In 2025, South Sudan’s health system faced a perfect storm of crises, putting immense pressure on an already fragile infrastructure. Despite these challenges, AAA remained committed, ensuring essential primary health care services continued to reach the country’s most vulnerable communities.

Key Health Challenges

• Humanitarian System Collapse: Major funding cuts severely undermined health services. UK Aid Direct reductions in 2022 left around 200 health facilities, including eight major hospitals, unsupported. In early 2025, the United States, which funds 55% of South Sudan’s humanitarian appeal, suspended and later terminated many humanitarian contracts.
• Refugee Crisis: Since the outbreak of war in Sudan in April 2023, over one million returnees and refugees entered South Sudan, with approximately 1,000 people crossing daily by late 2025. Many arrived in areas with minimal water, sanitation, and health services, sharply increasing the risk of disease outbreaks.
• Facility Attacks and Disruptions: At least seven aid facilities in Jonglei state were looted or damaged, with assets confiscated and staff intimidated, forcing suspension of operations in multiple locations. UN food aid convoys were also suspended after attacks.
• Overall Conditions: The convergence of conflict, extreme weather events -including floods and droughts and malnutrition, compounded by funding cuts, created the worst health conditions since the 2018 peace agreement.

AAA’S RESPONSE AND ACHIEVEMENTS
Amid these challenges, AAA ensured continuity of critical health services, providing lifesaving care to thousands of individuals.

• Patients treated: 27,087
• Pregnant mothers attended at ANC clinics: 3,737
• Mothers delivered at health facilities: 547
• Children vaccinated: 2,659

Through dedicated health teams, mobile clinics, and community outreach, AAA maintained access to essential services, supporting maternal and child health, vaccination, and general medical care. Each consultation, vaccination, and facility-based delivery represents a life supported and a community strengthened despite adversity.
Looking ahead, AAA will continue to expand reach, strengthen service delivery, and build resilience in primary health care across South Sudan, ensuring even the most vulnerable populations receive the care they need.