Evidence map›Paper›PMID 40551186›Full record

ArticleConflict and health2025

Exploring diabetic patients experiences during war in Sudan: insights from a multi-city study.

Mohamed Hisham Alamin, Manasik Mamoun, Leina Elfatih Salah Mohamed Ali Elomeiri, Sarah Hashim Mohammed Osman, Shrouk M Abdou, Fatima Mohamed Osman Yasin, Ekhlass Ahmed Musa Mohamed, Abdelrahman Idris Mohamed Idris, Marwa Adil Abdelwahab Hag Ahmed, Lina Ahmed Ali Mohmmed Ahmed and 4 more

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Article in Conflict and health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Mohamed Hisham AlaminFaculty of Medicine, International University of Africa, Khartoum, Sudan. stronggaf@gmail.com.
Manasik MamounOne Percent Research Initiative, Khartoum, Sudan.
Leina Elfatih Salah Mohamed Ali ElomeiriOne Percent Research Initiative, Khartoum, Sudan.
Sarah Hashim Mohammed OsmanFaculty of Medicine, University of Khartoum, Khartoum, Sudan.
Shrouk M AbdouOne Percent Research Initiative, Khartoum, Sudan.
Fatima Mohamed Osman YasinFaculty of Medical Laboratory Science, Gadarif University, Gadarif, Sudan.
Ekhlass Ahmed Musa MohamedOne Percent Research Initiative, Khartoum, Sudan.
Abdelrahman Idris Mohamed IdrisDepartment of Medicine, Kassala Teaching Hospital, Kassala, Sudan.
Marwa Adil Abdelwahab Hag AhmedFaculty of Medicine, Al Neelain University, Khartoum, Sudan.
Lina Ahmed Ali Mohmmed AhmedFaculty of Medicine, Al Neelain University, Khartoum, Sudan.
Abdalmahmoud Asadig Kanan AhmedFaculty of Medicine, University of Gazira, Gazira, Sudan.
Mariam Abdelgadir Hago TahaFaculty of Medicine, Al Neelain University, Khartoum, Sudan.
Moneer Ali Abdallah AliFaculty of Medicine, Al Neelain University, Khartoum, Sudan.
Esra Abdallah Abdalwahed MahgoubOne Percent Research Initiative, Khartoum, Sudan. esramahgoub91@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe health system in Sudan was severely compromised by the ongoing conflict, jeopardizing the lives of millions of vulnerable people suffering from chronic health conditions, including diabetic patients. This study explored the experiences of diabetic patients, focusing on the challenges they faced in accessing medical consultations, medications, and blood glucose monitoring during the ongoing war.

methodsA descriptive facility-based cross-sectional study was conducted across seven hospitals and diabetes centers in Sudan from May to July 2024, enrolling 350 diabetic patients. Convenient sampling was used to select the participants from the outpatient clinics of the targeted health facilities. Data was collected by interviewing patients using a structured questionnaire.

resultsSixty percent of participants faced challenges accessing medications, with drug shortages (65.9%), the closure of pharmacies (44.1%), and safety concerns (39.8%) being the major barriers. Insulin users experienced significant difficulties, with 69.1% reporting problems storing their medications due to frequent power outages. The majority of patients (81.1%) faced challenges accessing medical care during the war. The most common difficulties included transportation issues and long wait times or overcrowding. The war disrupted the healthy eating habits of 34.9% of patients. Moreover, 54.3% of patients experienced a decline in blood sugar testing frequency, often due to the unavailability of laboratories and financial constraints. Displaced patients and patients in Al Mangal City suffered the most from these challenges.

conclusionThis study reveals the devastating impact of the ongoing conflict on diabetes care in Sudan. Severe disruptions to healthcare access, including medication shortages and limited resources, have forced patients to adopt hazardous coping mechanisms. Urgent action is needed, including humanitarian aid and innovative interventions, to ensure equitable and sustainable diabetes care for all Sudanese patients.

Indexed as

Armed conflictsDiabetes mellitusDisplaced personsHealth servicesNoncommunicable diseasesSudan

Identifiers

PMID40551186
PMCPMC12183895

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.