World donors pledge $2.1 billion in aid for war-stricken Sudan to ward off famine

World donors pledged more than $2.1 billion in humanitarian aid for Sudan after a yearlong war that has pushed its population to the brink of famine, French President Emmanuel Macron said Monday.

Macron spoke at the end of an international conference in Paris aimed at drumming up support for Sudan’s 51 million people. The aid will go to food, water, medicines and other urgent needs, he said, without providing a specific timeline.

Top diplomatic envoys, U.N. officials and aid agencies urged Sudan’s warring parties to stop attacks on civilians and allow access for humanitarian aid, and called for immediate international mediation efforts toward peace. Members of Sudan’s civil society took part in the Paris meeting, but neither the Sudanese army nor its rival paramilitary were represented.

Sudan descended into conflict in April last year when simmering tensions between the military and the paramilitary Rapid Support Forces exploded into open fighting in the capital, Khartoum, and elsewhere across the country.

“Much of the world has been focused on the crisis that was generated in the Middle East. As concerning as those developments are, other dramatic life-and-death emergencies are being pushed into the shadows,” United Nations Secretary-General António Guterres told reporters after the Security Council met on Sudan on Monday.

“The world is forgetting about the people of Sudan,” he said.

The United Nations’ humanitarian campaign needs some $2.7 billion this year to get food, health care and other supplies to 24 million people in Sudan — nearly half its population. So far, funders have given only $145 million, about 5%, according to the U.N’s humanitarian office, known as OCHA.

After Monday's conference, Macron said, ‘’We are today at 2 billion euros ($2.1 billion) for Sudan.'' Of that, some 900 million euros comes from EU countries, he said.

Monday's conference among 58 countries also called on regional powers to stop funding Sudan’s war. Without naming them, Macron said, ’’The amount we raised today remains probably less than all the money raised by several powers'' to wage a proxy conflict in Sudan.

More than 14,000 people have been killed and at least 33,000 have been wounded in the yearlong war. Nearly 9 million people have been forced to flee their homes either to safer areas inside Sudan or to neighboring countries, according to the U.N. Hunger, sexual violence against women and girls and continued displacement are rampant and much of the country's infrastructure — homes, hospitals and schools — has been reduced to rubble.

“We cannot let this nightmare slide from view,” Guterres said in a video message to the Paris conference.

“It’s time to support the Sudanese people. It’s time to silence the guns," he added.

French Foreign Minister Stephane Sejourne said the aim of the conference was to mobilize humanitarian funding to help Sudanese people, who have been victims of both a “terrible war” and “international indifference.”

The European Union's crisis management commissioner, Janez Lenarcic, said the 27-member bloc wants to ensure that Sudan is not forgotten as wars in Gaza and Ukraine dominate the international news.

“People of Sudan, caught up in this emergency, are almost completely invisible,” Lenarcic said. Sudan has turned into one of the worst humanitarian disasters ever on the African continent, he said, and added: “It is our duty not to look away.”

President of the International Committee of the Red Cross Mirjana Spoljaric warned that humanitarian action is increasingly politicized in Sudan and humanitarian workers are risking their lives to get vital aid to people.

“Securing a military advantage cannot be pursued regardless of the human cost,” Spoljaric said.

The United States and Saudi Arabia initially led efforts to find a negotiated way out of the conflict. But since October the fighting has been overshadowed by the Israel-Hamas war in Gaza, which is threatening to expand into a broader regional conflict.

Relief workers, meanwhile, warn that Sudan is hurtling towards potential mass death in the coming months. Food production and distribution networks have broken down and aid agencies are unable to reach the worst-stricken regions.

The conflict has also been marked by widespread reports of atrocities including killings, displacement and rape, particularly in the area of the capital and the western region of Darfur.

At least 37% of the population at crisis level or above suffer from hunger, according to OCHA. Save the Children warned that about 230,000 children, pregnant women and newborn mothers could die of malnutrition in the coming months.

