Humanitarian organisations say conditions are worsening as funding declines and medical facilities struggle to cope with mounting injuries.

Officials describe the current surge in violence as the most severe since large-scale displacement began spreading across the country’s states.

Airstrikes And Ground Fighting Intensify

A senior relief official reported increased use of aircraft and barrel bombs, noting that attacks have driven hundreds of thousands from their homes.

Violence is now affecting seven of the country’s ten states, with both air and ground operations causing rising deaths and injuries. Around 500,000 people have been newly displaced since the escalation began.

Hospitals Overwhelmed By Casualties

Medical teams documented about 1,000 weapon-injured patients treated so far in 2025, the highest annual figure since 2018.

Over the past eight years, surgical teams performed 25,000-plus operations on 5,000 wounded individuals. Health facilities dependent on external aid are reporting a “serious reduction” in operational capacity as needs surge.

Humanitarian Pressures Deepen

The crisis is compounded by the arrival of roughly 1.2 million people fleeing conflict in the neighbouring country, many living in severely degraded conditions.

Aid leaders warn that 57% of the population now faces food insecurity due to shrinking assistance and donor fatigue. Reduced funding is directly undermining services for civilians and complicating humanitarian access.

Air Weapons Likely Sourced Externally

Officials said the air-dropped munitions are “most likely from private companies,” noting that while not highly sophisticated, they pose major risks to civilians and aid workers.

They also cautioned that the downsizing of the peacekeeping mission will affect civilian protection and humanitarian logistics. Flights remain possible, but access and evacuations require coordination with armed actors