Conflict In Sudan Research Articles

Multidimensional geographic factors behind conflicts: a case study in Sudan

ABSTRACT Sudan has been racked by complex and volatile conflicts for decades, with a new round of civil conflict erupting in April 2023, leading to significant loss of life and property. Despite the ongoing violence, the associations between conflicts and local contextual factors remain ambiguous. In this study, we developed an event-grid dataset, consisting of 50,033 observations with 20 variables derived from nighttime light (NTL) data, OpenStreetMap data, and other geographic data. Machine learning algorithms were employed to model the outbreak of conflict in 2023. Furthermore, the SHapley Additive exPlanations method was utilized to explain the relationships between diverse explanatory variables and conflicts. The results indicate that eXtreme Gradient Boosting model outperforms other models, such as Categorical Boosting and Light Gradient Boosting Machine. Multiple factors jointly contribute to conflicts. NTL-derived variables and transportation-related variables emerge as the most influential factors, followed by climate and agricultural factors. Regions characterized by economic inequality and proximity to transportation hubs are found to be more prone to conflicts. Additionally, variables impact the outbreak of conflict not only individually but also through mutual interactions. Notably, this study enhances a comprehensive and quantitative understanding of conflicts in Sudan, providing valuable insights to support humanitarian aid efforts.

Updates on the feasibility of utilizing e-learning to sustain medical radiation technology education in light of the escalating conflict in Sudan.

The purpose of the following paper is to offer an update on the feasibility of using e-learning to sustain medical radiation technology education in light of Sudan's ongoing crisis. The Sudanese acting Minister of Higher Education and Scientific Research issued a resolution on October 7, 2023, to reopen higher education and scientific research institutes, as well as resume all academic activities at both governmental and private higher education institutions, effective October 15, 2023. Unfortunately, due to infrastructure deficiencies and a lack of appropriate capabilities to resume face-to-face teaching of medical radiation technology in Sudan's safe states, the majority of universities, including several medical radiation technology colleges, have decided to continue the educational process via e-learning. However, Sudan's e-learning system, currently the sole means of maintaining medical radiation technology education, suffers from significant flaws. If these challenges persist, students may graduate with a limited theoretical and practical grasp. Furthermore, the implementation of this style of education deprives eligible students, particularly those living in conflict zones, of the educational opportunities they require in light of the increased threat of war continuation.

War-related trauma and posttraumatic stress disorder in refugees, displaced, and nondisplaced people during armed conflict in Sudan: a cross-sectional study

BackgroundThe ongoing armed conflict in Sudan has caused mass displacement, affecting mental health. This study aimed to assess the prevalence of posttraumatic stress disorder (PTSD) and trauma among refugees, internally displaced, and nondisplaced people, while also examining the link between displacement type, PTSD severity, and associated factors.MethodsThis cross-sectional study used the Posttraumatic Stress Disorder Checklist for DSM-5 to assess PTSD symptoms and the General Health Questionnaire-28 to evaluate depression. Data were collected from 642 participants, targeting general social media groups for those within Sudan and specific groups for refugees outside the country. Sociodemographic and trauma event data were also gathered. Data analysis was conducted using SPSS, applying one-way ANOVA and independent t-tests to compare PTSD and depression. Binary logistic regression identified associations between sociodemographic factors and PTSD symptoms.ResultsAmong the 642 participants, 46.3% were internally displaced people (IDP), 42.1% were refugees, and 11.7% were non-displaced individuals. Clinically significant PTSD symptoms were identified in 36.6% of the participants. Refugees had a significantly greater percentage of traumatic events (M = 4.31, SD = 2.605, p < .01). Depression symptoms were found to be strongly associated with clinically significant PTSD (p < .001). Factors significantly linked to depression symptoms included female gender (p = 0.015), being single (p = 0.048), younger age (p = 0.036), dissatisfaction with living conditions (p < 0.001), and unemployment (p = 0.021). Dissatisfaction with living conditions also significantly influenced the likelihood of developing PTSD (p < .001).ConclusionThe study found that 36.6% of participants experienced PTSD, with refugees having a 1.4 times greater risk of developing PTSD compared to IDP and non-displaced individuals. Traumatic events were moderately correlated with PTSD symptoms, though non-displaced individuals had higher exposure to such events. These findings highlight the need for targeted mental health interventions, particularly for refugees and those affected by traumatic events. Further research using probability sampling is necessary to confirm these results and inform more effective mental health policies and programs for displaced populations.

