South Sudan: MSF responds to violence in Ruweng administrative area

Cycles of violence continue to impact communities and overwhelm an already weakened health care system in South Sudan.

People are brought by truck to a hospital in South Sudan.

Wounded people were brought to the MSF-supported hospital in Abyei after large-scale violent clashes occurred in Abiemnhom town, in the northwest of Ruweng administrative area on March 1. | South Sudan 2026 © MSF

On March 1, an outbreak of intercommunal violence caused mass casualties in the town of Abiemnhom the northwest of South Sudan's Ruweng administrative area.

A Doctors Without Borders/Médecins Sans Frontières (MSF) team supporting the Ministry of Health Hospital in the town of Abyei received 84 patients with gunshot wounds and other injuries, including women and children. Staff provided emergency surgical care in many cases. Tragically, eight patients lost their lives, including one pregnant woman.

While these clashes occurred in an area with a long history of intercommunal violence, the scale of the casualties from this incident is particularly alarming.   

Mass causality in Abiemnhom Town, South Sudan
Following clashes in the northwest of Ruweng administrative area on March 1, an MSF-supported hospital in Abyei has received more than 80 patients with gunshot wounds including women and children. | South Sudan 2026 © MSF

“It was really difficult to manage the mass casualty, but many MSF and Ministry of Health staff came on their day off and from other facilities to support," said Abraham Deng Lual Wek, MSF nurse supervisor. "For the surgical team, it was a challenge to manage all of the emergency cases between the two operating theaters. Our triage area, ER, and wards were full of patients, so we expanded the capacity by using tents and a meeting space which also filled quickly.”

These clashes reflect the ongoing fragility of the situation in parts of South Sudan, where cycles of violence continue to significantly impact communities and overwhelm an already weakened health care system.