Iraq after the Al-Aqsa Flood: Iran’s Plan for the Rapid Collapse

How did the ‘Islamic Resistance in Iraq’ emerge?

Iraqi Prime Minister Mohammed Shia al-Sudani chairs a meeting with top-ranking officials of the Iraqi armed forces and of the US-led coalition during the first round of talks on the future of American and other foreign troops in the country, in Baghdad on January 27, 2024. (AFP)
Iraqi Prime Minister Mohammed Shia al-Sudani chairs a meeting with top-ranking officials of the Iraqi armed forces and of the US-led coalition during the first round of talks on the future of American and other foreign troops in the country, in Baghdad on January 27, 2024. (AFP)
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Iraq after the Al-Aqsa Flood: Iran’s Plan for the Rapid Collapse

Iraqi Prime Minister Mohammed Shia al-Sudani chairs a meeting with top-ranking officials of the Iraqi armed forces and of the US-led coalition during the first round of talks on the future of American and other foreign troops in the country, in Baghdad on January 27, 2024. (AFP)
Iraqi Prime Minister Mohammed Shia al-Sudani chairs a meeting with top-ranking officials of the Iraqi armed forces and of the US-led coalition during the first round of talks on the future of American and other foreign troops in the country, in Baghdad on January 27, 2024. (AFP)

On the 27th day of the war on Gaza, something started to happen in Baghdad. The Popular Mobilization Forces began to show footage of an “emergency” meeting that was held in wake of the battles between the Israelis and Palestinian Hamas movement.

The meeting was attended by the majority of the main leaders of the Iraqi armed factions. Chief of Staff Abdulaziz al-Mohammedawi, known as Abou Fadak, warned of an impending war in the region.

The position of chief of staff is a senior post in the Iraqi military, but the PMF borrowed the title after 2016 to oversee military operations. As a result, Abou Fadak now boasts privileges superior to those of the PMF leader, Faleh al-Fayyad.

Abou Fadak is a former leader of the Kataib Hezbollah in Iraq and he plays a central role in the armed factions. Many members of the factions believe that he is the successor of the PMF deputy leader, Abu Mahdi al-Muhandis, who along with Iranian Quds Force leader Qassem Soleimani, were killed in a US strike near Baghdad airport in January 2020.

Abou Fadak’s warning appeared routine given the tensions in the region, but he then uttered a statement that sounded coded: “The situation in the region is sensitive and what will take place will hinge on how committed we are to what we agreed upon.”

So what had they agreed upon? And who are “they”?

The details of this agreement and the parties to it started to emerge on the 28th day of the war when Lebanese Hezbollah Secretary General Hassan Nasrallah delivered his first televised speech since Hamas carried out its Al-Aqsa Flood operation on October 7. Without outlining what that “Lebanese resistance” will do next, Nasrallah praised the Iraqi factions for attacking American troops deployed in their country.

At that moment, it appeared as though the pro-Iran factions in Iraq had shifted to the forefront of the so-called Resistance Axis and that a new front to Gaza had been opened in Baghdad, which is ruled by a politically powerful government sitting on a $450 billion budget.

Ain al-Asad: The first attack

Days later, a group calling itself the “Islamic Resistance in Iraq” emerged, declaring that it will start carrying out revenge attacks against American forces in Iraq and Syria after they confirmed that “they were providing support to the Israeli troops in Gaza”, they said in a statement on Telegram.

On November 17, the group announced that they had attacked the Ain al-Asad base west of Baghdad using two drones. This was the first attack carried out by the “Islamic Resistance in Iraq” and the strings connecting the Al-Aqsa Flood operation and Abou Fadak’s “coded” message began to appear.

Soon after the attack, Abou Fadak would disappear from the scene, even though he had declared the state of emergency himself. More attacks would follow, reaching more than 150 against American bases in Iraq and Syria as of January 29, when this report was completed.

The attacks targeted the Ain al-Asad base, the second largest air base in Iraq after the Balad base, and Harir, which is used by the Americans as a landing site for their fighter jets when they were fighting ISIS in 2015.

The attacks also targeted American bases in Syria: Al-Tanf, al-Shadadi, al-Malikiya, al-Rukban, Abou Hajar, Tal Abdo, Rmeilan, Green Village and Al-Omar oil field.

Data from the Islamic Resistance in Iraq showed that a third of the attacks targeted the Ain al-Asad and Harir.

Since declaring a state of emergency, the PMF, which says it is affiliated with the government, was never tied to any of the attacks against the American forces. All the attacks were claimed by the Islamic Resistance.

It is said that the Resistance is formed by the several factions, such as the al-Nujaba movement, Kataib Hezbollah, and Kataib Sayyid al-Shuhada, and that they joined it after rejecting negotiations to stop the escalation, according to media leaks quoting sources close the ruling Coordination Framework coalition.

It is difficult to differentiate between this coalition, which succeeded in forming a government headed by Prime Minister Mohammed Shia al-Sudani in November 2022, and armed Shiite factions.

