In early 2025, MSF teams in El Geneina Teaching hospital, West Darfur, had identified a critical gap in maternal care.

It is the context where safe delivery services have been almost non-existent. Only two public hospitals in the entire state remained functional; private facilities were unaffordable, and rural areas had no ambulances or referral systems. To help fill this gap, MSF had reached an agreement

with an international humanitarian actor in El Geneina to manage maternity services at the hospital. But shortly before their work was due to begin, they withdrew after losing their USAID funding, leaving this critical gap in care still unmet, to which MSF had to urgently find an alternative solution.

In March 2025, we partnered with the Sudanese Family Planning Association (SFPA), a local Sudanese NGO, to ensure continuity of care. Through this collaboration, MSF now finances SFPA to provide free, non-complicated deliveries, while MSF teams continue to manage complicated deliveries inside El Geneina Teaching Hospital.

MSF is 98% privately funded. In a rapidly changing humanitarian landscape, our teams in El Geneina are building pragmatic partnerships to keep essential health services running, and to save lives.