“Famine is a reality in Sudan,” said Abdallah al-Dardari, a regional director of the U.N. Development Program.

The military, headed by Gen. Abdel-Fattah Burhan, and the RSF, commanded by Gen. Mohammed Hamdan Dagalo, have carved up Khartoum and trade indiscriminate fire at each other. In 2021, Burhan and Dagalo were uneasy allies who led a military coup. They toppled an internationally recognized civilian government that was supposed to steer Sudan’s democratic transition.

Magdy reported from Cairo and Surk from Nice, France. AP journalist Angela Charlton in Paris contributed to this report.

French President Emmanuel Macron speaks during a session at the international conference on Sudan, Monday, April 15, 2024 in Paris. Top diplomats and aid groups met in the French capital to drum up humanitarian support for Sudan after a yearlong war has devastated the northeastern African country and pushed its people to the brink of famine. (AP Photo/Aurelien Morissard; Pool)

French President Emmanuel Macron attends a session at the international conference on Sudan, Monday, April 15, 2024 in Paris. Top diplomats and aid groups met in the French capital to drum up humanitarian support for Sudan after a yearlong war has devastated the northeastern African country and pushed its people to the brink of famine. (AP Photo/Aurelien Morissard; Pool)

French President Emmanuel Macron, center, attends a session at the international conference on Sudan, Monday, April 15, 2024 in Paris. Top diplomats and aid groups met in the French capital to drum up humanitarian support for Sudan after a yearlong war has devastated the northeastern African country and pushed its people to the brink of famine. (AP Photo/Aurelien Morissard; Pool)

French President Emmanuel Macron, right, speaks during a session at the international conference on Sudan, Monday, April 15, 2024 in Paris. Top diplomats and aid groups met in the French capital to drum up humanitarian support for Sudan after a yearlong war has devastated the northeastern African country and pushed its people to the brink of famine. (AP Photo/Aurelien Morissard; Pool)

French President Emmanuel Macron attends a session at the international conference on Sudan, Monday, April 15, 2024 in Paris. Top diplomats and aid groups met in the French capital to drum up humanitarian support for Sudan after a yearlong war has devastated the northeastern African country and pushed its people to the brink of famine. (AP Photo/Aurelien Morissard; Pool)

French President Emmanuel Macron, center, chairs an international conference on Sudan, Monday, April 15, 2024 in Paris. Top diplomats and aid groups met in the French capital to drum up humanitarian support for Sudan after a yearlong war has devastated the northeastern African country and pushed its people to the brink of famine. (AP Photo/Aurelien Morissard; Pool)

French President Emmanuel Macron attends a session at the international conference on Sudan, Monday, April 15, 2024 in Paris. Top diplomats and aid groups met in the French capital to drum up humanitarian support for Sudan after a yearlong war has devastated the northeastern African country and pushed its people to the brink of famine. (AP Photo/Aurelien Morissard; Pool)

FILE - Sudanese Ambassador to the United Nations Al-Harith Idriss Al-Harith Mohamed, third from right bottom, listens as Karim Khan, third from right top, Prosecutor of International Criminal Court, addresses a Security Council meeting on the situation in Sudan, Thursday, July 13, 2023, at United Nations headquarters. Sudan has been torn by war for a year now, torn by fighting between the military and the notorious paramilitary Rapid Support Forces. (AP Photo/Mary Altaffer, File)

FILE - Sudan's Army chief Gen. Abdel-Fattah Burhan speaks in Khartoum, Sudan, on Dec. 5, 2022. Sudan has been torn by war for a year now, torn by fighting between the military and the notorious paramilitary Rapid Support Forces. (AP Photo/Marwan Ali, File)

FILE - Gen. Mohammed Hamdan Dagalo, then deputy head of the military council, salutes during a rally, in Galawee, northern Sudan, June 15, 2019. Sudan has been torn by war for a year now, torn by fighting between the military and the notorious paramilitary Rapid Support Forces. (AP Photo, File)

