South Sudan: Government Blocking Opposition-Held Areas from Humanitarian Access

Doctors Without Borders (MSF) denounces the restrictions on humanitarian access that the government of South Sudan has imposed exclusively in parts of the opposition-held areas of Jonglei State. These restrictions limit MSF’s ability to deliver essential medical assistance for communities, which can have particularly dangerous consequences for children, pregnant women and people living with chronic or life-threatening conditions.

These restrictions have been in place since December 2025, and include Lankien, Pieri and Akobo. This means that all humanitarian flights are suspended, making it difficult or impossible to distribute medical and other critical supplies and personnel where needed. As of 29 January, at least 23 critically ill patients from Lankien and Pieri are in urgent need of referrals, and their lives are at immediate risk.

"Patients will die if the government continues to block humanitarian and medical access in Jonglei,” says Abdalla Hussein, MSF Desk Manager for South Sudan. “Imposing restrictions on humanitarian aid and preventing people from accessing healthcare is a crude political manoeuvre. Ultimately, it is the civilians who pay the price. This must stop immediately.”

"It is unacceptable to hear statements from authority figures openly suggesting that mass violence against civilians and their forced displacement should be employed. We call upon the government to act and urgently reassure the protection of civilians," says Hussein.

Following the restrictions, MSF has been forced to evacuate staff from Lankien and Akobo, and reduce medical services in these facilities and those in Pieri, to emergency and lifesaving care only. On 29 January, MSF’s team in Pieri was also forced to leave the facility, due to the imminent danger of armed conflict. We had to discharge most of our patients, grab emergency kits and flee the town along with the local community.

MSF is the only health provider serving about 250 thousand people in Lankien and Pieri, and another 112 thousand in Akobo. This means that almost 400 thousand people will be left without any healthcare if the government refuses to grant MSF access and we are forced to leave the area.

"Ongoing conflict and displacement in Jonglei are further increasing the vulnerability of civilians, creating new and urgent humanitarian needs on top of already limited healthcare services,” says Gul Badshah, MSF Operations Manager for South Sudan. "MSF reminds all armed groups and political actors that they share the responsibility to protect civilians, humanitarian and medical personnel, and healthcare facilities. Attacks, threats, and interference with medical activities put lives at risk and must stop.”

The worsening humanitarian crisis in South Sudan needs urgent international prioritisation: communities face overlapping crises, and the current response is not meeting the rising needs across the country. If MSF is unable to resupply our medical facilities during the dry season – while roads are still accessible – the consequences will be even more dramatic, and the humanitarian crisis to follow will be catastrophic.

MSF has been present in what is today South Sudan since 1983 and remains one of the largest medical humanitarian agencies in the country. We operate in seven states and two administrative areas. In 2025, MSF provided more than 830,000 outpatient consultations, inpatient care for over 93,000 patients, including 12,000 surgeries, screened 107,000 children for malnutrition, and performed critical referrals across the country. Sustained and predictable humanitarian access is essential to maintain lifesaving services and to prevent further deterioration of health outcomes for communities in Jonglei State.

Integrated Community Case Management (ICCM) Outreach in Abyei MSF teams wade through a flooded village to deliver medicine to an ICCM site in Abyei. Photographer: Isaac Buay | Date: 04/08/2023 | Location: South Sudan

MSF paediatrician, Agnieszka Czaplinska and Regina Yangi Simon, health promotion worker, help a young mother to hold and wrap her premature baby boy skin-to-skin in Mundari County Hospital, the only secondary healthcare facility in Kajo Keji, Central Equatoria. Photographer: Manon Massiat | Date: 26/03/2024 | Location: South SudanThe Integrated Community Case Management (ICCM) team in Abyei manage 17 health posts spread out across the region. Some are hard to reach and require long arduous walks for the team, especially in the wet season. Photographer: Sean Sutton | Date: 04/08/2023 | Location: South Sudan

Jane Rabothata

Communications Specialist, Doctors Without Borders

• jane.rabothata@joburg.msf.org
• 0712873613

About Doctors Without Borders (MSF)

Doctors Without Borders (MSF) is a global network of principled medical and other professionals who specialise in medical humanitarian work, driven by our common humanity and guided by medical ethics. We strive to bring emergency medical care to people caught in conflicts, crises, and disasters in more than 70 countries worldwide.

In South Africa, we currently run a non-communicable diseases (NCDs) project in Butterworth, Eastern Cape province, where we support the Department of Health (DoH) in improving care for patients with diabetes and hypertension. The project focuses on improving screening, diagnosis, management, and prevention of NCDs through advocacy, research, health promotion, training, and mentorship of Community Healthcare Workers.

MSF is also recognised as one of the pioneers in providing antiretroviral treatment (ART) in the public sector. It started the first HIV programme in South Africa in 1999. The organisation's earlier interventions in the country have primarily been on developing new testing and treatment strategies for HIV/AIDS and Tuberculosis (TB) in Eshowe (Kwa-Zulu Natal) and Khayelitsha (Western Cape). The Eshowe project was handed over to DoH in 2023 after 12 years of operations. The Khayelitsha project was closed in 2020 after 22 years of activities and campaigning for improved HIV and TB treatment.