Nairobi — Women in Darfur, Sudan, are demanding protection, care and justice as sexual violence continues across the region, both in active conflict areas and far beyond frontlines, according to a new report released today by Médecins Sans Frontières (MSF).

The report, “There is something I want to tell you…”: Surviving the sexual violence crisis in Darfur, provides the most comprehensive documented accounts of sexual violence in Sudan’s war, with victim and survivor testimonies and data from MSF medical programmes highlighting clear patterns of widespread and systematic abuse.

Between January 2024 and November 2025, at least 3,396 victims and survivors of sexual violence sought treatment in MSF-supported facilities across North and South Darfur, though MSF warns this represents only a fraction of the true scale, as many victims and survivors cannot safely reach care. Women and girls accounted for 97 per cent of victims and survivors treated in MSF programmes.

“Sexual violence is a defining feature of this conflict — not confined to frontlines, but pervasive across communities,” says Ruth Kauffman, MSF emergency health manager. “This war is being fought on the backs and bodies of women and girls. Displacement, collapsing community support systems, lack of access to healthcare, and deep-rooted gender inequalities, are allowing these abuses to continue across Sudan.” 

Victim and survivor testimonies and MSF medical data show that Rapid Support Forces (RSF) soldiers and allied militias are responsible for widespread and systematic sexual violence against women. 

Following the RSF’s capture of El Fasher, the capital of North Darfur, on 26 October 2025, we treated more than 140 victims and survivors who managed to reach Tawila in November. Of these victims and survivors, 94 per cent were attacked by armed men, with many reporting assaults along escape routes. The assaults were widespread, often carried out by multiple perpetrators in front of family, and deliberately targeted non-Arab communities as a means of humiliation and terror, echoing previous RSF atrocities, such as the dismantling of Zamzam camp.

In just one month, between December 2025 and January 2026, MSF identified a further 732 victims and survivors in displacement camps around Tawila, where women reported attacks both during their journeys and within the camps. Overcrowded shelters, lack of basic security, and unsafe conditions – including distant water points, insecure bathing areas and limited latrines – further increase their vulnerability.

Victims and survivors described attacks not only during fighting, but in everyday settings – on roads used to flee violence, in fields where families grow food, and in markets and displacement camps – showing how sexual violence extends far beyond the frontlines.

In South Darfur, hundreds of kilometres from active ground fighting, 34 per cent of victims and survivors were assaulted while farming or travelling to farmland, and 22 per cent while collecting firewood, water or food, highlighting how violence occurs during everyday activities.

Children are also among the victims and survivors. In South Darfur, one in five was under 18 years of age, including 41 children younger than five years old.

MSF data also points to patterns of systematic abuse, with armed men responsible for most assaults — over 95 per cent in North Darfur, while nearly 60 per cent in South Darfur involved multiple perpetrators.

One survivor described the violence she experienced while fleeing her home: “They took us to an open area. The first man raped me twice, the second once, the third four times. Apart from the rapes, they beat us with sticks and pointed guns at my head.”

For many, the threat of violence has become part of daily life.

“Every day when people go to the market, there are cases of rape,” says a woman in South Darfur. “When we go to the farm, this happens.” 

Victims and survivors also face significant barriers to care, including insecurity, stigma and limited protection services. Sexual violence is being used as a weapon of war and a systematic means of controlling civilians, in violation of international humanitarian law.

In focus groups organised by MSF, community leaders, midwives, activists and victims and survivors called for an immediate end to sexual violence across Sudan, demanding protection, access to care, and dignity, alongside justice and accountability.

MSF calls on all parties to the conflict – including the RSF and their supporters – to cease and prevent sexual violence and hold perpetrators accountable. We also call on the United Nations, donors and humanitarian organisations to urgently scale up health and protection services in Darfur and all of Sudan.