The factions are playing a very complicated role. They hold a lot of power in the PMF, which operates under government cover, and they also enjoy “ideological immunity.” They, however, are not outwardly present in government institutions to appear as though they have “nothing to lose.”

Iraq’s Shiite to liberate Jerusalem

Two weeks before Abou Fadak declared the “state of emergency”, a medium rank Iraqi officer working for the PMF was on his way back from Syria to southern Iraq. He received a telephone call from another officer who briefed him on the “latest situation.”

Speaking on condition of anonymity to Asharq Al-Awsat, the officer said the Iraqi factions were on a state of alert without even being ordered to do so. It is as if they were “thirsting for some war.” At the time, “all we did was create incitement through the media. It was necessary to consolidate the role of the Shiites of Iraq in liberating Jerusalem,” he went on to say.

It may have been coincidence that Iranian officials visited Baghdad in the coming days. They were delivering “urgent messages” that reflected the mood that prevailed among the factions.

In the first week since the Al-Aqsa operations, the Iranians held a series of meetings with politicians who are members of the Coordination Framework and field leaders of the armed Shiite factions.

The officer said: “They informed us that we are a part of Iran and its strength in the region. You are the hand that strikes to protect Shiism. It is time to not only liberate Jerusalem, but to rule the entire region (...) it is your golden age.”

The Iranians lamented that had Tehran been located in closer positions, such as al-Anbar in western Iraq, “we would have liberated Jerusalem in a handful of days,” the officer quoted them as saying. He revealed that Iraqi officials were “enraged” by these comments.

The Anbar province borders Syria. It boasts a vast desert and for years, was the arena for al-Qaeda and ISIS activity. After the liberation of Iraq from ISIS in 2017, the PMF units redeployed in those regions under the pretext of securing them and preventing the return of the “terrorists”.

However, an aide in the Sunni Taqadum party, led by former parliament Speaker Mohammed al-Halbousi, refuted the claims. He said these armed formations “serve a political agenda aimed at preventing the representatives of the province from playing central roles that may irritate the Shiite forces.”

He added that the continued deployment of these units in areas close to the Syrian border is “very important” to Iraq to ensure that resistance groups in the region remain connected geographically.

Before the Iranian officials left Baghdad, they tasked an “Arab” figure to remain there, work closely with the Iraqi groups and follow up on the developments in Gaza. Despite various information, it remains difficult to verify who this person was and from which country he comes from.

All that this report could verify was that the factions call him “Al-Hajj” and he has effectively assumed the position of leader of the command centers of the “resistance”, revealed leaderships of local Shiite factions.

“Al-Hajj” is a title that is commonly used by members of the Lebanese Hezbollah instead of the adoption of military ranks. Media close to the party often uses the title to describe prominent Hezbollah military official Mohammed al-Kawtharani and other leaders.

It is likely that Kawtharani has been running the field operations of the pro-Iran Iraqi factions since mid-2021. A former government official said: “The Lebanese Hezbollah has effectively replaced Qassem Soleimani in Iraq.”

This ex-official used to hold a senior position in the governments of former PMs Haidar al-Abadi and Adel Abdul Mahdi. He left his post when Mustafa al-Kadhimi became prime minister in 2019.

Before the PMF declared their state of emergency, “Al-Hajj” met with leaders of the Coordination Framework and armed factions in a “safe place” south of Baghdad. They agreed to “pester the American forces with calculated strikes in several regions.” In all likelihood, these officials were party to the “coded” statement that Abou Fadak made days later.

Field leaders in Iraqi factions that were recently active in al-Anbar and Kirkuk said the groups that have upped their activity since November are one bloc inside a single system. In remarks to Asharq Al-Awsat in December, they said that the tactic relies on groups that can move flexibly in setting up rockets and launching them in a short period of time.

The changes that took place in the past two months of 2023 called for their deployment in new locations to make sure their attacks can reach bases in Erbil and Syria.

So, the factions adopted an “agile” method in carrying out the attacks, said the leader of a small group in an armed faction that has been deployed north of Baghdad in for the past three months.

The groups effectively need four or six members who can launch a rocket or fire a drone while other members of the faction would secure their route and choose the location from where to fire them. Such operations generally need a large truck and one or two smaller vehicles used for surveillance and cases of emergency.

So far, it appears as though the factions have only used three types of rockets in the attacks that they carried out since November 17. All the rockets have been developed by Iran since 2022.

The rockets don’t have the capacity to cause major damage, which is in line with the current agreement, revealed the leader of the local group.

Syrian lesson

The Iraqi factions have gone through various stages of formation and restructuring. The conflict in Syria was a prime location for many of these groups to be formed. There, the Iranians needed a more organized structure so that they could firmly control the ground with the Syrian army.

The al-Nujaba movement and the Kataib Hezbollah may have been set up in Iraq, but other factions actually were formed and took shape in Syria. They grew in power after the eruption of the war in Ukraine because the Iranians feared that the Russians would be distracted by that conflict and neglect Syria.

