Cross-sectional assessment of patient satisfaction (N=357) at Eleskan75 Primary Healthcare Center, Karary Locality, Khartoum, during the 2025 Sudan conflict; descriptive statistics, t-tests, ANOVA, Pearson/Spearman correlations, multiple linear regression, and ordinal logistic regression.
# Patient Satisfaction in Primary Healthcare Settings During the War in Sudan — Eleskan75 Center, 2025
**Study type:** Cross-sectional, institution-based descriptive study
**Degree level:** Clinical MD Degree in Family Medicine
**Institution:** Sudan Medical Specializations Board
**Sample size:** N = 357 patients
**Data analyst:** Abdulrahman Sirelkhatim
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## Background
The ongoing armed conflict in Sudan, which escalated dramatically in April 2023, has caused
one of the world's most acute humanitarian crises. Khartoum State — the country's political
and demographic centre — suffered extensive infrastructure damage, mass displacement, and the
near-collapse of public health services. In this context, primary healthcare facilities have
become the first and often the only point of contact between conflict-affected populations and
any form of organised medical care.
Eleskan75 Primary Healthcare Center, located in Karary Locality on the western outskirts of
Omdurman, is one such facility. Before the conflict, the centre served roughly 80 patients per
day across departments including family medicine, dentistry, nutrition, maternal and child
health, and mental health. By late 2024, daily attendance had risen to between 150 and 200
patients, with a monthly frequency exceeding 5,000 visits, driven largely by the influx of
internally displaced persons (IDPs) from conflict-affected areas of Khartoum.
Patient satisfaction is a widely used, multidimensional indicator of healthcare quality. In
conflict settings, it captures whether facilities can maintain adequate standards of care —
in terms of provider competence, interpersonal treatment, physical environment, waiting times,
and availability of medicines — under extreme structural and logistical pressure. Despite a
growing body of research on healthcare in conflict zones globally, published evidence on
patient satisfaction in Sudanese primary care settings during the current conflict is extremely
limited. This study …