Surge of Violence in Upper Nile
On 14 November 2025, armed groups struck Adong Payam, Upper Nile State, leaving residents reeling. Médecins Sans Frontières confirmed 50 wounded reaching Malakal Teaching Hospital, several in critical condition.
Rising Human Cost of the Attack
Humanitarian partners report over 60 deaths and 66 injuries. Thirty patients need urgent surgery and specialized care, underlining the intensity of the assault.
Strain on Limited Health Infrastructure
The spike in casualties compounds the already fragile health and humanitarian systems in Upper Nile, where insecurity routinely hampers service delivery.
Voices from the Frontline
“As many are reported missing, we are expecting to receive even more wounded,” noted Zakaria Mwatia, MSF head of mission. He urged protection of civilians and unhindered passage for the injured.
Appeal to Armed Groups
MSF insists its lifesaving work must not be jeopardized by hostilities. “We urge armed groups to spare civilians and to allow unhindered access to health care,” Mwatia reiterated.
Urgent Need for Safe Access
Persistent security threats continue to block humanitarian agencies from reaching vulnerable populations, leaving many without essential care. MSF warns that further delays may cost additional lives.
Outlook for Upper Nile
While MSF reiterates commitment to impartial treatment based solely on need, sustained peace and cooperative security measures remain vital for long-term recovery in Adong Payam and beyond.