The attacks occurred between May 31 and June 3, coinciding with voting in Ethiopia’s parliamentary elections on June 1, which the OLA had previously threatened to disrupt. While authorities confirmed the incidents and blamed the insurgent group, they did not provide an official casualty figure.

Witnesses in Arsi zone told AFP that OLA fighters attacked the village of Eleta Chefa on multiple occasions, killing residents and forcing thousands to flee. Two residents said they personally knew 11 people who were killed during the assaults.

A medical worker who treated victims from several affected communities said he had counted 56 deaths and approximately 50 injuries linked to attacks across multiple localities during the four-day period. The figures could not be independently verified because access to conflict-affected areas remains heavily restricted and official information has been limited.

One survivor said armed militants used rifles to target residents, adding that Orthodox Christians, whom attackers allegedly viewed as sympathetic to the federal government, were among those targeted. He also said Muslims who attempted to protect their neighbors came under attack.

The witness estimated that as many as 3,000 people, including women, children and elderly residents, fled the area following the violence. Another resident said Eleta Chefa was attacked twice, on May 31 and June 1, and reported extensive destruction of homes, crops and livestock.

The medical worker said many displaced residents remained scattered across forests, churches and relatives’ homes, complicating humanitarian assistance efforts. He described treating injuries caused by rifle fire, heavy weapons and sharp-edged weapons.

Prime Minister Abiy Ahmed’s office issued a statement on Friday expressing condolences to victims and their families, while reaffirming the government’s position that the attacks were carried out by the OLA.

The OLA rejected accusations of responsibility in a statement posted on X, instead accusing government authorities of fueling communal violence in the region.

The violence highlights the continuing instability in parts of Oromia despite the federal government’s broader efforts to consolidate control following years of conflict across Ethiopia. The OLA, which the government has designated a terrorist organization, has expanded significantly since 2018 and remains one of the country’s most active insurgent movements.

Although the group is not considered capable of threatening the federal government directly, it has repeatedly been linked to deadly attacks and insecurity across Oromia, Ethiopia’s largest regional state.

Official election results have yet to be announced, though Prime Minister Abiy’s Prosperity Party is widely expected to secure another commanding victory, extending its dominance of Ethiopian politics despite ongoing security concerns in several parts of the country.

At Jemo Health Centre on the outskirts of Addis Ababa, health worker Tewodros Tibebu says social stigma and limited awareness continue to delay access to comprehensive abortion care, despite Ethiopia legalizing broad abortion services more than two decades ago.

Tibebu, who has worked in comprehensive abortion care for four years, is among only three trained providers currently delivering the service at the facility. According to his account, many patients arrive after significant delays, often seeking help only after complications emerge from procedures carried out elsewhere.

“The biggest challenge is stigma,” Tibebu said in a feature published by the World Health Organization on May 5. “Many women are afraid someone will recognize them when they come here. Others do not even know the service exists.”Comprehensive abortion care has reportedly been available at Jemo Health Centre for nearly a decade.

However, Tibebu said access barriers remain widespread, particularly for women seeking confidential and medically supervised treatment.According to his account, many patients first visit private clinics where procedures may be carried out by practitioners lacking formal training in abortion care. By the time some women reach public facilities such as Jemo, they are already suffering from infections or sepsis that could have been prevented through earlier medical intervention.

Ethiopia expanded legal access to abortion in 2005 under revised provisions that allowed the procedure under broader circumstances than previously permitted. Despite the legal framework, health care providers and reproductive health organizations have continued to report uneven access across regions, driven by social stigma, provider shortages and gaps in public awareness.

Tibebu said the stigma surrounding abortion services affects providers as well as patients. “Some coworkers oppose the comprehensive abortion care department,” he said. “Some people in my community do not know what I do.”The social pressures attached to abortion care are a recurring issue in reproductive health systems globally, particularly in countries where legal reforms have outpaced shifts in public attitudes or health infrastructure.

Health workers often face professional isolation, ethical scrutiny and personal criticism while providing services that remain politically and culturally contested.Tibebu said professional training helped him better understand both the clinical and ethical dimensions of abortion care. “Before, it was difficult,” he said.

“After I received specific training, I understood the work differently and could provide the care women need.”The experiences described by Tibebu formed part of a broader announcement by the Human Reproduction Programme, known as HRP, regarding a new international training initiative on comprehensive abortion care.

The programme, launched through the WHO Academy platform, combines four separate learning modules focused on medical abortion, surgical abortion, post-abortion care and human rights integration in comprehensive abortion care. According to HRP, the courses are designed to provide modular and interactive learning environments that simulate real clinical decision-making scenarios encountered by frontline health workers.

WHO said the training initiative is intended to strengthen evidence-based care and improve consistency in abortion services across different health systems. The programme also places emphasis on privacy, non-discrimination and accountability within clinical practice.

The human rights integration component links medical treatment with broader principles related to patient dignity and access to care, according to WHO. Together, the courses are intended to establish a standardized framework for providers working in comprehensive abortion care settings.The launch reflects continuing international efforts by global health organizations to reduce preventable maternal complications associated with unsafe abortion procedures.

WHO has repeatedly stated in policy guidance that access to trained providers, accurate information and safe clinical environments are central to reducing maternal morbidity and mortality.At facilities such as Jemo Health Centre, providers say the gap between legal availability and practical access remains significant.

Tibebu noted that many patients learn about the service only through informal networks and word-of-mouth referrals rather than official health campaigns or referrals from primary care systems.That reliance on informal communication channels, he said, contributes to delays that can worsen medical outcomes.

The WHO feature also highlighted the operational pressures facing providers in facilities with limited staffing. With only three trained workers handling abortion care services at Jemo, workloads remain concentrated among a small number of clinicians.

Training programmes such as the one launched by HRP are intended in part to address those shortages by expanding provider knowledge and strengthening clinical capacity. WHO said the interactive nature of the courses allows health workers to engage with practical decision points similar to those encountered during patient care.

The organization has increasingly used digital and modular learning systems to expand access to specialized medical training, particularly in lower-resource health settings where formal clinical education opportunities may be limited.Tibebu said the training reinforced his understanding of abortion care not only as a technical medical service but also as direct patient support during periods of vulnerability and medical risk.

“People may not understand what we do,” he said. “But when you think about the woman in front of you, the decision is clear. You are helping someone.”WHO separately announced a webinar linked to the comprehensive abortion care learning programme scheduled for April 28, 2026.

The organization also published updated abortion-related fact sheets in December 2025 as part of its broader reproductive health guidance materials.The HRP programme operates jointly under the United Nations Development Programme, the United Nations Population Fund, the United Nations Children’s Fund, WHO and the World Bank, focusing on research, policy development and training in human reproduction and reproductive health services.