Dental education amid armed conflict in Sudan: Unveiling the impact on training.

The ongoing conflict in Sudan has severely disrupted the health professions education, notably in dentistry. This study aims to explore the impact of the armed conflict on dental education and training. A mixed-method cross-sectional study encompassed 29 dental schools in Khartoum, Darfur, Kordofan States, and Merowe City. Five key informants from the Sudanese Medical Specialization Board, the Human Resource Development Administration, and a university offering clinical dental master's programs were interviewed. Quantitative data on attacks against dental schools were collected through a structured Google form, and qualitative data on postgraduate training were obtained through semi-structured key informant interviews. Findings reveal that 79.3% of dental schools faced military assaults, with 73.9% experiencing looting and 60.9% repurposed as military bases. Notably, 44.8% of schools shifted to online education,3.4% collaborated with other universities, and 27.6% adopted a combined approach. Key informants' interviews unveiled disruptions in specialty training and housemanship, limiting access to crucial training facilities. The primary proposed solution was overseas training. Recurrently emphasized strategies to enhance the resilience of the training system included establishing dental centers in all states, collaborating with external training bodies, and anticipating and preparing for potential disasters. The adverse effects of the conflict on both undergraduate and postgraduate dental education are discernible, manifested through resource limitations, a shortage of dental materials and supplies within training facilities, and direct disruptions to clinical training due to attacks on healthcare institutions. The imperative need for urgent interventions is underscored to alleviate these consequences and safeguard the continuity of educational and training efforts.

Prevalence of Non-Communicable Diseases and Access to Healthcare Among Internally Displaced People During the Armed Conflict, Northern State (Sudan).

Non-communicable diseases emerge as major public health challenges with increasing prevalence and mortality. The armed conflict in Sudan has resulted in the displacement of 6.8 million people, putting a significant strain on the health sector in the displacement areas. This study aimed to explore the prevalence of non-communicable diseases and access to healthcare services among internally displaced people in Northern Sudan. A cross-sectional study was conducted among randomly selected internally displaced people in accommodation shelters at Dongola locality. Data were collected by face-to-face interviews using a questionnaire adapted from relevant studies. For data analysis descriptive statistics and chi-square tests were utilized using SPSS-27. 374 participated in the study with a 96.1% response rate. 70% of respondents were 18-49 years old. 70.9% of respondents were females, and 92.8% of them had no source of financial income. The prevalence of non-communicable diseases was 42.5%, with hypertension (44.7%), diabetes mellitus (24.7%), and thyroid disorders (15.2%) predominating. About 45.7% of patients interrupted their medication, and 38.6% could not access healthcare services, while 57.2% of respondents received free medical care. The study found a statistically significant association between the type of disease and age, gender, residence before displacement, and the Length of displacement. 42.5% of the internally displaced suffer from non-communicable diseases, with hypertension, diabetes mellitus, and thyroid disorders predominating. About 45.3 and 38.6% of them respectively have interrupted their medications and lost regular follow up. The urgent need for improved healthcare services is recommended.

Teledentistry in the Time of Conflict in Sudan

Background: The War in Sudan between the Sudanese armed forces and rapid support forces has left undeniable impacts on the healthcare system which is already compromised by decades of neglect. Hospitals were bombed or occupied by conflict parties. Healthcare providers were killed or assaulted, citizens were forced to displace, and access to healthcare was impaired in many cities. Teledentistry is a modern and promising way to provide dental consultations. It is an easy, safe, and affordable solution for both patients and dental personnel in times like war. This short communication aims to urge the need to implement teledentistry to facilitate access to dental services during the current conflict in Sudan. Methods: This article discusses teledentistry, which according to the American Teledentistry Association (ADA) is the use of electronic information, imaging, and communication technologies, such as audio, video, and data communications for oral care delivery, diagnosis, consultation, treatment, and education. The healthcare system in Sudan is currently facing many challenges such as a lack of healthcare providers, economic crisis, inability to access dental health centers, and political instability. The application of teledentistry will facilitate access to oral healthcare and provide optimum solutions during the current conflict in Sudan. Conclusion: Implementation of teledentistry during military conflicts is a golden solution for both patients and dental care providers as it is a time-saving, cost-effective, safe, and quick way to access oral healthcare services.

