Resilience, perceived danger and work attendance of Sudanese healthcare workers in war zones: the April 2023 armed conflict.

Traumatic war events can impair healthcare workers' psychological well-being. We assessed resilience, attendance and perceived sense of danger among Sudanese healthcare workers in active conflict zones. A cross-sectional study (January-March 2025) was conducted in four Omdurman public hospitals involving doctors, nurses, lab technicians and pharmacists. We used a self-administered questionnaire assessing sociodemographics, trauma, resilience (Connor-Davidson Resilience Scale-10), sense of danger (Solomon and Prager) and attendance. Data were analyzed using SPSS v27 (p < 0.05). Among 325 participants, 60% reported property damage, 49% family injury and 41% security escalations. Attendance was higher among males, single workers, those with crisis training and without personal or family injuries. Median resilience score was 24.00 (IQR = 12.00); 41.23% had low resilience, associated with male gender, religiosity, crisis training, full attendance and hospital assignment. Median sense of danger was high (14.0), linked to security escalations and lack of group activities. Resilience and sense of danger showed a weak positive correlation (rho = 0.178, p = 0.001). Healthcare workers in conflict zones exhibited low resilience and high perceived danger, influenced by gender, crisis training and security. Urgent mental health and safety interventions are needed to sustain this critical workforce.