Drone Strike Kills Three at Sultan Medical Complex in RSF-Held El Geneina, West Darfur

A drone strike hit the Sultan Medical Complex in El Geneina, capital of West Darfur State and under RSF control, killing three people and injuring at least one more on April 20, 2026. The attack caused fires at the facility, further degrading already severely limited medical capacity across RSF-held Darfur. El Geneina has lacked functioning government healthcare infrastructure since the RSF's 2023 capture of the city and the accompanying Massalit ethnic massacres that displaced or killed most of the non-Arab population. The attack reflects the continuing pattern across Sudan of healthcare infrastructure being struck — with WHO recording 2,052 killed in 217+ healthcare attacks since April 2023. Attribution of the strike has not been publicly confirmed; El Geneina sits deep within RSF-controlled West Darfur, consistent with long-range SAF drone operations documented across RSF-held territory.