Psychosocial And Reproductive Health Impacts Of War-Driven Displacement On Adolescent Girls In Port Sudan (2023–2025): A Cross-Sectional Study

Authors

  • Fath Elrahman Elrasheed
  • Eman Khalaf Allah
  • Samia Osman Gadelrab Gindeel
  • Wisam Basher Ali
  • Awadalla Abdelwahid
  • Sahar Abdelrhman Elmusharaf Khalifa
  • Nisreen Abbas
  • Eatimad Ismail

DOI:

https://doi.org/10.69980/ajpr.v28i5.545

Abstract

 Adolescent girls displaced by armed conflict face compounded risks to their mental and reproductive health. In Port Sudan, mass displacement between 2023 and 2025 created acute humanitarian conditions, prompting this study's investigation into trauma-related menstrual challenges.

Objectives: To examine the prevalence and severity of psychosocial trauma and its correlation with menstrual and reproductive health disturbances among displaced adolescent girls. The study further explores sociodemographic modifiers influencing these outcomes.

Author Biographies

Fath Elrahman Elrasheed

Department of Obstetrics and Gynaecology, Faculty of Medicine, Najran University, Saudi Arabia.

Eman Khalaf Allah

Department of Obstetrics and Gynecology, Internation University of Africa, Khartoum, Sudan

Samia Osman Gadelrab Gindeel

Consultant of Obstetrics and Gynaecology, Abha City, Saudi Arabia.

Wisam Basher Ali

Consultant of Obstetrics and Gynaecology, Sharoura, Najran, Saudi Arabia.

Awadalla Abdelwahid

Department of Obstetrics and Gynaecology, Alneelain University, Khartoum, Sudan.

Sahar Abdelrhman Elmusharaf Khalifa

Consultant of Obstetrics and Gynecology, Al-Jazeera Hospital, Riyadh,Saudia Arabia.

Nisreen Abbas

Department of Obstetrics and Gynecology, Ministry of Health, Albaha, Saudia Arabia.

Eatimad Ismail

Consultant of Obstetrics and Gynecology, MCH Hafr Albatin Hospital, Saudia Arabia.

References

1. Al-Jadiry, S., et al. (2022) ‘Trauma and health in Syrian refugees’, International Journal of Public Health, 67, pp.1609–1617.

2. Betancourt, T.S., et al. (2021) ‘Trauma and resilience among war-affected youth’, Journal of Adolescent Health, 68(3), pp.473–480.

3. Braveman, P., et al. (2020) ‘Social determinants and reproductive health’, Annual Review of Public Health, 41, pp.417–432.

4. Campbell, J., et al. (2021) ‘Trauma-informed adolescent care’, Lancet Child and Adolescent Health, 5(6), pp.421–430.

5. Deng, L., et al. (2021) ‘Menstrual disorders in South Sudan refugee adolescents’, BMC Women’s Health, 21(1), p.145.

6. Elhuseiny, M., et al. (2022) ‘Psychological distress in South Sudanese IDP girls’, BMC Psychiatry, 22(1), p.145.

7. Eren, S., et al. (2025) ‘War trauma and menstrual health’, Journal of Adolescent Health, 76(2), pp.211–219.

8. Girdler, S.S., et al. (2021) ‘Abuse history and PMDD risk’, Journal of Women’s Health, 30(5), pp.678–685.

9. Global Fund for Women (2023) Adolescent Health and Protection Survey. San Francisco: GFW.

10. Gollenberg, A.L., et al. (2021) ‘Stress and reproductive function: review update’, Fertility and Sterility, 116(3), pp.651–667.

11. Hassan, A., et al. (2023) ‘Rohingya girls and trauma-linked menstrual outcomes’, Lancet Regional Health – Southeast Asia, 8, p.100123.

12. Harvard FXB Center (2021) Adolescent Health and Human Rights. Boston: Harvard.

13. Harvard T.H. Chan School (2023) Probing links between trauma and reproductive health harms. Boston: Harvard.

14. Hillcoat, A., et al. (2023) ‘Trauma and female reproductive health across the lifecourse’, Human Reproduction, 38(8), pp.1429–1444.

15. Hryniv, Y., et al. (2023) ‘Adolescent trauma burden post-Ukraine invasion’, European Child & Adolescent Psychiatry, 32(6), pp.785–792.

