{"id":248577,"date":"2026-06-03T13:54:45","date_gmt":"2026-06-03T17:54:45","guid":{"rendered":"https:\/\/refugeeresearch.net\/?p=248577"},"modified":"2026-06-03T16:21:22","modified_gmt":"2026-06-03T20:21:22","slug":"inside-kule-refugee-camp-where-worlds-disasters-collide-but-service-and-hope-wear-a-white-coat","status":"publish","type":"post","link":"https:\/\/refugeeresearch.net\/so\/inside-kule-refugee-camp-where-worlds-disasters-collide-but-service-and-hope-wear-a-white-coat\/","title":{"rendered":"Inside Kule Refugee Camp where world\u2019s disasters collide but service and hope wear a white coat"},"content":{"rendered":"
\"\"<\/a>
Women and children admitted at Kule Refugee Camp’s MSF Medical Centre in Gambela Region, Federal Republic of Ethiopia. Credit: Ayele Addis Ambelu<\/figcaption><\/figure>\n

By Ayele Addis Ambelu; Kule Refugee Camp, Gambella Region, Ethiopia<\/strong><\/p>\n

At dawn in Kule Refugee Camp, the dust rises before the sun. Mothers wrap shawls around feverish children. A queue forms outside a 104-bed health center before the gates even open. As they are let in, health workers in white vests unlock the outpatient department. Somewhere inside, a newborn cries. Outside, the wind carries a whisper: \u201cWhen the world looks at us, we have escaped death, but death is still here.\u201d<\/span><\/p>\n

<\/p>\n

Kule Refugee Camp is located approximately 800 kilometers from Addis Ababa and about 40 kilometers from Gambella town. Established in May 2014 and coordinated by the Refugees and Returnees Service (RRS), the 27,000-square-metre camp sheltered more than 55,000 South Sudanese refugees as of October 2022. Around it, 59,212 host community members in the woreda and 3,736 in Terpham kebele live with the shared portion of flood, conflict, and economic strain.<\/p>\n

Seven camps across Gambella host refugees from South Sudan. Kule is one of the largest with five schools, one health center, one clinic, and two food distribution centers. On paper, the infrastructure exists, but in reality, the needs exceed the lines drawn on maps. And yet, in this fragile geography of displacement, hope survives, in hospital wards, during vaccination campaigns, and in the steady hands of doctors who refuse to look away.<\/p>\n

Women in the Eye of the Storm<\/strong><\/p>\n

Kule is a camp of mothers. Women outnumber men, totaling 28,091 and 23,433 respectively. Several women head households after war fractured their families in South Sudan.<\/p>\n

Nyabol Jock sat beside her twins in the maternity ward at MSF health center. She had been hospitalized for seven days.<\/p>\n

\u201cThey treated me well,\u201d she said. \u201cThey stayed with me day and night.\u201d<\/p>\n

Nyajuok Tut also shared a similar experience, \u201cThey are with us for 24 hours doing all they can for our health.\u201d<\/p>\n

However, healthcare cannot replace food. A woman representative who preferred not to be named praised MSF medical services but highlighted a gap in food support which she stated undermined medical treatment offered.<\/p>\n

\u201cMSF is strong in health. But food support is low. When there is no food, children come back to the hospital,\u201d she stated bluntly.<\/p>\n

Sexual and gender-based violence (SGBV) resulted into trauma. Survivors received confidential clinical care, post-exposure prophylaxis, counseling, and referrals. An MSF mental health counselor explained: \u201cWe never ask survivors to relive trauma. We focus on recovery. Safety first. Dignity always.\u201d<\/p>\n

Nyajuok Tut Lual, a community representative told the reporter, \u201cWomen suffer a lot, no water, no firewood. When we go outside, we risk attack.\u201d<\/p>\n

Psychosocial support sessions filled small rooms daily. Trauma does not seem to end when conflict is fled. It sometime migrates with the displaced persons and refugees.<\/p>\n

A camp at crossroads of global crisis<\/strong><\/p>\n

The world faces what experts call a \u201cpolycrisis\u201d overlapping global emergencies. The United Nations Office for the Coordination of Humanitarian Affairs (UNOCHA) has repeatedly warned of severe funding gaps affecting food assistance, education, and protection services in displacement settings including Kule camp.<\/p>\n