Who came first Sudani or the ‘Framework’?

Before becoming prime minister in November 2022, Sudani seemed to be an ambitious “second class” Shiite politician.

In December 2019, he resigned from the Islamic Dawa and State of Law coalition, both of which are headed by former PM Nouri al-Maliki, two months after the eruption of popular protests against the ruling Shiite-dominated political class and against Iran’s influence over Iran.

Sudani came to power after a strained period between the factions and PM Kadhimi’s government. The Coordination Framework was supposed to restore political and government influence in Iraq after its rival, cleric Moqtada al-Sadr, quit political life in June 2022.

The Framework was formed on October 11, 2021 to coordinate political work. It later transformed into a coalition that worked on preventing Sadr from forming a government with his Sunni and Kurdish allies.

The Framework did not take part in that alliance, while still vying for state positions, such as the national security agency and intelligence agency. The Framework leaders were very ambitious. They not only sought to end the 2019 protest movement, overcome Sadr and reclaim the state, but they also wanted to be the sole rulers, said a Sunni leader who was part of government formation efforts in 2022.

In other words, the government that Sudani would come to lead was not designed to serve his agenda, but to empower the Framework, with the Iranians being at the heart of this process.

Sudani tried to find room to maneuver in a wider space that was effectively controlled by the Framework.

Three MPs described Sudani as an organized administrative figure. He represented Shiites who separate their ideology from state work. Ultimately, he is viewed as a politician who is running a house that he doesn’t really own.

‘Special Iranian operation’

A former government official, who was in office between 2016 and 2019, said the formation of the cabinet was complicated despite the Framework’s optimism. Iran had set many goals: It wanted many positions and sought the withdrawal of American forces in a way that would not harm Shiite control over Iraq. It wanted to end the protest movement, seize complete control of institutions and change the rules of the game with the Kurds.

Effectively, “we were at an advanced stage of Iran’s influence in Iraq. Iran’s plans in Iraq were being discussed in the open. I later learned that the Iranians were demanding a ‘special operation’ that was launched when Sudani came to power,” he added.

Months after taking office, Sudani started to learn up close how delicate balances of power were maintained.

In January 2015, US national security coordinator Brett McGurk was in Baghdad for routine talks with the PM as part of the strategic agreement between the countries.

Less than a week later, media affiliated with Shiite parties reported that Iranian Quds Force commander Esmail Qaani was in Baghdad and that he too had met with Sudani.

At the time, leading members of the Framework, such as Hadi al-Ameri, head of the Badr organization, was leading a campaign to pressure the government to press for the withdrawal of American troops.

Shiite forces revealed at the time that the government had reached a settlement with its allies on the need to reach a truce with the factions if they wanted to negotiate the withdrawal.

The truce itself was reached with the approval of the Coordination Framework and Iran, revealed a member of the State Administration coalition, which in turn showed the contradictions within the Shiite parties which were rooted in the struggle for power.

The bulletproof vest

On November 5, the 30th day of the Gaza war, US Secretary of State Antony Blinken visited Baghdad at night. The lasting image of that visit was the bulletproof vest that he wore and how he flew from Baghdad airport to the US embassy onboard a combat helicopter.

At the Iraqi government, state media officials said the US State Department designed this “scene” to increase pressure on Baghdad. The Americans showed that Iraq was no longer trustworthy, said a source who attended government discussions that night.

In contrast, when Shiite threats reached their peak, American officials used to move around Iraq in a completely different manner. US Defense Secretary Lloyd Austin visited the country in March 2023. He landed in broad daylight, dressed in civilian attire and shook the hands of the welcoming officers.

Sudani tried to explain to Blinken the situation on the ground: Baghdad could not tolerate the pressure. It could not appease both the Americans and the Iranians because it will be the loser in the end, said three MPs close to the PM.

According to government sources, Blinken interpreted the Iraqi tone as “desperate” and that officials were incapable of taking greater steps to deter the factions.

Sudani played the usual role adopted by governments that came to power after 2003: “He kept the door open to Washington, while Tehran continued to consolidate its position at home,” said the government official.

However, the developments in Gaza demonstrated the difficulty in maintaining this tricky balance.

Exchanging roles towards the abyss

The government official said: “The Iranian plan put in place after October 7 called for the armed factions to freely carry out attacks against the American forces. Meanwhile, the powers that formed the government would ease the pressure piled on the Americans as a result of these strikes for as long as possible.”

This approach did not defuse the divisions between the Shiite factions, which have shown a fierceness on the ground and brusque political approach aimed at gaining Iran’s favor, while also attempting to reap gains from the Iraqi government.

MP Sajjad Salem stressed that the majority of the “resistance” operations have nothing to do with the developments in Gaza. He explained that the factions are “extorting the Shiite partners and government for political gains.”

Take for instance, the Asaib Ahl al-Haq, whose leader Qais Khazali is carrying out political roles to protect the government by getting rid of the “armed militia” label.

