Despite the signing of a peace agreement between North and South Sudan on January 9, 2005, which ended decades of civil war, medical needs in southern Sudan remain overwhelming. Outbreaks of disease and violence continue, while many people still do not have access to basic health care, resulting in preventable deaths.
Although MSF has handed over some projects, a shortage of organizations willing or able to work in southern Sudan means that MSF remains one of the largest health-care providers in the region. MSF has worked in southern Sudan since 1983. In 2007, 137 international staff and 1,359 Sudanese staff were employed and MSF spent 19.76 million euros providing medical care in the region.