The collapse of U.S.A.I.D. at the hands of President Trump and Elon Musk is already leaving gaping holes in vital health care and other services that millions of Africans rely on for their survival.

The determination comes as the United States prepares to announce sanctions against the Sudanese military chief, saying there is strong evidence of atrocities in the country.

A force fighting Sudan’s army in a brutal civil war committed massacres and rape that amount to genocide, the Secretary of State said, two decades after a finding of genocide in the same region.

Trapped in Sudan’s brutal civil war, a young woman chose to work in a clinic on the front line, treating civilians and combatants. She had to navigate suspicion from both sides.