Khazali oversees the “media of the resistance”, said trusted sources that have known him since 2015. They revealed that the majority of the leaks that claim to uncover the behind-the-scenes details of the armed factions are actually being released by him to test the political waters.

He has also played a role in silencing opponents of Iran’s influence.

The Iranians view him as very politically ambitious and that he quickly learned how to maneuver and manipulate the public opinion. They believe that it is useful to have someone like him to “modernize the Shiite house and make it more dynamic,” said the former government official.

Khazali is the “only cornerstone” in the strategy of “changing roles” that Iran has adopted. He suspected that the factions on the ground are “irritated by the political favor he enjoys.”

Iran has set a long-term plan for Iraq, but it is stumbling at the details, such as the disputes among the factions, said the official.

Direct confrontation

On the 39th day of the Gaza war, the US carried out a missile strike against the al-Nujaba movement headquarters in Baghdad. It killed a leading member of the group who was running field operations in Syria.

That day, the Americans opened a direct confrontation with the factions, dropping the delicate rules of engagement that placed weight on the partnership with the Sudani government.

On the ground, the armed factions soon changed their positions as a precaution from more American attacks.

The government was meanwhile losing the initiative with all parties. It could not take the initiative from them, and it could not withstand the pressure from the Americans.

The former government official said the heads of Shiite factions and the Iranians discussed the possibility of coming up with a scapegoat to rein in the Americans. The suggestion was rejected and raised fear among Shiite leaders about their political future and future of the government.

The former government official said the Iranians are determined to continue to put pressure on the Americans. Perhaps they want to hold negotiations with them but under certain conditions.

New deal or another collapse

The “changing of roles” is an approach that Shiite factions cannot adopt or excel at, said Akeel Abbas, an Iraqi academic. Such a position cannot be adopted in such strained times, he added, noting that the Al-Aqsa Flood exposed the fragility of the Coordination Framework.

The Sudani government did not have the means to control the conflict between the Americans and the armed factions. Now, it is at a loss and has to deal with parties that have stood back and remained silent and militias that have sought escalation.

Some see an opportunity in the escalation. Selin Uysal, a former Iraq desk officer at the French Ministry of Foreign Affairs, said it was now possible for the US to ease the pressure and introduce new rules to the game because the current active dynamism could lead to unintentional results.

The Americans are taking a risk by quickly using up the room they have to maneuver, while the regional tensions are expected to remain high for several weeks, if not months, to come, she added.

Having a government that is close to Iran – like the one in Baghdad - may be a favorable element during this escalation because this gives Washington a channel of communication to defuse the tensions on the ground, she explained.

An innovative solution is necessary to preserve all parties’ security interests, such as an organized transitional negotiated process over the future of the international coalition. This would give the government and the factions greater room to rein in the more extreme militias, which are not only acting at Iran’s orders but also seeking political gain, she said.

Something of the scapegoat scenario can be implemented here, she suggested.



Trump Shattered Canada’s Old US Relationship. Carney is Building a New One in Europe

FILE- Canada's Prime Minister Mark Carney, front left, speaks with European Commission President Ursula von der Leyen at the European Parliament in Strasbourg, eastern France, Thursday, Sept 17, 2026. (AP Photo/Pascal Bastien, File)
FILE- Canada's Prime Minister Mark Carney, front left, speaks with European Commission President Ursula von der Leyen at the European Parliament in Strasbourg, eastern France, Thursday, Sept 17, 2026. (AP Photo/Pascal Bastien, File)
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Trump Shattered Canada’s Old US Relationship. Carney is Building a New One in Europe

FILE- Canada's Prime Minister Mark Carney, front left, speaks with European Commission President Ursula von der Leyen at the European Parliament in Strasbourg, eastern France, Thursday, Sept 17, 2026. (AP Photo/Pascal Bastien, File)
FILE- Canada's Prime Minister Mark Carney, front left, speaks with European Commission President Ursula von der Leyen at the European Parliament in Strasbourg, eastern France, Thursday, Sept 17, 2026. (AP Photo/Pascal Bastien, File)

For nearly four decades, Canada built its economy around closer integration with the United States. President Donald Trump has turned that dependence into leverage, imposing tariffs, threatening Canada’s sovereignty and openly seeking to pull Canadian industrial production south.

Canadian Prime Minister Mark Carney has moved on. Rather than return to trade talks or wait for the next US president to restore the old relationship, he is urgently building a future in which Canada is less dependent on America, The Associated Press said.

Last week, Carney embraced the prospect of Canada becoming the European Union’s first associate member, not as a step toward full membership, but as a way to reduce Canada’s dependence on any single country without ceding control over its own decisions.

“There is now a price to be paid for access to the United States market,” Carney said Sunday, pointing to tariffs, US investment commitments and demands for domestic policy changes.

Carney told the European Parliament on Thursday that countries need enough economic strength to keep any one power from dictating their choices.

