. Epidemic control

Expanding immunization campaigns and strengthening responses to cholera, measles, and other epidemics, with indicators of declining outbreaks recorded in a number of areas.

3. Restoration of services

Reopening and developing a number of hospitals and health facilities, particularly in Nyala, El Fasher, and El Geneina.

4. International partnerships

Expanding cooperation with international and humanitarian organizations and securing health interventions and medical supplies within available resources.

5. Humanitarian response

Mobilizing medical and food convoys, supporting wounded persons, and responding to health emergencies and disasters in affected areas.

XIV. PROPOSED PRIORITIES FOR THE NEXT PHASE

During the next phase, the Ministry of Health will focus on a number of priorities, foremost among them:

Securing a stable operating budget for the health sector.
Rehabilitating damaged hospitals and health centers.
Completing immunization programs and reaching unvaccinated children.
Establishing a more effective early-warning and epidemic-response system.
Developing the pharmaceutical and medical-supply system.
Strengthening maternal and child health services.
Developing emergency and ambulance services.
Supporting mental-health and rehabilitation programs.
Developing the Prosthetics Center and rehabilitation services.
Implementing environmental-health and public-sanitation programs.
Strengthening the health database and official health statistics.
Expanding partnerships with international and regional organizations.
Improving coordination between the Ministry and local health administrations.

The first half of 2026 represents an important phase in the development of the Ministry of Health – Transitional Government of Peace, not only in terms of the number of programs and activities implemented, but also in terms of the gradual transition from emergency health response to the development of an institutional system for coordination, planning, and response.

The indicators related to immunization, the decline of several epidemics, the continued operation and reopening of health institutions, and the expansion of cooperation with international organizations demonstrate that the health sector has achieved tangible progress despite exceptional circumstances and limited resources.

At the same time, sustaining these results remains dependent on securing funding, rehabilitating infrastructure, supporting health personnel, improving medical supplies, and strengthening humanitarian and development partnerships.

The Ministry of Health emphasizes that the next phase will focus on consolidating the progress achieved, addressing existing gaps, expanding the scope of services, and building a health system that is more capable of responding to emergencies and more closely aligned with the needs of the Sudanese people.

MINISTRY OF HEALTH – TRANSITIONAL GOVERNMENT OF PEACE

PERFORMANCE REPORT – FIRST HALF OF 2026

Tags: Sudan, Taasis Government