The war in Ethiopia's Tigray region has been going on since November 2020. This referral hospital in Tigray’s capital Mekele has received hundreds of patients with bullet or blast injuries. Doctors are working tirelessly but with limited means. There are frequent power cuts, and many hospitals lack medication and other supplies.

Thousands of civilians have been wounded and killed. This man was attacked by Eritrean soldiers on his way back from church on St Micheal’s day. He said 30 priests were massacred at once. He survived after being left for dead in front of his house.

Dozens of children have also been brought here as a result of the conflict. Many have missing limbs, and some are orphaned.

On the streets of Mekele, life is almost back to normal from an outsider’s perspective. But every individual has a story to tell. The interim administration, presided over by Dr. Mulu Nega, has been put in place, but most residents don’t feel represented by this new regional government.

Tigray's capital Mekele was largely spared the violence compared to other places. However, some areas were also hit, such as this road. The central government cut off telephone and internet connections for weeks. Some journalists were allowed into the region, but it remains difficult to get news from the ground, as many areas remain inaccessible because of insecurity.

Tens of thousands of people came to Mekele after fleeing insecurity throughout the region. They are being sheltered in schools or live in the community. But the real number in Tigray is much higher — over half a million people were forced to flee their homes.

Conditions in the camps are challenging. There is a shortage of food, medication, mattresses, and other supplies. Sometimes, three to four people share one mattress. There is no proper garbage disposal, and illnesses are frequent.

This priest said he walked for one month with his children to reach Mekele after Eritrean soldiers attacked his town. His niece was killed on the street, and a church was damaged. "Eritrean soldiers are against religious belief. They consciously target churches", he said.

Some residents of Mekele are working tirelessly to distribute food and other items. Mahlet has been supporting displaced communities since the beginning when NGOs were not allowed into Tigray. The government is not doing enough, Mahlet says. "It’s not my job. I am just helping my people. This is the government’s job", she said. "I am mortified by what is going on in my country."

Mahlet identified children in need and is trying to do her part to prevent looming malnutrition. These displaced children are waiting in line with their parents for macaroni distribution. Thousand of families have been displaced since the war started in November. According to the UN Children’s agency, UNICEF, 70,000 children in Tigray are at risk of severe malnutrition.

Several massacres have already been reported throughout Tigray. In the village of Dengolat, more than 150 people were murdered by Eritrean soldiers following the St. Mary celebrations at the end of November. Some of the survivors were hiding in the Mariam Dengolat Church, where hundreds of people had gathered for the yearly celebration.

The Mariam Denglat Church, where the St Mary’s celebrations were held before the massacre. Victims were buried in several mass graves after being left outside for more than a day. In other parts of Tigray, relatives who wanted to bury their relatives were reportedly shot while collecting the bodies.

The Al-Nejashi mosque is the oldest in Ethiopia. Some locals assure it is the oldest mosque in Africa. It was hit during heavy fighting between the TPLF and the Ethiopian National Defense Forces. According to witnesses, the kitchen and other facilities of the mosque were also looted. The government has promised to repair the mosque.

Hundreds of women have been raped by soldiers since the beginning of the conflict. Mekele’s referral hospital admitted 120 women with rape injuries or for pregnancy termination. More than 25 rape survivors from the war are sheltered in this safe house and receive psychological support.

Many women were gang-raped or assaulted with extreme violence. Such cases are common all over the Tigray region. In Adigrat, a doctor said one woman had to undergo surgery after being raped by 23 Eritrean soldiers. The UN has received reports of people being forced by military officers to abuse their own relatives sexually.