Building options beyond the US

He carried that argument into a meeting Sunday with French President Emmanuel Macron in Saint-Pierre-et-Miquelon, the French territory just off Newfoundland’s coast.

“Canada and Europe will build an alliance for the future that will strengthen our collective resilience so we can live our lives as we choose based on the values that we share,” Carney said while standing alongside Macron.

Carney’s relentless schedule reflects the urgency of his push to build alternatives to the United States.

He began last week in Toronto hosting some of the world’s biggest investors, flew to Strasbourg, France, for European Commission President Ursula von der Leyen’s State of the European Union address, raced to Liverpool, England, to meet Britain’s new prime minister and returned to Strasbourg to address the European Parliament.

He met Macron in Saint-Pierre-et-Miquelon before flying back to Ottawa to meet Norwegian Prime Minister Jonas Gahr Støre. On Monday, he is set to open a new session of Parliament before heading to New York for the United Nations General Assembly.

Europe becomes the alternative

Trump has suggested Canada’s closer relationship with the EU could amount to a “hostile act” and threatened “very heavy tariffs” on Europe if he judged the move unfriendly.

Canada could become a test case for other middle powers trying to avoid being pushed around by larger countries. In his speech at the World Economic Forum in Davos, Switzerland, in January, Carney argued that “middle powers must act together,” warning that “if you’re not at the table, you’re on the menu.”

Støre echoed Carney on Sunday, saying tariffs should not become “a weapon to be used against countries, because we will all end up losers.”

The next major step in shaping that proposed relationship is an Oct. 29-30 Canada-EU summit in Montreal.

Unwinding 40 years of dependence

For Canada, that means undoing some of the reliance developed over nearly 40 years.

The 1989 Canada-US Free Trade Agreement and later NAFTA deepened integration, creating cross-border supply chains in autos, energy and manufacturing. Roughly 70% of Canada’s exports went to the US Europe remains nowhere close to replacing the US market.

Carney walked away from trade negotiations in August rather than accept terms he said Ottawa could not live with. The talks remain suspended, and Carney said Friday that leaving the table was the right decision.

“It was easy business, but it meant we relied too much on one economic partner,” Carney said recently. “That time is over.”

Investment chair wants to ‘crank the non-US’

Dominic Barton, Carney’s pick to chair Invest in Canada and a former global head of McKinsey & Co., said diversification does not mean abandoning the United States.

“We can’t complacently count on it,” Barton said. “It’s not about, let’s not do stuff with the US It’s let’s crank the non-US Let’s be way more ambitious on that side.”

Barton, a former Canadian ambassador to China, said Canada has been too inward-looking.

“We are not very global,” he said, calling Trump’s pressure a “jolt” Canada should use to build more global companies.

Carney wants to double non-US trade over the next decade and aims for a free-trade deal with India by year’s end. He said Canada’s tariff-free access to 1.5 billion consumers could double within six months.

Canada sells the trust America is losing

Carney is trying to turn growing doubts about the US as a predictable place to invest into a Canadian advantage. His pitch to global capital is increasingly clear: where Trump’s America uses tariffs and uncertainty as leverage, Canada offers stability, rule of law and reliability.

“The most sought after commodity today is trust,” Finance Minister François-Philippe Champagne said. “The world has changed and America has changed. And I think the world has taken notice.”

Trump may ultimately have done Canada a favor by forcing the country to confront its dependence, Barton said.

“Maybe in 20 years, we’ll thank Trump for shaking us out of our complacency,” Barton said. “Let’s use the moment.”

The ambition has limits. EU “associate membership” does not yet exist, and Europe cannot quickly replace a US market that buys nearly three-quarters of Canadian exports.

But Carney is hardly alone in concluding that Canada must rely less on the United States.

Former Conservative Prime Minister Stephen Harper, from the opposition Conservatives, said the government “had no choice but to take this path.”

That conclusion was particularly difficult for Harper as “one who has long been and known to be a great admirer of America” and who regarded Canada’s close relationship with the US as “among this country’s most precious assets.”

The current US administration now views the countries’ economic integration as incompatible with Canada maintaining its sovereignty, he said.

“Thus, to maintain that sovereignty, we must pursue diminished reliance on the United States,” Harper said. “I do find this all very sad, just as equally necessary.”


Voluntary Return or Pushed Out Against their Will? Migrants in Tunisia Go Home

African migrants during a protest demanding to be repatriated because of the harsh conditions they are living under in Tunisia (AFP)
African migrants during a protest demanding to be repatriated because of the harsh conditions they are living under in Tunisia (AFP)
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Voluntary Return or Pushed Out Against their Will? Migrants in Tunisia Go Home

African migrants during a protest demanding to be repatriated because of the harsh conditions they are living under in Tunisia (AFP)
African migrants during a protest demanding to be repatriated because of the harsh conditions they are living under in Tunisia (AFP)

Less than a year after arriving in Tunisia, Michael Oppona had not planned to return to Ghana.

But, faced with increasingly harsh pressure from local authorities, he is among thousands of sub-Saharan migrants seeking to head home.

