Adré Children’s Feeding Program and Clinic Update - December 2025

Program Background

When war erupted in Sudan in April 2023, Darfur quickly became the epicenter of some of the conflict’s worst atrocities. What began as a power struggle between Sudan’s military and the paramilitary Rapid Support Forces (RSF) spiraled into a brutal, targeted campaign of violence. The largely Arab RSF launched a hate-driven assault on Darfur’s historic ethnic African communities, including the Zaghawa, Fur, and Masalit people groups.

Map by Operation Broken Silence

Parts of Darfur are now in famine. Refugees crossing the border into Adré, with nothing but the clothes on their backs and thousand-yard stares, tell stories of mass killings and starvation. Darfur has descended into ethnic cleansing, widespread rape, and total lawlessness under RSF occupation. Markets, farms, banks, and aid warehouses have been looted or destroyed.

In response, Operation Broken Silence is helping to support local heroes as they deliver emergency food and medical care to some of the most vulnerable refugee communities on the Sudan/Chad border. We’re supporting trusted Sudanese community leaders in two key areas:

• The Adré refugee camps

• The Tiné area

Below are important updates from the For You Children’s Feeding Center and Healthcare Clinic in Adré—both of which are refugee-led and privately funded by people like you.

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November Overview

November marked the transition between rainy season illnesses and winter-related conditions. While malaria cases began to decline, it remained the most prevalent disease. Clinic operations continued without interruption, with full availability of medicines and medical supplies, and strong commitment from staff. Service expansion included additional obstetrics clinics and increased attendance at the chronic diseases unit following the arrival of refugees from El Fasher in North Darfur.

Photos: Life at the Clinic in Adré

Departmental Activities

1. General Consultation (General Practitioner)

• 1,516 patients (12% increase vs. October).

• Children represented 40% of patients.

• Disease frequency: 2,855 cases (average of 2 per patient).

• Notable cases: 2 Hepatitis B, 1 pulmonary tuberculosis.

• Malaria remains dominant but declining; winter-related illnesses rising.

2. Chronic Diseases Clinic

• 697 patients (8% increase).

• Growth linked to new refugee arrivals from El Fasher.

• Full provision of medicines, tests, and counseling.

• Celebrated World Diabetes Day with patients.

3. Women’s & Obstetrics Clinic

• 120 patients (50% increase).

• Expanded services with Dr. Muawiya Ishaq joining; weekly clinics doubled.

• Anticipated further expansion with Dr. Mohamed Omar’s return.

• Provided consultations and care for women and pregnant patients.

4. Emergency & Short-Stay Department

• 346 cases (11.5% decrease).

• Malaria remained the top emergency, followed by bleeding and respiratory distress.

• Children were the majority of emergency cases.

5. Nursing & Minor Operations Department

• 306 patients (3% increase).

• Services included injections, wound care, and minor procedures.

• Supplies sufficient; seasonal decline in skin/wound cases.

6. Laboratory Department

• 1,309 patients (5% increase).

• 2,579 tests conducted (15% increase).

• Restored funding enabled previously suspended tests.

• Most common: malaria, urine, diabetes, blood pressure, typhoid.

7. Guidance & Awareness Department

• 12 group sessions, 35 individual sessions.

• Focused on hygiene, chronic disease awareness, and mental health.

Photos: Breast cancer awareness event

8. Media & Public Relations Department

• Weekly reports published consistently.

• Expanded photo/video archives.

• Collaborated on awareness campaigns, including World Diabetes Day.

• Hosted delegation from “ACTED” organization to complete NGO profile.

• Engaged West Darfur Emergency Coordination Council to explore funding opportunities for Darfuri refugees in Chad.

9. Training Department

• 3 medical discussion sessions (lab requests, diabetes testing).

• All staff participated.

• Added new laboratory trainee.

10. Feeding Center

• 6,309 meals served to children (11.5% decrease). The slight decline is linked to the closure of a nearby kindergarten.

• Staff/patient/companion meals: 1,442 (stable vs. October).

Photos: Life at the feeding center in Adré

11. Workforce

After a shortage of doctors and lab technicians in late September:

• A new general practitioner, Dr. Mariam Bashir, joined the clinic.

• A malaria technician, Mr. Al-Hafiz Mohamed, joined the laboratory team.

12. Infrastructure & Sustainability

• Repaired rain-damaged structures: feeding center façade, fences, patient shelters, benches.

• Expanded solar energy capacity to meet clinic demand.

• Renewed signage and flowerbeds.

Current conditions in Adré

The situation Sudanese refugees face in eastern Chad is a protracted humanitarian emergency. People fleeing ethnic cleansing and famine face hunger and disease after arriving at one of the 30+ informal border crossings, many having walked for days carrying only what they could, including mothers and children weakened by hunger and trauma. The scale of this crisis is staggering:

• The number of Sudanese refugees in eastern Chad has surged to nearly 900,000 people.

• 87% of those registered are women and children, of which 24% are adult women.

• Over 235,000 refugees are currently settled in the Adré area, more than five times the town’s original population.

• 14% have registered refugees specific needs, including people with disabilities, single parents, or those who are at-risk.

• Source: UNHCR CHAD | CORE Sudan Emergency Situation (December 14, 2025)

These heroes need your help

The needs in Adré are urgent and growing every week. Right now, it takes a minimum of $8,500 each month to keep the For You Child Feeding Center & Clinic running at minimal capacity. This covers everything from medical supplies and health awareness to hot meals for vulnerable children to basic medication for patients that couldn’t afford it otherwise.

These programs can expand with even more funding. Thousands are still waiting for care. Countless children go to bed hungry every night. You can help change that. In a place where hope is in short supply, your generosity means more than you can imagine.

Checks can be made payable to Operation Broken Silence with Adré written in the memo line and mailed to PO Box 770900 Memphis, TN 38177-0900. You can also donate stock and cryptocurrency while adding a note specifying your gift is for Adré.

Thank you for taking the time to receive this update. Please support us today.

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• When war erupted in Sudan in April 2023, Darfur quickly became the epicenter of some of the conflict’s worst atrocities, sparking off a protracted humanitarian emergency for refugees in eastern Chad. https://operationbrokensilence.org/blog/adre-childrens-feeding-program-and-clinic-update-december-2025

• Over 235,000 refugees are currently settled in the Adré area. Most are women and children. A small clinic and feeding center are saving lives, but they need your help to keep going. https://operationbrokensilence.org/blog/adre-childrens-feeding-program-and-clinic-update-december-2025

• The small clinic in Adré continues saving and changing lives. Each week, the dedicated team works with compassion to deliver lifesaving care to Sudanese refugees, despite limited resources and growing demand. https://operationbrokensilence.org/blog/adre-childrens-feeding-program-and-clinic-update-december-2025

• What does hope look like in a refugee camp? It looks like a child receiving her only hot meal of the day. A mother being treated for malaria. A community standing together. Help us keep hope alive. https://operationbrokensilence.org/blog/adre-childrens-feeding-program-and-clinic-update-december-2025