In Their Own Words: Narratives of Sudanese Pediatricians Displaced By Conflict

Background: This study examines the profound personal and professional impact of the armed conflict in Sudan since April 2023 on pediatricians, particularly focusing on their displacement from Khartoum and the resultant challenges in providing essential health services to children in conflict-affected areas. Methods: Utilizing a mixed-methods approach, this study targeted displaced pediatricians from Khartoum identified via purposive sampling. Data were collected through a semi-structured questionnaire, featuring both quantitative items and an open-ended question for qualitative insights, administered electronically. The analysis combined descriptive statistics and thematic analysis with ethical oversight provided by the IRB of Prince Sattam Bin Abdulaziz University. Results: In a study of 42 displaced pediatricians from Sudan, 66.67% were female and the majority were aged between 30 and 45 years. Despite facing adversities due to armed conflict, these pediatricians displayed remarkable resilience and continued to provide pediatric care under challenging conditions. Key themes emerged from their narratives, including professional commitment amid scarcity, emotional turmoil coupled with spiritual reflection, and relentless pursuit of providing care. Safety concerns primarily drove displacement, with 95.24% citing this as a reason. While 61.90% of the respondents relocated within Sudan, 38.10% moved abroad, reflecting the profound personal and professional impact of the conflict. Conclusion: The armed conflict in Sudan has severely disrupted the pediatric healthcare system, leading to widespread displacement of pediatricians and jeopardizing child healthcare. The study highlights the resilience of healthcare professionals amidst adversity, their struggle to maintain care delivery, and the critical need for support and strategic planning to restore healthcare services in conflictaffected areas.

The Effect of Sudan's April 2023 War on Medical Education and Prospects for Recovery

Background: Sudan’s historical narrative is marked by enduring sociopolitical challenges and deep cultural divisions that have sparked numerous conflicts. A recent escalation in hostilities on 2023, April 15 has dangerously pushed the nation to the brink of a full-scale civil war with potential regional ramifications. The resultant humanitarian crisis involves over 9000 fatalities, 12,000 injuries, and the displacement of six million people, now grappling with dire conditions in their new settlements. The ongoing conflict in Sudan has had a profound impact on the nation’s already challenged medical education (ME) sector, resulting in the complete destruction of buildings and infrastructure, widespread looting in conflict zones, and a nationwide disruption of educational activities. This review sheds light on the urgent and still unfolding crisis in ME and explores potential solutions to enhance global understanding of crisis management.Methods: The review utilizes the crisis management framework and draws insights from diverse sources such as literature, student-led webinars, and discussions with Sudanese ME experts. We have examined pre-existing challenges, analyzed the war’s impact on ME, and proposed a path forward. Results: Despite the profound devastation, this crisis offers a unique opportunity to revamp Sudan’s struggling ME system, introducing a community-centric and socially accountable approach. Conclusion: Through collaborative efforts, Sudan’s ME system has the potential to serve as a model for similar nations, effectively addressing the needs of its populace and fostering sustainable development.

Sudan’s neglected tropical zoonotic diseases: A One-Health approach in the face of the current armed conflict

This commentary explores the detrimental impact of the recent armed conflict in Sudan on neglected tropical zoonotic diseases (NTZDs). Sudan is already grappling with a substantial NTZD burden due to historical conflicts and natural disasters. However, the current conflict has exacerbated the situation by hindering healthcare access, displacing populations, and worsening socio-economic conditions. These factors create a breeding ground for a surge in NTZD outbreaks, particularly during the months of the rainy season (June–September). The commentary emphasizes the urgent need for a One-Health approach to combat this impending public health crisis. This approach requires a multifaceted strategy encompassing integrated surveillance, enhanced diagnostic capabilities, robust emergency preparedness, and investment in workforce training. Community engagement and vector control measures are also crucial for mitigating the spread of these zoonotic diseases.

“Always they look at you as a stranger”: affective encounters with the border among irregularised African migrants in Israel

ABSTRACT From 2005-2013, migrants travelled through Egypt’s Sinai Desert to cross into Israel in search of asylum. The first were Sudanese people escaping conflict in Darfur, with Eritreans arriving subsequently. With no established legal framework for processing asylum claims, Israel’s government prevented these migrants from making formal asylum applications, granting temporary collective protection, and began to use language of infiltration and policies of detention and deportation. In response, irregularised Africans organized a protest movement, claiming the right to a fair asylum process, the contours of which illustrated the complex entanglements of collective affects that were central to making a new political subject. The article asks how experiences of Israel’s border regime disclosed a particular world, how the border was felt in affective encounters and relations through which migrants were hailed as infiltrators. The violence of bordering led to despair, stuckness, and dissipating hopes, but migrants’ shared suffering also produced inter-connection and solidarity in ways that reflected the valuing of established identities as well as being together in difference. Positive and negative affects coexisted, the latter leading not to political inaction but demonstrating the generative potential of loss when it shapes shared affective spaces and expressions of collectivity.

