Peace between Khartoum and the SPLA (Sudan’s People Liberation Army) in the south of Sudan has brought few benefits to this area. There are no roads, cattle and wife-stealing are rife, and famine is a major issue. Civil conflict has been a barrier to development, including the provision of the most basic services.

In this forbidding environment, DWB (Doctors Without Borders) operates a small hospital in Marial Lou catering to the needs of 300,000 people. The biggest challenge here is operating feeding centres with only a third of the food aid that the World Food Program assesses this region requires. Doctors have noticed a rise in inter-tribal conflict due to food shortages and competition for pasture as main causes.