Sudanese doctor Mohamed Moussa has grown so accustomed to the constant sound of gunfire and shelling near his hospital that it no longer startles him. Instead, he simply continues attending to his patients. “The bombing has numbed us,” the 30-year-old general practitioner told AFP by phone from Al-Nao hospital, one of the last functioning medical facilities in Omdurman, part of greater Khartoum. Gunfire rattles in the distance, warplanes roar overhead and nearby shelling makes the ground tremble, more than a year and a half into a grinding war between rival Sudanese generals. Embattled health workers “have no choice but to continue”, said Moussa. Since April 2023, Sudan has been torn apart by a war between army chief Abdel Fattah al-Burhan and his former deputy Mohamed Hamdan Daglo, leader of the paramilitary Rapid Support Forces (RSF). The war has killed tens of thousands and uprooted 12 million people, creating what the International Rescue Committee aid group has called the “biggest humanitarian crisis ever recorded”. The violence has turned the country’s hospitals into battlegrounds, placing health workers like Moussa on the frontlines. Inside Al-Nao’s overwhelmed wards, the conflict’s toll is staggering. Doctors say they tend to a harrowing array of injuries: gunshot wounds to the head, chest and abdomen, severe burns, shattered bones and amputations — even among children as young as four months. The hospital itself has not been spared. Deadly shelling has repeatedly hit its premises, according to medical charity Doctors Without Borders (MSF) which has supported the Al-Nao hospital. Elsewhere, the situation is just as dire. In North Darfur, a recent drone attack killed nine at the state capital’s main hospital, while shelling forced MSF to evacuate its field hospital in a famine-hit refugee camp.