Sudanese Children suffering from malnutrition are treated at an MSF clinic in Metche Camp, Chad, near the Sudanese border, Saturday, April 6, 2024. Many people here fled the fighting in Sudan's vast western region of Darfur, where attacks by the Arab-dominated Rapid Support Forces on ethnic African civilians have revived memories of genocide. The United Nations says close to 9 million people have fled their homes. (AP Photo/Patricia Simon)

FILE - People prepare food in a Khrtoum neighborhood on June 16, 2023. Sudan has been torn by war for a year now, torn by fighting between the military and the notorious paramilitary Rapid Support Forces. (AP Photo, File)

File - A man walks by a house hit in recent fighting in Khartoum, Sudan, Tuesday, April 25, 2023. Sudan has been torn by war for a year now, torn by fighting between the military and the notorious paramilitary Rapid Support Forces. (AP Photo/Marwan Ali, File)

TOPEKA, Kan. (AP) — Republican legislators moved Monday to enact a ban in Kansas on gender-affirming care for minors and bar state employees from advocating social transitioning for transgender youth, brushing aside criticism that they were hurting the state's image.

The GOP-supermajority Kansas House expected to vote on overriding Democratic Gov. Laura Kelly's veto only hours after the Senate did on a 27-13 vote, exactly the required two-thirds margin. The vote in the House was expected to be close after LGBTQ+ rights advocates raised questions about whether the provision against promoting social transitioning is written broadly enough to apply to public school teachers who show empathy for transgender students.

Under the bill, social transitioning includes “the changing of an individual’s preferred pronouns or manner of dress,” and the rule would apply to state workers who care for children. The measure doesn’t spell out what constitutes promoting it.

The bill is part of a broader push to roll back transgender rights from Republican lawmakers in statehouses across the U.S. Kansas would be the 25th state to restrict or ban such care for minors, and this week the South Carolina Senate expected to debate a similar measure that already has passed the state House.

“Unfortunately, in today’s society, the predator in particular is a woke health care system,” said Republican state Sen. Mark Steffen, a central Kansas anesthesiologist and pain management specialist.

Like other Republicans across the U.S., Steffen and other GOP lawmakers in Kansas argued that they're protecting children struggling with their gender identities from being pushed into health care that the lawmakers see as experimental and potentially harmful. But that puts them at odds with the American Medical Association, the American Academy of Pediatrics and other major U.S. medical groups.

LGBTQ+ rights groups such as Lambda Legal, the American Civil Liberties Union and Equality Kansas have stopped short of saying they would challenge the new law in court, but they've said they believe the provisions preventing state employees from advocating social transitioning violates their free speech rights. They've said that provision makes the Kansas law more sweeping than laws in other states.

Other critics argued that enacting such a ban sends a message that transgender residents aren't welcome. When Kelly vetoed a similar ban last year, she suggested that it would hurt the state's business climate.

“This is not the message we want to send to Americans about the welcoming opportunities that Kansas has,” said state Sen. Tom Holland, a northeastern Kansas Democrat.

About 300,000 youths ages 13 to 17 identify as transgender in the U.S., according to estimates by the Williams Institute, an LGBTQ+ research center at UCLA Law. It estimates that in Kansas, about 2,100 youths in that age group identify as transgender.

Republican lawmakers last year enacted laws barring transgender girls and women from female college and K-12 sports teams and ending legal recognition of transgender residents' gender identities. Transgender residents no longer can change the listing for “sex” on their driver's licenses or birth certificates to match their gender identities, something Kelly's administration had allowed.

“I do feel like there’s a genuine fear about me and what my body means, when I’m very happy,” Issac Johnson, who is transgender and just finished a social work internship in Topeka’s public schools, said during a recent Statehouse news conference.

