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Bearing witness with communities in Sudan and Chad

Award-winning photographer Moises Saman documented the experiences of people displaced by conflict in Sudan.

MSF activities in El Geneina, West Darfur

Khadija* fled Khartoum and now lives in a camp for displaced people in El Geneina. | Sudan 2025 © Moises Saman/Magnum Photos

Alert is a biannual magazine published by Doctors Without Borders/Médecins Sans Frontières (MSF USA) that features ground reporting from our work around the world. Below are excerpts from the Winter 2025 issue (Vol. 26, no. 2), The Year in Photos.
In the Darfur region of Sudan, echoes of the past can be heard in the ongoing conflict between the Sudanese Armed Forces (SAF) and Rapid Support Forces (RSF). For decades, communities in this region have been fractured by civil wars and ethnic violence, with civilians in the crosshairs.


Doctors Without Borders/Médecins Sans Frontières (MSF) has been on the ground to witness much of this history and continues to provide urgently needed medical humanitarian aid there.

This year, award-winning photographer Moises Saman joined MSF on the 50-mile journey between El Geneina, capital of Sudan’s West Darfur state, and towns in eastern Chad, where more than 880,000 refugees have fled since the fighting began. His aim was to shine a light on people somehow finding ways to survive, even as they are caught in cycles of violence and displacement.

MSF teams work in both Sudan and Chad, providing care for war-wounded patients, malnutrition treatment for children and pregnant women, support for communities affected by disease outbreaks, and humanitarian aid for displaced people, among many other services. But we cannot meet all the needs alone. The situation in Sudan has deteriorated further since the US government announced the suspension of foreign aid in January. As a result, MSF lost key international partners who had been working to rehabilitate and equip mother-and-child health facilities and support their operating costs in West Darfur, an area that has become a flashpoint in the conflict. 

As the situation on the ground continues to evolve, we remain committed to helping people impacted by this neglected crisis.

Four-year-old Najib lies on a hospital bed in Sudan as he recovers from malaria.
Four-year-old Najib lies on a hospital bed as he recovers from malaria. With health facilities overwhelmed by war injuries, outbreaks of malaria and other preventable diseases add a deadly layer to the humanitarian crisis, with children especially vulnerable. | Sudan 2025 © Moises Saman/Magnum Photos
Hassan, 18, outside his shelter in Adré refugee camp, where he has lived since he and his family fled the violence in West Darfur in 2023
A mother sits with her malnourished child under a mosquito net in the malnutrition ward of an MSF clinic in Adré, Chad.

Right: Hassan, 18, stands outside his shelter in Adré refugee camp, where he has lived since he and his family fled the violence in West Darfur in 2023. Left: A mother sits with her malnourished child under a mosquito net in an MSF malnutrition ward in Adré. Chad 2025 © Moises Saman/Magnum Photos

A man uses crutches in Sudan.
Salah Bakir leans on crutches inside a dimly lit room of a former orphanage now serving as a shelter on the outskirts of El Geneina. A civilian from Khartoum, Salah was injured during clashes in the capital before fleeing west with his family. | Sudan 2025 © Moises Saman/Magnum Photos
Balloons and toys offer a rare moment of joy for young patients in a psychological support session held by MSF at El Geneina Teaching Hospital, Sudan.
Families wait inside El Geneina Teaching Hospital, one of the few public hospitals still functioning in West Darfur, Sudan.

Right: Balloons and toys offer a rare moment of joy for young patients in a psychological support session held by MSF at El Geneina Teaching Hospital. Left: Families wait inside El Geneina Teaching Hospital, one of the few public hospitals still functioning in West Darfur. Sudan 2025 © Moises Saman/Magnum Photos

Alert Winter 2025: The Year in Photos

Alert Winter 2025: The year in photos

Stories of 2025

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