In a breakthrough a month after deadly conflict cut off Ethiopia's Tigray region from the world, the United Nations (UN) on Wednesday said it and the Ethiopian government have signed a deal to allow "unimpeded" humanitarian access, at least for areas under federal government control after the prime minister's declaration of victory over the weekend.

This will allow the first food, medicines and other aid into the region of 6 million people that has seen rising hunger during the fighting between the federal and Tigray regional governments. Each regards the other as illegal in a power struggle that has been months in the making.

UN said some 2 million people in Tigray now need assistance — a doubling from the number before the fighting — and some 1 million people are displaced, including more than 45,000 Ethiopians who have fled into Sudan as refugees.

For weeks, aid-laden trucks have been blocked at Tigray's borders, and the U.N. and other humanitarian groups were increasingly anxious to reach Tigray as hunger grows and hospitals run out of basic supplies like gloves and body bags. 

"We have been urging, waiting, begging for access," Jan Egeland, an aid official with the Norwegian Refugee Council, told the AP. "We're ready to go tomorrow. ... It has been heartbreaking to be forced to wait."

A UN humanitarian spokesman, Saviano Abreu, said the first mission to carry out a needs assessment would begin Wednesday.

"We are of course working to make sure assistance will be provided in the whole region and for every single person who needs it," he said. The UN and partners are committed to engaging with "all parties to the conflict" to ensure that aid to Tigray and the neighboring Amhara and Afar regions is "strictly based on needs."

Communications and transport links remain almost completely severed to Tigray, and the fugitive leader of the defiant regional government this week told the AP that fighting continues despite Prime Minister Abiy Ahmed's declaration of victory.

It remains almost impossible to verify either side's claims, and no one knows the true toll of the fighting. 

"It is critically important to get objective information as to what is going on," the top U.S. diplomat for Africa, Tibor Nagy, told the BBC. "The active military phase is basically over. I'm not saying the fighting is over. So at this point, the humanitarian phase is the most important one."

Nagy added that "now the danger is this evolving into a long-term insurgency."

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For weeks, the UN and others have been increasingly insistent on the need to reach some 600,000 people in Tigray who already were dependent on food aid even before the conflict.

Now those needs have exploded, but Abiy has resisted international pressure for dialogue and de-escalation, saying his government will not "negotiate our sovereignty." His government regards the Tigray regional government, which dominated Ethiopia's ruling coalition for more than a quarter-century, as illegitimate after months of growing friction as he sought to centralize power.

Amid the warring sides' claims and counter-claims, one thing is clear: Civilians have suffered.

The UN says food has run out for the nearly 100,000 refugees from Eritrea whose camps close to the Tigray border with Eritrea have been in the line of fire as the fighting swept through. Reports that some refugees have been killed or abducted, if true, "would be major violations of international norms," the UN refugee chief said over the weekend in an urgent appeal to Abiy.

These are "extremely vulnerable people" who fled persecution in Eritrea, Egeland said. "It's been extremely frustrating to lose access and communication."

With infrastructure there and elsewhere in Tigray damaged, the UN has said some people are now drinking untreated water, increasing the risk of diseases.

In the largest hospital in the Tigray capital, Mekele, staff had to suspend other activities to focus on treating the large number of wounded from the conflict, the International Committee for the Red Cross (ICRC) said.

The ICRC, the rare organization to travel inside the Tigray region and its borderlands, has reported coming across abandoned communities and camps of displaced people.

"The hospital is running dangerously low on sutures, antibiotics, anticoagulants, painkillers, and even gloves," said Maria Soledad, the head of operations for the ICRC in Ethiopia, who visited Ayder Referral Hospital and is currently in Mekelle.

(With input from AP)