Many, like Oppona, have registered for a free return to their countries of origin.

But humanitarians say many migrants and refugees are being pushed out against their will.

Oppona, 37, had crossed the Sahara with his wife and two toddlers before arriving in Tunis but Europe proved out of reach after a 2023 deal with Tunis to curb migrant departures.

"The people here, the government... they treat us like we're not human," said Oppona, waiting for a "voluntary return" appointment near the International Organization for Migration headquarters in Tunis.

Many sub-Saharan migrants in Tunisia face increasingly harsh conditions following a speech by President Kais Saied in 2023 in which he said "hordes of illegal migrants" were posing a demographic threat.

The IOM told AFP it had helped 4,965 migrants return to their countries of origin from January 1 to August 31.

The IOM's program is separate from a namesake program run by the Tunisian government, and operates a major "return hub" near the city of Sfax.

Authorities did not respond to several requests by AFP for interviews and a visit the center.

In June, a Tunisian National Guard official told AFP that nearly 5,000 migrants had been sent to their home countries in the preceding 12 months and that "near-daily" return flights were now scheduled.

But humanitarian sources say these returns should not be considered "voluntary", arguing that socio-economic and political pressures including racism were deliberately forcing migrants to leave Tunisia.

"These are clearly expulsions," one source said.

Humanitarian sources also said migrants were at times coerced to leave even when it was unsafe for them in their home country.

"Authorities say that migrants stay at the so-called 'return hubs' for about two weeks, whereas we know that that process can take months, especially with people without documentation," one said.

The sources also said the conditions in which migrants were held were unclear, adding that some might have been sent to the wrong country.

"We've seen that more people have been arriving in Libya lately," one said.

UN experts in July said they were alarmed by an "alleged system of mass detention, expulsion and trafficking" at the Tunisia-Libya border.

Neither Tunisian nor Libyan authorities have commented on the allegations.

The humanitarian sources to whom AFP spoke also raised concerns over the lack of official information regarding the government's return program.

"We don't know how the authorities have been repatriating people who hold no documents, for example," one source said.

More than 40 global NGOs have said that refugees and migrants in Tunisia faced harsh mistreatment, including rape, according to testimonies they gathered.

In a joint statement in July, the NGOs -- including Human Rights Watch and Amnesty International -- said "refugees, asylum seekers and migrants have faced racist violence" in Tunisia, added to "arbitrary detention, collective expulsions, abuse, torture and other ill-treatment".

Their statement marked the three-year anniversary of a controversial deal the European Union signed with Tunisia to provide Tunis with financing, equipment and training to stop irregular departures.

The groups said the deal came at "a significant cost to human rights and dignity" and called the EU "complicit".

Campaigners say Tunisia's crackdown on organizations that supported migrants, compounded by the suspension of the UN refugee agency's operations in 2024, have barred thousands from receiving help.

Using pseudonyms, 24-year-old Moussa and 22-year-old Karim from Guinea also waited for an IOM "voluntary return" appointment in Tunis.

The two friends said they came to Tunis three years ago with one aim: to cross to Europe.

"But it's impossible to go now, and impossible to stay," said Karim.

Moussa said there was "more pressure now", his voice shaking.

"You're not free. The police prevent you from going anywhere -- to work or get something to eat," he said.

"So why not go back home?"


Can Sudan's Health Sector Rise from the Rubble?

Entrance to the Trauma and Emergency Complex at Omdurman Hospital (Asharq Al-Awsat)
Entrance to the Trauma and Emergency Complex at Omdurman Hospital (Asharq Al-Awsat)
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Can Sudan's Health Sector Rise from the Rubble?

Entrance to the Trauma and Emergency Complex at Omdurman Hospital (Asharq Al-Awsat)
Entrance to the Trauma and Emergency Complex at Omdurman Hospital (Asharq Al-Awsat)

Between hospitals that have reopened after being destroyed and looted, and facilities still struggling with shortages of electricity, equipment, medicines, and staff, two contrasting pictures of Sudan's health system are emerging after more than three years of devastating war.

In Khartoum, major referral hospitals have begun gradually resuming operations as residents return and fighting recedes from large parts of the capital. Elsewhere, however, the picture is much bleaker in Darfur, Kordofan, and other areas, where ongoing fighting, funding shortages, and difficulties accessing facilities continue to deny large segments of the population access to healthcare.

Data from the World Health Organization indicates that around 37 percent of health facilities in Sudan are not functioning, while around 21 million people need medical services, amid shortages of medicines and rising costs of accessing treatment.

At the same time, the organization is monitoring improvements in some states as early recovery efforts and the rehabilitation of facilities begin. This contradiction makes the question more complex: "Has Sudan's health system actually begun to recover, or is what is happening merely a partial restoration of services in areas where the war has receded?"

