Fighting in Ethiopia’s Tigray region has displaced hundreds of thousands of people. Tens of thousands of people from Western regions have gone to the town of Shire in Central Tigray. Most live with the host community, but almost 20,000 have found shelter in informal IDP camps –several schools, and a university campus. Displaced families live in cramped, and often unhygienic, conditions and have received little aid so far. Their number one complaint is a lack of food. MSF runs primary health clinics in all three locations, runs water and sanitation activities and supports Shire hospital.