Rural Murle Age-Set Men Tackling Elites in South Sudan

The Murle age system is often presented in a negative light in the South Sudan conflict reporting, which links age-set activities to communal violence, cattle rustling, and the abduction of women and children. Such assessments by outsiders overlook the positive effects of age-sets on interethnic relations in rural areas, where young people follow the Murle tradition and navigate the complex influence networks of Murle society. We focus on pastoral Murle youth in Pibor born in the 1980s and 1990s—that is, the laŋo age-set. By drawing on in-depth life-story interviews, this article studies how Murle laŋo masculinity is constructed, embodied, and negotiated. The analysis of our ethnographic data exemplifies how early childhood emotional bonds with caregivers, conflicts, and marginalisation impact the life trajectory of one Murle man. Our results show the connectedness of political orientation, tradition, and masculinity to intergenerational conflict and competition for political and societal power in Murle society. The study increases our understanding of Murle laŋo men’s survival strategies. Specifically, it shows that these rural marginalised Murle youth build alliances beyond kinship and ethnic ties, defend land, advance the goal of peace with neighbours, volunteer for unpaid community work to fight idleness, and act as a counter force to prevent manipulation by political and military leaders. Zɔɔz Zɔɔz nici ɔp bayiz ci ɔl o maac een murle abaak Murla, ki gɔl ci bayizo, ki gɔl ci ganonto been culanɛ ci kobɛkɛ ɔl kaal. Gi ci titiny bayize ceen murlen nɛɛn, buluwa kibeen kerenɛ ogi o murle gɔɔn anya bayiz o gɛɛr gɔɔn aruwɔn ɔl, ma kɔran tiin moda ma kagaman ŋai ki dɔɔl ci modo. Mazin liŋliŋɔnti nici aŋamnek kaal o abon agɔɔn bulowa o abaak murla loce o ɔl o kolik een junup ŋawo azɔɔzi kaal o bayiz uneŋ murlo. Ma golowa ci kaŋamneka kalyanit o bayiz o een murlen, ayelza rɔŋrɔŋanɔnɛt ci arɔrɔŋanɔn nigi ki, gɔɔl ci adiŋdiŋani Jowanɛ o adilyai, gɔl ci siaso, ki kɛranɛ, ki kaal ci akati ŋayetin ki jorɛnɛɛn zɛɛ been ŋɛrɔn ci aŋɛrɔɔn alata o murlo aŋɛrɛ sias giye ci arɔɔŋi rum o. Bayizi ween aturuwen aroŋnyi, ayelzai bule o kazi lango, agamta nigi bayiz ci aromɛn niŋgi dook kodoye, ma arican ganɔɔn ma buk ɔp calaŋ aŋɛɛr nɔgɔ siasa karabɔŋ een zɔɔz ci takirzetu. Keywords: masculinity, laŋo, life story, tradition, elites, Murle, South Sudan

DOKTRIN “RESPONSIBILITY TO PROTECT” DALAM PENANGANAN KEJAHATAN TERHADAP KEMANUSIAAN DI REPUBLIK SUDAN TAHUN 2023

Differing views on sovereignty and intervention gave birth to the Responsibility to Protect (R2P) principle which emphasizes the responsibility of states to protect their people from war crimes, crimes against humanity, and ethnic cleansing. The armed conflict in Sudan showed violations of the R2P principle that caused thousands of casualties and sexual violence. The problem of this article is the status of the R2P principle in international law and whether the UN Security Council resolution implementing R2P can be a precedent for applying the R2P principle in Sudan. This article is normative juridical research, descriptive-analytical in nature, using secondary data, qualitative data processing, and deductive conclusions are drawn. The results show that the position of the R2P principle is internationally recognized in various UN documents and resolutions and the UN Security Council has not applied the R2P principle in the case of Sudan.

