At least 12 people have been killed and dozens injured following fighting in Ethiopia’s western Gambella region, near the border with South Sudan, according to Doctors Without Borders (MSF). The violence erupted in Itang Special Woreda on September 18, leading to a significant influx of casualties that overwhelmed local health facilities.

MSF reported that its team at Kule Health Centre treated a total of 88 patients who were affected by the clashes. Tragically, eight of these patients were already deceased upon the team's arrival, while four others succumbed to their injuries shortly after reaching the facility. This alarming situation underscores the severity of the conflict and the urgent need for medical assistance in the region.

Gambella is a region that hosts more than 400,000 refugees, the majority of whom are South Sudanese fleeing violence and instability in their home country. The presence of such a large refugee population has created a complex humanitarian situation, exacerbating existing tensions and competition over limited resources.

Gul Badshah, MSF’s operations manager in Ethiopia, emphasized the need for restraint among all parties involved in the conflict, urging them to protect civilians from further violence. His call highlights the critical role that humanitarian organizations play in conflict zones, where the safety of non-combatants is often jeopardized.

The identity of those responsible for the recent violence remains unclear, which complicates efforts to address the underlying issues. A report by the Rift Valley Institute in 2025 pointed to rising conflict in Gambella as being driven by competition over economic resources and the influx of refugees into the region. This analysis suggests that without addressing these fundamental issues, the cycle of violence may continue.

In addition to the turmoil in Gambella, Ethiopia is grappling with armed conflicts in Oromia and Amhara, the country’s two most populous regions. These ongoing conflicts contribute to a broader environment of instability and insecurity, making it increasingly difficult for humanitarian organizations to operate effectively and provide the necessary support to those in need. The situation in Ethiopia remains fluid, and the international community is closely monitoring developments as they unfold.