Funding cuts rippled through refugee education programs. In Kule, schools were closed due to budget shortages as children roamed the camp instead of learning.<\/p>\n

Khur Malooth, a youth representative said, \u201cWe escaped the war and found safety. But without education, what future do we have?\u201d<\/p>\n

The World Food Programme (WFP) has reported rising global hunger levels due to conflict and climate variability. Food pipeline disruptions directly impact refugee rations adversely affecting feeding.<\/p>\n

The Global Report on Food Crises (GRFC) 2026 indicates an estimated 35.5 million children affected by acute malnutrition exacerbated by displacement. In Kule, reduced food assistance has a bearing on spikes in malnutrition admissions. It is not a theory. Poor feeding translates to medical cases of a child with a fever, a mother with anemia and a malnourished toddler struggling to breathe.<\/p>\n

According to the latest global data from the United Nations High Commissioner for Refugees (UNHCR), more than 110 million people worldwide are forcibly displaced by conflict, persecution, and climatic shocks. Ethiopia itself hosts one of Africa\u2019s largest refugee populations.<\/p>\n

Kule\u2019s demographic data tells its own story of vulnerability. The camp\u2019s population includes 8,811 children aged 0\u20134, 12,878 children aged 5\u201311, 9,927 adolescents aged 12\u201317, 18,758 adults aged 18\u201359 and 1,150 elders over 60. According to this data children outnumber adults.<\/p>\n

\"\"<\/a>
https:\/\/datawrapper.dwcdn.net\/mGkhr\/1\/<\/a><\/figcaption><\/figure>\n

MSF for Medical Care <\/strong><\/p>\n

Since 2013, M\u00e9decins Sans Fronti\u00e8res (MSF) has provided a comprehensive care in Gambella region and moved to Kule in 2014 following the Camp\u2019s establishment. According to the 2025 MSF Ethiopia Annual Report, Kule remains one of its most intensive operation areas in the country, responding to malaria, cholera, malnutrition, and mass casualty incidents.<\/p>\n

Inside the104-bed capacity health center beds are rarely empty with seventy-five percent (75%) occupancy, at times higher. The corridors smell of disinfectant and boiled porridge for malnourished children.<\/p>\n

Million Melaku, an MSF medical team leader assistant, speaks calmly but with urgency.<\/p>\n

\u201cWe provide outpatient consultations, emergency services, surgical referrals, maternal & child health, inpatient admissions, vaccination, therapeutic feeding program for severe malnourished children under 5, chronic care (TB and HIV treatment, Snake bite, Kala Azar, etc.), WatSan & Infection & Prevention Control, health promotion, mental health and psycho-social support, treatment for survivors of sexual and gender-based violence,\u201d Melaku explained.<\/p>\n

MSF\u2019s services in this camp are both primary and secondary comprising outpatient consultations, inpatient admissions, maternity care, and malnutrition treatment through an Inpatient Therapeutic Feeding Centre (ITFC), surgical referrals, mental health sessions, and Sexual Gender-Based Violence (SGBV) support.<\/p>\n

In 2025 alone at Kule, 164,886 outpatient consultations were made, 10,101 inpatient admissions executed, 61,399 malaria patients treated, 1,400 cholera cases managed, and 3,701 children vaccinated with the R21 malaria vaccine.<\/p>\n

\"\"<\/a>
https:\/\/datawrapper.dwcdn.net\/SkBIx\/2\/<\/a><\/figcaption><\/figure>\n

Game changer vaccine<\/strong><\/p>\n

One story stands as a model for global solidarity, the R21 malaria vaccination campaign. Malaria has long been a leading killer in Gambella. In 2024-2025, MSF introduced the WHO-approved R21 vaccine in Kule. By November 2025, 3,701 children received full vaccination. It was reported as the first full vaccination round completed in a refugee camp globally. Nearly 50% reduction in malaria-related deaths was recorded in 2025 compared to 2024.<\/p>\n