Conflict and mediation in Sudan: The prospect of peace

ABSTRACT Omar Al-Bashir's thirty-year rule over Sudan ended in April 2019 with a military coup following a popular uprising. Subsequently, the army and civilian political forces agreed on an African Union-mediated transitional framework. However, the transitional process collapsed, leading to an all-out civil war between the Sudan Armed Forces (SAF) and Rapid Support Forces (RSF) since April 2023. One year later, the mediation efforts by different actors have not yielded the expected results. As the war continues, the displacement of people and the destruction of infrastructure is increasing. The paper discusses the reasons for the lack of progress in the ongoing mediation and points out critical aspects regarding the prospect of peace in Sudan. It argues that while the need for a ceasefire is essential, it is important to acknowledge that the current conflict is the culmination of the overall failure of nation-building. To avoid past mistakes and break the cycle of violent conflict in Sudan, the ongoing mediation efforts should be able to pave the way for a long-term peacebuilding process to address the root causes of the protracted conflict and redefine the fundamentals of Sudan as a nation-state.

The SAF and RSF Conflict in Sudan: An Analysis of Impacts and Responses

The SAF and RSF Conflict in Sudan: An Analysis of Impacts and Responses

Impact of the Sudan conflict on medical education and training

Impact of the Sudan conflict on medical education and training

Assessment of the importance of sleep quality and the effects of deprivation on Sudanese healthcare professionals amidst conflict in Sudan

BackgroundQuality sleep is vital for well-being, especially for healthcare workers facing high risks of fatigue and burnout. Sleep deprivation impairs cognitive and motor functions, contributing to medical errors. Addressing sleep disorders among healthcare professionals is crucial for enhancing patient care. Tailored interventions are needed to support their well-being and improve healthcare outcomes.ObjectiveTo evaluate the effect of Sleep Quality and its Deprivation on Sudanese Healthcare Professionals amidst conflict in Sudan.MethodsA cross-sectional online survey of Sudanese doctors was conducted using convenience sampling. The questionnaire covered sleep quality, daytime sleepiness, and psychological well-being. Pilot testing ensured questionnaire clarity. Data collection utilized Google Forms distributed through social media and professional networks. A minimum sample size of 384 was calculated. Statistical analysis included descriptive statistics and various tests for significance. Data were securely stored and analyzed using SPSS and R software.ResultsAmong 649 participants, 404 (62.2%) were women, with a mean age of 30.34 years. Most were single (434, 66.9%). General practitioners constituted the largest professional group (267, 41.1%), followed by registrars/residents (142, 21.9%). Participants took an average of 43.70 minutes to fall asleep and slept an average of 5.90 hours per night. According to the PSQI, 300 (46.2%) reported mild sleep disturbance, 287 (44.2%) moderate, 42 (6.5%) severe, and only 20 (3.1%) normal sleep. The ESS revealed 285 (43.9%) with lower normal daytime sleepiness, 188 (29.0%) with higher normal, and various levels of excessive daytime sleepiness. Stress levels varied, with 398 (61.3%) reporting normal stress, while anxiety ranged from 248 (38.2%) normal to 148 (22.8%) extremely severe.ConclusionThis study emphasizes the importance of addressing sleep quality, mental health, and performance challenges among Sudanese healthcare professionals. It highlights the need for hospitals to implement measures enabling more time off, adequate sleep, and reduced on-call service days. Healthcare workers must recognize the significance of these factors for their well-being and patient care quality. The research outcomes can raise awareness about the necessity of regulating healthcare practitioners' working hours and ensuring adequate sleep.

Challenges in Neurosurgery during Armed Conflict in Sudan

Introduction: Sudan armed conflict between rapid support force (RSF) and Sudanese army was one of the wicked wars, the conflict has a terrible physical, emotional, and economic costs for Sudanese, this war caused great traumatic injuries among civilians despite the number of affected persons, during the period of this armed conflict, there is no data or reports regarding affected civilians. Material and Methods: This is descriptive experience based and cross sectional study done at Almubarak hospital, kassala town from July 2023 to March 2024. In fact, the study was designed to reflect our neurosurgical experience during the period of armed conflict between rapid supporting force (RSF) and Sudanese army, hence the war is still going on, also, this paper describe the neurosurgical circumstances in Sudan throughout the war compared with other war that occurring in the middle East and worldwide . Modification and replacement in neuro-anesthia was made to cope with this situation (war period). Results: During the period of this study, we made some changes in techniques and treatment strategies for treating patients with neurosurgical problems. Our data revealed, 18 patients were presented with extra-dural haemorrhage (EDH), depressed fracture was detected in 42 of the patients, and hydrocephalus 12, abscess 5, tumor were 8, and sub-dural haemorrhage (SDH) was encountered in 41 patients.