Hospitals Recovering

At Omdurman Teaching Hospital, one of the capital's largest referral hospitals, signs of a return to activity are evident. Its Director General, Abdel Moneim Ali Al-Qasim, told Asharq Al-Awsat that the hospital suffered extensive wartime destruction affecting its infrastructure, equipment, electrical networks, cables, and generators. In 2024, rehabilitation began on the emergency department to allow it to receive patients, while other parts of the hospital remained destroyed.

With support from the King Salman Humanitarian Aid and Relief Centre and its national partner, Kafaat Organization, the hospital received a 730-kilovolt-ampere generator in July 2025, along with intensive care, emergency, and laboratory equipment. Al-Qasim said the support was worth around $1 million.

According to Al-Qasim, the stabilization of the electricity supply had a direct impact on services. The waiting time for laboratory test results fell from four to six hours to around one hour and 15 minutes. Around 500 surgical procedures were performed during the first month of the support, before the number rose to between 1,000 and 1,500 procedures per month, averaging between 40 and 50 procedures a day.

The hospital currently receives around 600 patients a day. Eleven of its 15 intensive care beds are now operational, while the remaining four are being prepared for service.

The hospital also received an integrated oxygen production unit and opened a prosthetics center with a production capacity of up to 50 prosthetic limbs per month during a single shift. That capacity can be doubled by operating two shifts.

But the return of activity does not mean the problems are over. According to its director, the hospital still suffers from a shortage of wards and a need for fuel, in addition to unstable electricity. The return of residents is also increasing pressure on facilities that have resumed operations.

Buildings Have Returned... But Shortages Remain

The same picture is repeated at Bahri Teaching Hospital, which was rebuilt and reopened after suffering extensive destruction during the war. Its Director General, Ahmed Al-Bashir, told Asharq Al-Awsat that the hospital, with a capacity of 640 beds and 20 operating rooms, still needs intensive care equipment to increase its capacity to handle cases around the clock, as well as a backup power source.

The hospital also needs to complete its sewage system and connect it to the public network, or provide tankers to dispose of wastewater. Meanwhile, the administration is seeking to convert the emergency complex into a continuing vocational training center to make up for some of the staff the hospital lost during the war.

These details reveal one of the major challenges of rebuilding the health system: repairing a building and reopening its doors does not necessarily mean restoring its full capacity to provide services.

A Bleaker Picture Outside Major Hospitals

A short distance from the major referral hospitals that have begun to resume operations, the picture can be very different, even within Khartoum State itself. In Fattasha, west of Omdurman, Eman waited for three days while her son suffered from a high fever and worsening cough because the nearest health facility could not provide the services he needed.

Eman said in testimony published by the United Nations Children's Fund, UNICEF, in December 2025 that the area's only health center had just one health worker and offered no vaccination, nutrition, medicines, pharmacy, or laboratory services. The mother had no choice but to wait for a UNICEF-supported mobile clinic that visits the area twice a month. Despite the time that has passed since that testimony, the same hardship continues, revealing the wide gap between the return of major hospitals in the heart of the capital and those on the outskirts of the state.

The gap becomes even clearer outside Khartoum. At Al-Thawra Health Center in New Halfa locality, Kassala State, Noor, who is pregnant with her eighth child, says she previously had to buy the iron supplements prescribed by doctors during pregnancy. At times, however, she stopped taking them because she could not afford them.

In testimony published by UNICEF in July 2025, Noor said that the free provision of medicines had become a major relief for the family after the cost of treatment had prevented her from obtaining the medication.

At the same center, Aisha, a mother who received medicines for her children, said that receiving treatment for free represented significant assistance given the economic circumstances facing families.

In White Nile State, families face another problem: distance. In January 2026, UNICEF documented the journey of Zahra and her nine-month-old daughter, Amina, to obtain vaccinations.

Zahra takes around two hours to reach the nearest health facility from her home. Previously, she had been forced to travel to the city of Al-Jabalain in search of the service.

In the same area, another mother named Amina arrived with her two-year-old daughter, Aisha, after the child developed severe diarrhea and vomiting and became so weak that she could no longer walk. After being admitted to a stabilization center and receiving treatment and therapeutic milk, the girl began to regain her strength.

El Fasher... Giving Birth Under a Tree

The hardship reaches its most severe levels in areas affected by war and displacement. Amani, a displaced mother from North Darfur, recounted how she was forced to move with her family to escape fighting in El Fasher while she was in the final months of pregnancy.

In testimony published by UNICEF in August 2025, she said the family went days without food or water or anyone to help them. During their displacement journey between Sharika and Tawila, she went into labor, with no hospital or health workers nearby.

Amani gave birth to her daughter by the roadside, under a tree and on a small mat, with the help of her mother and some local residents. She said that during the delivery she did not know whether she would live or die, or what would happen to her children if she died.

After giving birth, she was too weak to carry her newborn or continue the journey. She was forced to stop for about a week before she was able to reach Tawila with her family.

Her experience represents the exact opposite of the picture presented by hospitals resuming activity in Khartoum. In areas affected by war, the issue is not simply the quality of services or the availability of equipment, but whether a health facility exists at all.

