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For three years, Dr. Jamal Eltaeb made excruciating choices. Who should live and potentially die? Should he operate without the right medicines if it might save someone’s life? How would he find fuel to keep the hospital’s lights on? According to Associated Press as Sudan’s war raged around him, only one decision was easy: Keep working. The orthopedic surgeon was leading Al Nao hospital in Omdurman, just outside the capital, Khartoum, as control of the urban area shifted between Sudan’s army and paramilitary fighters. As the front line moved closer and the hospital overflowed with patients, some colleagues lost their nerve and left. The soft-spoken Eltaeb was a rare surgeon who remained. Even as the hospital was bombed more than once. Even as most medical supplies ran out. He is one of countless Sudanese who have pitched in to help as the world largely looks elsewhere, distracted by conflicts in the Middle East and Ukraine. He has seen the bodies behind the estimates of tens of thousands of people killed, and what it means — day to excruciating day — when the United Nations warns his country’s health system is near collapse. Before the war, staffers said, Al Nao was a quiet hospital with its nearly 100 beds empty much of the time. But when fighting began in Khartoum and the paramilitary Rapid Support Forces captured swaths of the city, patients hurried in. Eltaeb’s own hospital elsewhere closed shortly after the war began in April 2023, and he moved to Al Nao. By July, most of the staff had fled, leaving him in charge. He and a handful of employees and volunteers struggled to keep the place running. Electricity was out for weeks as the facility relied on the army to supply fuel for generators. Medicines like antibiotics and painkillers ran out. In August, a month after Eltaeb took charge, the hospital was hit for the first time. “From that moment, we knew that we are a target … And from that time, they didn’t stop targeting us,” he said. The RSF later struck the hospital three more times. Normality had crumbled. Decisions were nearly impossible. On a particularly harrowing day in late 2024, he and his team scrambled to triage over 100 wounded people after a strike hit a nearby market. Eight of them died. “You choose … as if you can choose who is going to live and who is going to die,” he said. Al Nao hospital was one of the few hospitals that survived the war, many others were not so lucky. Nearly 40% of Sudan’s hospitals no longer function. Many have been stripped for parts or used by armed groups as bases. Sudan’s army has since retaken the capital, and Al Nao remains one of the area’s only functioning health centers. Hospitals that were hit harder than Al Nao lie in ruins. Across town, Dr. Osman Ismail Osman, director of Al Shaabi hospital, was checking the medical facility. It was pretty much destroyed in the war as it was the closest hospital to the General Command center in downtown Khartoum, where some of the country’s fiercest battles took place.
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