Millions of people across war-ravaged Sudan, particularly its western parts, remain in dire need of humanitarian aid as key generals show no intention of ending the civil war amid ongoing violence and killings in North Darfur’s el-Fasher.

International aid agencies called on Sunday on the Sudanese armed forces (SAF) and the paramilitary Rapid Support Forces (RSF) to facilitate increased entry of aid while a roadmap by mediators has failed to produce a ceasefire so far.

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A week after the paramilitary force seized el-Fasher, the state capital of North Darfur, after an 18-month siege and starvation campaign, the situation remains catastrophic.

Tens of thousands of civilians are still believed to be trapped in the final major city in the western region of Darfur to fall to the RSF while thousands more are unaccounted for after fleeing el-Fasher.

Only a fraction of those who fled on foot from el-Fasher have made it to Tawila, a town roughly 50km (30 miles) away.

Speaking to Al Jazeera from Tawila, an official with a France-based aid agency said only a few hundred more people have turned up in the town over the past few days.

“Those are very small numbers considering the number of people who were stuck in el-Fasher. We keep hearing feedback that people are stuck on the roads and in different villages that are unfortunately still inaccessible due to security reasons,” said Caroline Bouvard, Sudan country director for Solidarites International.

Bouvard said there is a “complete blackout” in terms of information coming out of el-Fasher after the RSF takeover and aid agencies are getting their information from surrounding areas where up to 15,000 people are believed to be stuck.

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“There’s a strong request for advocacy with the different parties to ensure that humanitarian aid can reach these people or that at least we can send in trucks to bring them back to Tawila.”

Many of the people who have managed to survive numerous RSF checkpoints and patrols to reach Tawila have reported seeing mass executions, torture, beatings and sexual violence. Some were abducted by armed men and forced to pay a ransom on pain of death.

Many more have been forcibly displaced to the al-Dabbah refugee camp in Sudan’s Northern State. Some have been there for weeks.

Reporting from the camp, Al Jazeera’s Hiba Morgan said over the past few days, more displaced people have poured in from el-Fasher, exacerbating the humanitarian situation.

People are in need of food, clean water, medication and shelter as many are sleeping out in the open. Thousands more could turn to the camp as well as other surrounding areas over the coming days as people flee the slaughter by RSF fighters.

The United States, Saudi Arabia, United Arab Emirates and Egypt, as mediators, have all condemned the mass killings and called for increased humanitarian assistance.

“The RSF must stop engaging in retribution and ethnic violence; the tragedy in El Geneina must not be repeated,” the US Department of State said in a statement on Saturday in reference to the massacre of Masalit people in West Darfur’s capital.

“There isn’t a viable military solution, and external military support only prolongs the conflict. The United States urges both parties to pursue a negotiated path to end the suffering of the Sudanese people,” it said in a post on X.

US lawmakers have also called for action from Washington in the aftermath of the el-Fasher takeover by the RSF.

Republican Senator Jim Risch of Idaho, chairman of the Senate Foreign Relations Committee, on Friday called for the US to officially designate the RSF as a “foreign terrorist organisation”.