Transgender youth, parents of transgender children and dozens of medical and mental health providers all described gender-affirming care as life-saving and argued that it lessens severe depression and suicidal tendencies among transgender youth. At least 200 health care providers signed a letter to lawmakers opposing a veto override.

During the Senate's debate Monday, Democratic Minority Leader Dinah Sykes' voice wavered as she spoke against the bill and told transgender residents, “We accept you and we cherish you.”

“I urge my colleagues to show grace and kindness,” she said.

But supporters of the bill repeatedly cited the recent decision of the National Health Service of England to stop covering puberty blockers as a routine treatment for gender dysphoria in minors.

NHS England issued a nearly 400-page report from its review, concluding that there is not enough evidence about the long-term effects of gender-affirming care or how well it works. In a foreword, the review’s leader added, “This is an area of remarkably weak evidence.”

Kansas Senate Health Committee Chair Beverly Gossage, a Kansas City-area Republican, told her colleagues: “We’re on the right side of history on this.”

Supporters of the bill also said many of their constituents simply have strong misgivings about medical treatments for children struggling with their gender identities.

The proposed ban would require Kansas to revoke the medical license of any doctor who violates it. It would bar gender-affirming care from being provided on state property or by recipients of state tax dollars.

Kansas' Medicaid program, providing health coverage for poor and disabled residents, also couldn't cover gender-affirming care. On Monday, in a case likely headed to the U.S. Supreme Court, a federal appeals court ruled that West Virginia and North Carolina’s refusal to cover certain health care for transgender people with government-sponsored insurance is discriminatory.

“The language put in the bill is, in my opinion, is to try to prevent state entities, state employees, from promoting the use of different pronouns and, if you will, the search for gender change,” Republican state Rep. John Eplee, a northeastern Kansas family physician.

Kansas Senate Minority Leader Dinah Sykes, D-Lenexa, speaks against overriding Democratic Gov. Laura Kelly's veto of a proposed ban on gender-affirming care for minors. Sykes argues that the ban would deny transgender children crucial care that helps lessen severe depression and suicidal tendencies. (AP Photo/John Hanna)

Kansas state Sen. Tom Holland, D-Baldwin City, speaks against overriding Democratic Gov. Laura Kelly's veto of a proposed ban on gender-affirming care for minors, Monday, April 29, 2024, at the Statehouse in Topeka, Kan. Holland suggested that the ban would send a message that Kansas is not welcoming. (AP Photo/John Hanna)

Lobbyists Brittany Jones, left, of the conservative group Kansas Family Voice, and Lucrecia Nold, right, of the Kansas Catholic Conference, watch from the Senate's west gallery as members debate overriding a proposed ban on gender-affirming care for minors, Monday, April 29, 2024, at the Statehouse in Topeka, Kan. Both of their organizations support a ban. (AP Photo/John Hanna)

Isaac Johnson, who just completed an internship with Topeka's public schools and is finishing work on a social work degree, talks to reporters during a news conference, Thursday, April 26, 2024, in front of a mural at the Statehouse in Topeka, Kan. Johnson, who is transgender, worries about the effects of a proposed ban on gender-affirming care for minors, which also would bar state employees from promoting social transitioning for youth. (AP Photo/John Hanna)

Kansas Gov. Laura Kelly speaks at a public event, Monday, April 29, 2024, at the Statehouse in Topeka, Kan. Kelly has vetoed a proposed ban on gender-affirming care for minors that also would bar state employees from advocating social transitioning for transgender children. (AP Photo/John Hanna)

Kansas state Sen. Mark Steffen, R-Hutchison, speaks in favor of overriding Democratic Gov. Laura Kelly's veto of a bill banning gender-affirming care for minors, Monday, April 29, 2024, at the Statehouse in Topeka, Kan. Steffen says the state must protect "confused" children from a "confused health care system and confused parents." (AP Photo/John Hanna)