Sudan, Sept. 25 -- An estimated 380,000 people fled to Tawila, where Doctors Without Borders/Medecins Sans Frontieres (MSF) teams received more than 300 victims and survivors of sexual violence in the five weeks that followed. Here, an MSF midwife recalls the harrowing story of a mother and daughter attacked while trying to flee: A driver was ordered to run over the mother, then moments after, the daughter was raped repeatedly by the one who gave the order.

April 2025 is seared into Anna's* memory. Anna, a midwife with 18 years of experience with MSF, was urgently called to the emergency room, where victims of sexual violence were arriving in large numbers following RSF's assault on Zamzam camp.

"There was a smell I will never forget," ...