Collapse of Cancer Care Under the Current Conflict in Sudan.

Sudan has been under an armed conflict between the Sudanese Armed Forces and the Rapid Support Forces (RSF) militia since April 15, 2023. The conflict has turned the country into the largest internal displacement humanitarian crisis with 9.05 million internally displaced persons including 2.2 million children younger than 5 years and caused 1.47 million Sudanese to flee the country as refugees. The conflict has had a major destructive impact on the health system, which has incurred targeting with air raids, ground invasion, vandalization, looting of assets and supplies, and killing of doctors, nurses, and other health personnel. Khartoum Oncology Hospital, Sudan's main cancer hub for treatment, diagnostics, and research has become nonfunctional as a result of the conflict. The National Cancer Institute in Wad Medani, the second largest hub, faced a similar fate as the conflict spread to Al-Gezira State. Patients with cancer have been displaced multiple times in Sudan with grave consequences on the continuity of care, worsening of their disease outcomes and palpable negative impacts on children. The oncology workforce in Sudan have themselves been displaced yet are working hard to provide services and care for patients under impossible circumstances. Sudan's doctors in diaspora have rallied to provide support but they face multiple obstacles. As the conflict continues to spread, we call upon the WHO, the United Nations Children's Fund, St Jude Hospital, and all relevant partners to implement an immediate evacuation operation with urgent air lifts of the affected children to continue their cancer care in neighboring countries as was done in Ukraine and Gaza.

Knowledge, attitude, and practice towards dengue fever among medical students in Sudan: A cross-sectional study.

Dengue fever, a neglected tropical disease, exhibits a total seroprevalence of 27% in Sudan. During the recent outbreak, medical students actively participated in health education and community outreach programs. This study aims to assess the knowledge, attitude, and practice (KAP) of medical students regarding Dengue Fever (DF) during its current outbreak in Sudan. We conducted a cross-sectional study involving medical students from more than 15 Sudanese universities, encompassing 11 states. Data collection took place between October 23 and November 10, 2023, utilizing a Google Form questionnaire. A convenient sampling technique was employed to reach students due to its accessibility and feasibility during the ongoing conflict in Sudan. Correlation and regression analyses were used to identify predictors of KAP and establish associations between KAP domains and socio-demographic factors. Of 694 medical students, 11% reported a previous infection with DF. Among the participants, 58% demonstrated good knowledge, 74.1% exhibited a positive attitude, and less than half (46.7%) demonstrated good preventive practices. There was a positive correlation between knowledge and attitude levels with the practice level (p < 0.001). Gender, age, and previous DF infection emerged as significant predictors (p < 0.05) of the overall KAP level in multiple logistic regression. Our study revealed a commendable level of knowledge and attitude but a suboptimal level of practice regarding DF among medical students. This inadequacy in practice, particularly among medical students who are expected to set an example, is concerning and warrants further investigation.

The impact of the military conflict in Sudan on maternal health: a mixed qualitative and quantitative study

Objectives Ongoing military conflict in Sudan has had significant repercussions on the health and well-being of the population, particularly among women of reproductive age. This study aimed to investigate the impact of conflict on maternal health by employing a mixed qualitative and quantitative research approach. Methods Through in-depth interviews and survey questionnaires (388 women), this study examined the experiences and challenges faced by pregnant women and new mothers and the availability and accessibility of maternal healthcare services in conflict-affected areas. Using a qualitative approach, in-depth interviews were conducted with 35 women who had recently given birth or were pregnant in regions affected by the Khartoum State–Sudan conflict. Thematic analysis was used to analyze the data collected from the interviews. Result Most women did not have access to healthcare services (86.6%), and out of the total sample, 93 (24%) experienced adverse outcomes. The factors associated with adverse effects were parity (OR 1.78, CI [1.15–2.75], p-value 0.010), gestational age (OR 2.10, CI [1.36–3.25], p-value 0.002), access to healthcare (OR 2.35, CI [1.48–3.72], p-value 0.001), and delivery mode (OR 1.68, CI [1.05–2.69], p = 0.030). Factors significantly associated with accessibility to maternal healthcare services included age (OR, 1.28; = 0.042) and higher conflict levels (1.52 times higher odds, p = 0.021). The narratives and experiences shared by women exposed the multifaceted ways in which the conflict-affected maternal health outcomes. Conclusion The significance of this study lies in its potential to contribute to the existing literature on maternal health in conflict-affected areas, especially in Sudan, and to help us understand how women can receive maternal health services.