Ethiopia: rare footage from Tigray Shows health crisis

A fragile truce has allowed partial access to Tigray. But the long months of conflict have caused immense harm. Hospitals are damaged or destroyed. Water, electricity, and medicines are in short supply. Hunger, even among healthcare staff themselves, is everywhere. People have been displaced over and over again.

There’s nowhere we haven’t gone to hide with our children,” says an internally displaced person, who has fled the fighting twice from Adi Goshu Kebele. “Without a mattress, a cup of water to drink, anything to cook with, just us trying to save our lives. The elderly, mothers with children, and many others have been through tremendous difficulties. Many have died.”

Now, at last, some support is arriving—in time, it is hoped, to avert a major health crisis.

“Just yesterday in fact we were able to bring in the first big convoy of trucks,” says International Committee of the Red Cross (ICRC) team leader Alexander Sultan-Khan. “Sixteen trucks with 200 metric tonnes of food and medicine which will be prioritized to the health care facilities in north-west and central Tigray.”

But the needs are immense. The health system has been torn apart by fighting.  Urgent cases can’t be evacuated as there is no ambulance service. Often working without pay, healthcare staff face unbearable choices as hundreds of thousands of people risk dying.

Selamit Gebremeskel Tesfay is a clinical nurse, and now acting director of the primary health care centre in Adi Daero. The scale of the destruction has made re-opening these health facilities virtually impossible. Instead, consultations take place outside.

“We can’t find anything in these burned-out buildings” she says. “In the maternity service, we don’t even have a couch, or a family planning kit, and even in the outpatient department there’s nothing, no shelves, no cleaning materials. There is so much we don’t have.”

“From what we have received and for future continued support, we do not have a couch in the delivery room, there is no oxytocin because there is no electricity. Though other support is needed, these are the most urgent needs.”

The ICRC has delivered medicines and medical equipment, as well as bedding, solar lamps and other items to support people who are displaced. But for Tigray’s children, there is one overriding need.

“Children under five years are malnourished,” says nurse Gebremedhin Berhe. “We can’t save some of these children just with medicine. They need food. And we haven’t received food yet. We give the children medicine now and they come back the second day in a worse condition. We know what is happening to them, but we can’t do anything about it. Children are in danger.”

Now that access by road is possible, food supplies have begun to arrive too.

“The health needs are certainly one of our priorities” says Alexander Sultan-Khan. “Food {needs} we’ve heard not only among the host community but also among the IDPs, we will also be supporting these populations with food that we will be distributing in the next few weeks.”

But supplies can only be distributed where there is access, and that’s not possible, yet, in all areas of Tigray. The ICRC stands ready to deliver assistance as soon as access is granted, says Alexander.

“We are hopeful that the parties will allow us to reach also some of the more hard-to-reach areas where we were providing assistance before the escalation of the conflict so that these populations who are currently cut off from all humanitarian assistance will also be able to be assisted. So this is what we are going to be working on in the next few weeks, ensuring that all the communities including those in the hard to reach areas are supported.”

For now, there is at least some relief for some civilians in Tigray. For Adi Goshu Kebele it seems to have come just in time.

“Being a mother, I live day and night without hope, without eating anything. I will live by drinking only water if I have to.  But you can see all the difficulties in Tigray, and you have become hope for us. I do not have words to describe that.”

The ICRC is intensifying its efforts to help. The ICRC and the Ethiopian Red Cross Society (ERCS) are carrying out rapid assessments and supporting 27 hospitals and health centers with emergency medical supplies for first aid and surgery, food, water, and hygiene kits.

SHOTLIST

Filming: 01 – 06 December 2022

Location: Shire, Adi Daero and Sheraro

Camera: Jude Fuhnwi

Translation: Gebre Genet

Copyright: ICRC access all

On Screen Credit: ICRC written or logo

For further information, please contact:

Jude Fuhnwi – ICRC Addis Ababa - jfuhnwi@icrc.org - +251944101700

Chris Hanger – ICRC Geneva – Changer@icrc.org +41 79 731 04 03

SHOT LIST

TIME CODE                           IMAGE

0:00 – 0:05                              Man with IV drip sitting outside health centre

0:05 – 0:10                              Crowds outside health centre

0:10 – 0:20                              ICRC truck unloading

0:20 – 0:32                              Women on street carrying firewood

0:32 – 1:02                             Soundbite from an internally displaced person in Adi Goshu Kebele (Original Tigrinya) “There’s nowhere we haven’t gone to hide with our children,” says, who has fled the fighting twice.  “Without a mattress, a cup of water to drink, anything to cook with, just us trying to save our lives. The elderly, mothers with children, and many others have been through tremendous difficulties, many have died.”

1:02 – 1:33                             Various ICRC supplies being handed out

1:33 – 1:50                             Soundbite ICRC team lead Alexander Sultan-Khan “Just yesterday in fact we were able to bring in the first big convoy of trucks.16 trucks with 200 metric tonnes of food and medicine which will be prioritized to the health care facilities in north-west and central Tigray.”

1:50 – 2:13                             Various ICRC delegate and nurse in empty health centre

2:13 – 2:27                             Medical consultations taking place outside

2:27 – 3:06                             Soundbite nurse Selamit Gebremeskel Tesfay (Original Tigrinya) “We can’t find anything in these burned out buildings” she says. “In the maternity service, we don’t even have a couch, or a family planning kit, and even in the out patient department there’s nothing, no shelves, no cleaning materials. There is so much we don’t have. (From what we have received and for future continued support, we do not have a couch in the delivery room, there is no oxytocin because there is no electricity. Though other support is needed, these are the most urgent needs.)”

3:06 – 3:39                             Various medical equipment arriving, bed mats being handed out, women with children.

3:39 – 4:12                             Soundbite nurse Gebremedhin Berhe (Original Tigrinya) “Children under five years are malnourished. We can’t save some of these children just with medicine, they need food. And we haven’t received food yet. We give the children medicine now and they come back the second day in a worse condition. We know what is happening to them, but we can’t do anything about it. Children are in danger.”

4:12 – 4:43                             Various sacks of wheat flour being delivered

4:43 – 5:00                             Soundbite Alexander Sultan-Khan “The health needs are certainly one of our priorities. Food {needs} we’ve heard not only among the host community but also among the IDPs, we will also be supporting these populations with food that we will be distributing in the next few weeks.”

5:00 – 5:11                             Women carrying away bed mats etc

5:11 – 5:25                             ICRC truck pulling away from crowds

5:25 – 5:51                             Soundbite Alexander Sultan-Khan “We are hopeful that the parties will allow us to reach also some of the more hard to reach areas where we were providing assistance before the escalation of the conflict so that these populations who are currently cut off from all humanitarian assistance will also be able to be assisted. So this is what we are going to be working on in the next few weeks, ensuring that all the communities including those in the hard to reach areas are supported.”

5:51 – 6:08                             Various crowds outside health centres, supplies being distributed

6:08 – 6:38                             Soundbite IDP Adi Goshu Kebele (Original Tigrinya) “Being a mother, I live day and night without hope, without eating anything. I will live by drinking only water if I have to.  But you can see all the difficulties in Tigray, and you have become hope for us. I do not have words to describe that.”

6:38 – 6:56                             Crowds wait outside medical centre