This was not merely seen as a medical intervention but a game changer. The broader prevention and control efforts include vector control measures such as indoor residual spraying and environmental management, alongside community outreach activities focused on mosquito net distribution and education.<\/p>\n

However, one doctor in the pediatric ward stated that lack of food increased admissions at the medical centre, \u201cMost of our patients are children under five, mostly with Malaria, severe acute malnutrition or pneumonia. When food rations are delayed, admissions increase.\u201d<\/p>\n

The message was clear. \u201cEven in a refugee camp, amid funding cuts, in a remote corner 817 kilometers from the capital, innovation and coordination can still save lives.\u201d<\/p>\n

Global Patterns, Local Realities<\/strong><\/p>\n

From Afar\u2019s malnutrition wards to Tigray\u2019s mental health programs and Somali Region\u2019s emergency vaccination campaigns, MSF\u2019s footprint across Ethiopia reveals a pattern of need layered upon needs, armed conflict, epidemics and displacement.<\/p>\n

In Gambella, climate-induced seasonal floods and conflict continue to isolate communities. Malaria surges with rising temperatures. Cholera follows contaminated water. MSF has employed about 1,500 local personnel in Ethiopia. Many cross conflict lines and hard to reach areas to treat patients.<\/p>\n

An MSF nurse told me calmly, \u201cWe do not choose sides. We care for everyone who needs us.\u201d<\/p>\n

Founded in 1971 and awarded the Nobel Peace Prize in 1999, MSF operates under the principles of Medical Ethics, neutrality, independence, and impartiality.<\/p>\n

\u201cWhat One Message Should the World Hear?\u201d I asked this closing question to every interviewee.<\/p>\n

Nyakoch Riek, women representative, answered: \u201cDo not forget us. We did not choose to leave our homes.\u201d<\/p>\n

Khur Malooth said, \u201cEducation is as important as food.\u201d<\/p>\n

Million Melaku stated, \u201cSustained funding. Without it, the burden doubles.\u201d<\/p>\n

Mr. Khan added, \u201cSupport both refugees and host communities.\u201d<\/p>\n

An anonymous survivor of violence whispered through a counselor: \u201cSupport saved my life.\u201d<\/p>\n

Wiyual Gach, an elder, reflected: \u201cWe pray every day to return home. But peace is not coming. Our hope is not real yet.\u201d<\/p>\n

The world is at crossroads, global displacement rising, climatic shocks intensifying and humanitarian budgets shrinking, yet in Kule, a camp in western Ethiopia, doctors dress hope in a white coat, administer vaccines, transfuse blood and deliver counseling for trauma healing.<\/p>\n

The story of resilience of over 55,000 refugees surviving in land not their own reverberates and the warning that if solidarity fails, refugees living in camps like Kule will bear the cost.<\/p>\n

As the sun sets over Gambella\u2019s plains, mothers still line up outside the clinic. Children still cough in the dust. Elders still pray for return. And somewhere inside the health center, a newborn takes the first breath. The world may be torn between hope and disaster. But in Kule, the choice is made as the clock ticks, revitalizing firmness to save lives, and reviving hope.<\/p>\n","protected":false},"excerpt":{"rendered":"

Sorry, this entry is only available in English<\/a><\/p>\n","protected":false},"author":41,"featured_media":248566,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"ngg_post_thumbnail":0,"footnotes":""},"categories":[34],"tags":[8079,8082,8085,8083,8076,8084,8020],"class_list":["post-248577","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blogs","tag-displacement","tag-education","tag-food-insecurity","tag-gambella","tag-health","tag-kule-refugee-camp","tag-refugees"],"yoast_head":"\nInside Kule Refugee Camp where world\u2019s disasters collide but service and hope wear a white coat - (English) Refugee Research Network<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/refugeeresearch.net\/inside-kule-refugee-camp-where-worlds-disasters-collide-but-service-and-hope-wear-a-white-coat\/\" \/>\n<meta property=\"og:locale\" content=\"so_SO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Inside Kule Refugee Camp where world\u2019s disasters collide but service and hope wear a white coat - (English) Refugee Research Network\" \/>\n<meta property=\"og:description\" content=\"[:en]\u201cMSF is strong in health. 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