Disagreement Over the Definition of "Collapse"

These disparities lie at the heart of the disagreement over how to characterize the condition of the sector. Médecins Sans Frontières has warned that cuts to aid funding are pushing more health facilities to close and depriving millions of Sudanese of essential care.

The organization says the Sudan Humanitarian Response Plan, which amounts to $2.87 billion, had received only around 41 percent of the required funding as of August 11.

Sudanese Health Minister Haitham Mohamed Ibrahim, however, believes the Médecins Sans Frontières report focuses largely on the organization's activities and working conditions. He told Asharq Al-Awsat that it "does not by itself reflect the reality of the health sector in the country."

Omdurman Hospital Director Abdel Moneim Al-Qasim likewise rejects describing the system as "on the verge of collapse." He says the sector is indeed suffering from a major shortage of resources, but has begun to recover gradually as a result of efforts by the state and national, regional, and international organizations.

Bahri Hospital Director Ahmed Al-Bashir agrees that "the description of collapse is inaccurate," while acknowledging at the same time the need to expand support for referral hospitals and provide specialized equipment and medical specialties.

Health workers inside Omdurman Teaching Hospital (Asharq Al-Awsat)

Cancer Patient Searches for Medicine

For patients, recovery is not measured solely by the number of hospitals that have reopened, but by whether they can find the treatment they need when they reach them. In July 2026, Naela Hamad, who has cervical cancer, was receiving chemotherapy at Khartoum Oncology Hospital, known as "Al-Dhura," while her daughter, Ithar Al-Sir, was searching outside the hospital for a medicine needed alongside the treatment that was not available there.

Ithar said in testimony documented by Reuters that the family found the medicine outside the hospital for around 180,000 Sudanese pounds, or about $45 at the time, at the prevailing market price. Her mother needs it with each chemotherapy dose every 21 days.

The costs do not end with the medicine. She said she also pays 40,000 pounds for the bed where her mother receives her dose, asking how the family can afford these expenses when there is no work or income.

Naela says the family had previously struggled to afford food and is now struggling to obtain both food and medicine, while her home was destroyed and she was forced to stay with neighbors.

Reuters quoted Mona Abdel Rahman, head of pharmacy at Khartoum Oncology Hospital, as saying that some patients' doses had been delayed by two weeks or more after the free provision of some medicines stopped because they could not afford to buy them themselves.

The economic crisis is also affecting diagnostic services. Medical laboratory specialist Al-Tayeb Youssef told Asharq Al-Awsat that the rise in the price of the dollar has directly affected the sector, given laboratories' reliance on imported reagents and supplies purchased in foreign currency.

He added that many laboratory owners who returned to Khartoum had been forced to start "from scratch" after losing their premises and equipment and having to face the costs of maintenance, rent, and purchasing equipment again.

The high costs have prompted some laboratory owners to purchase equipment through partnerships and pool it at a single location rather than having each laboratory maintain its own equipment. This is viewed as a temporary solution that helps keep services running.

Expensive Medicine and Factories on the Road to Recovery

The situation in the pharmaceutical market is not very different. Pharmacist Mahmoud Al-Naeem told Asharq Al-Awsat that rising prices and complaints from citizens have worsened since the war, as a result of the destruction of several local pharmaceutical factories, disruptions to external supply chains, and the reliance on imports requiring foreign currency.

He noted that the National Medicines and Poisons Board has begun encouraging the registration of new pharmaceutical products and companies, considering that increased competition could help lower prices.

Some factories in Khartoum have begun returning to production, although they are operating below full capacity. This opens the door to gradual relief if local production and supply chains stabilize.

Epidemics... A Risk That Has Not Gone Away

Alongside destruction, funding shortages, and the high cost of treatment, the health system faces the threat of epidemic diseases. The director of Omdurman Hospital says rates of watery diarrhea, malaria, and dengue fever among the cases treated at the hospital have declined, with epidemic-control campaigns continuing and an isolation center established to handle cases of cholera, dengue fever, and other diseases.

The director of Bahri Hospital says malaria, as an endemic disease in Sudan, cannot be tackled by hospitals alone. It requires coordination among the federal health system, states, localities, and communities, from awareness, prevention, and vector control to diagnosis and treatment.

These risks remain more severe in areas affected by displacement and fighting, where disease and malnutrition coincide with weak water and sanitation services and difficulties accessing health facilities.

Thus, the current picture may not show a sector that has completely collapsed, but neither does it show a health system that has overcome the effects of the war. In Khartoum, hospitals have returned to service, surgeries and intensive care and laboratory services have resumed, and rehabilitation and oxygen production projects have begun. In Kassala and White Nile, there are examples of facilities that have regained their ability to provide free services or services closer to local populations.

But Eman is still waiting for the mobile clinic to treat her son, Zahra still travels two hours to reach a health center, Amani gave birth to her daughter under a tree while fleeing the war, and Naela reached one of the capital's largest cancer treatment centers only to find that the medicine she needed was unavailable.