Sudan is currently encountering the most extensive internal displacement crisis globally, characterized by more than 15 million individuals enduring significant challenges related to access to food and water, ethnically motivated large-scale homicides, and the utilization of sexual violence as a weapon. The demographic composition of the refugee population predominantly consists of women and children, rendering them particularly susceptible to instances of sexual assault and violence based on gender. Despite the Sustainable Development Goal 3 aims to reduce maternal mortality less than 70\100000 live birth, Nevertheless, low- and lower-middle-income countries (LMICs) have the highest incidence. Sudan's maternal mortality ration is 288/100,000 live births, with higher rates in rural and conflict-affected regions. Nearly 75% of deaths are preventable.The study aims to decrease maternal and neonatal mortality in conflict-affected states, particularly North Darfur, by ensuring universal access to sexual and reproductive health-care services, family planning, information, education, and reproductive health integrations. A descriptive retrospective study focusing on primary data in corresponds to secondary data obtained from systematic scoping literature review, highlighting healthcare obstacles, equal representation, and community-based protection mechanisms, emphasizing the need for efficient sexual reproductive health. The review highlights the high maternal and neonatal mortality rate in the Western region of North Darfur due to inadequate healthcare infrastructure, low skilled birth attendance rates, poverty, lack of education, hazardous cultural practices, and political instability, insecurity, and lack of safe roads. Moreover, the top primary causes of under-five death are scorpion bite and waterborne infectious diseases. Adequate antenatal and postpartum care, preventing unwanted pregnancies, and family planning are crucial for reducing maternal mortality and morbidity, and are essential for primary prevention. Address war's core causes, provide humanitarian assistance, and prevent future battles. Government, organizations, and donors should provide essential health services, fund maternal and new-born health partnerships, and incorporate vulnerable populations into poverty reduction strategies.
Keywords: Public health intervention, maternal mortality, Humanitarian crisis, unwanted pregnancy