16. IRC (2021) Adolescent Girls in Emergencies Toolkit. New York: IRC.

17. IRC (2022) The State of Adolescent Girls in Humanitarian Settings. New York: IRC.

18. Itani, T., et al. (2025) ‘Trauma-informed obstetric care framework’, BMJ Global Health, 10, e010239.

19. Koenig, J., et al. (2022) ‘Neurobiology of HPA axis and menstruation’, Brain, Behavior, and Immunity, 102, pp.56–65.

20. Mercado, J., et al. (2024) ‘Venezuelan migration and adolescent health’, Global Health Action, 17(1), p.2224954.

21. MDPI (2023) Appendiceal Endometriosis: A Comprehensive Review, Diagnostics, 13(11), p.1827.

22. Mecha, E.O., Ndegwa, K. and Njeru, L.M. (2022) ‘Laparoscopic decision-making in pelvic emergencies: regional experience’, African Journal of Biomedical Research, 27(1), pp.6–10.

23. Messerlian, C., et al. (2023) ‘Neuroendocrine disruption and trauma’, Fertility and Sterility, 119(2), pp.321–329.

24. MSF (2023) Integrated Mobile Health Services Report. Geneva: MSF.

25. OCHA (2022) Adolescent Inclusion in Humanitarian Programming. New York: UN OCHA.

26. OCHA (2024) Sudan Humanitarian Needs Overview 2024. New York: UN OCHA.

27. Osborn, M., et al. (2023) ‘Menstrual stigma in humanitarian settings’, Reproductive Health Matters, 31(1), e123456.

28. Parmar, J.A., Otieno, F.K. and Gyang, E. (2024) ‘Appendiceal pathologies in reproductive-aged women: histologic trends’, African Journal of Biomedical Research, 27(4S), pp.3214–3218.

29. Plan International (2023) Girls in Crisis: Voices from the Field. London: Plan International.

30. Saber, M. (2025) Appendiceal Endometriosis, Radiopaedia.org. Available at: https:// radiopaedia.org/cases/appendiceal-endometriosis

31. Save the Children (2023) Adolescent Health in Humanitarian Settings. London: Save the Children.

32. Save the Children (2023) Mental Health and SRH Integration Toolkit. London: Save the Children.

33. SpringerLink (2025) ‘Gynaecological Causes of Acute Pelvic Pain’, European Radiology, 35(5), pp.1091–1102.

34. Sudan Ministry of Health (2023) Humanitarian Situation Update. Khartoum: MoH.

35. Swanson, A. and Lawson, E. (2024) Trauma-Informed Reproductive Healthcare. Springer.

36. Tadele, A., et al. (2022) ‘Maternal education in displaced populations’, Reproductive Health, 19(1), p.183.

37. UNFPA (2022) Adolescent Girls in Crisis Settings. New York: UNFPA.

38. UNFPA (2022) Climate Displacement and Girls’ Health. New York: UNFPA.

39. UNFPA (2022) Gender-Based Violence in Emergencies. New York: UNFPA.

40. UNFPA (2023) Minimum Standards for SRH in Crisis Settings. New York: UNFPA.

41. UNFPA (2025) Start with Her: Strategy for Reproductive, Maternal and Newborn Health. New York: UNFPA.

42. UNHCR (2020) Adolescent Health Toolkit. Geneva: UNHCR.

43. UNHCR (2021) Menstrual Hygiene Management in Emergencies. Geneva: UNHCR.

44. UNHCR (2024) Global Trends: Forced Displacement in 2024. Geneva: UNHCR.

45. UNHCR (2024) Refugee Statistics Report. Geneva: UNHCR.

46. UNICEF (2022) WASH Gaps in Displacement Settings. New York: UNICEF.

47. UNICEF Sudan (2024) Port Sudan Emergency Response Brief. Khartoum: UNICEF.

48. UNICEF (2021) Adolescent Health Strategy 2021–2025. New York: UNICEF.

49. WHO (2021) Mental Health and Psychosocial Considerations During Emergencies. Geneva: WHO.

50. WHO (2022) Health Emergency Preparedness and Response Strategy 2022–2025. Geneva: WHO.

51. WHO (2022) Mental Health and Psychosocial Support in Emergencies. Geneva: WHO.

52. WHO (2023) Adolescent Health Fact Sheet. Geneva: WHO.

53. WHO (2023) Building Resilience in Adolescent Health. Geneva: WHO.

54. WHO (2024) Guidelines on Adolescent Health in Emergencies. Geneva: WHO.

55. WHO (2022) Neurobiology of the HPA Axis and Menstruation. Geneva: WHO.

56. Gollenberg, A.L., et al. (2021) ‘Stress and reproductive function: review update’, Fertility and Sterility, 116(3), pp.651–667.

57. IRC (2022) The State of Adolescent Girls in Humanitarian Settings. New York: IRC.

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Published

2025-08-01

Issue

Vol. 28 No. 5 (2025): American Journal of Psychiatric Rehabilitation

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Articles

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