MSF currently operates in two hospitals (Al-Aqsa hospital, Nasser hospital), two field hospitals, five basic healthcare centres, and two clinics. 

Our teams are offering surgical support, wound care, physiotherapy, maternity and paediatric care, basic healthcare, vaccinations, and mental health services. However, systematic sieges and evacuation orders on various hospitals are pushing our activities onto an ever-smaller territory and limiting our response.

South Gaza

Nasser hospital, Khan Younis - Nasser hospital is now the largest surgical centre in the Gaza Strip. Working with the Ministry of Health, we focus on providing orthopaedic surgery, and working in the burn unit, providing plastic surgery, general laboratory activities, physiotherapy and supporting the counselling department. We also offer day surgery, provide care in the maternity and neonatal wards, and have opened an inpatient therapeutic feeding centre. We treat admitted patients in a 65-bed inpatient ward, and treat people for wounds, provide dressing changes and physiotherapy in an outpatient department.

Al-Mawasi advanced healthcare centre, Rafah – We provide outpatient services, including general consultations, vaccinations, reproductive healthcare, wound dressing, mental health services, and health promotion. Our facility also features a 24/7 emergency room for stabilising and referring trauma patients. We are also providing malnutrition screening and outpatient treatment for malnutrition for children and pregnant and lactating women.

Khan Younis healthcare centre, Khan Younis - We provide outpatient consultations, vaccinations, mental health services, outpatient treatment for malnutrition, sexual and reproductive healthcare, wound care, physiotherapy, and health promotion. We also provide a minimal emergency service focused on stabilisation and referral.

Al-Attar healthcare centre, Khan Younis – Opened in mid-June 2024, we offer a range of services, including a 24-hour emergency services, general medicine, paediatric consultations, emergency healthcare, wound care, antenatal and postnatal care, mental healthcare, and health promotion.

Al-Qarara sexual and reproductive health clinic, Khan Younis – We provide medications and financial support to a clinic run by PalMed, a local organisation, which covers sexual and reproductive healthcare, as well as provide general medical consultations and outpatient treatment for malnutrition.  

Middle Area

Al-Aqsa hospital, Deir Al-Balah – We provide trauma surgery, advanced wound care, post-operative wound care, physiotherapy, health promotion and mental health support. We run the hospital’s pharmacy, support severe cases in the emergency department, and provide malnutrition screenings and referrals.

Al-Martyrs clinic, Deir Al-Balah – An MSF team provides wound care, mental health support, physiotherapy, and malnutrition screening.  

Al-Hekker clinic, Deir Al-Balah – We provide general consultations, vaccinations, reproductive health services, and change wound dressings. We also provide mental health services, including psychological first aid, individual and family counselling sessions, and psychoeducation and health promotion activities. Our services include outpatient treatment for malnutrition.

Deir Al-Balah field hospital, Deir Al-Balah – Located 250 metres from Al-Aqsa hospital, we run this field hospital to provide extra capacity and support to Al-Aqsa. We treat people on an outpatient basis in an emergency room and an outpatient department, and people on an inpatient basis, with capacity for 49 beds, for those who need to be admitted or require surgery in the operating theatre. 

Deir Al-Balah modular field hospital, Deir Al-Balah – Our second field hospital, which opened next to the first, is providing outpatient activities and paediatric hospitalisation.

North Gaza

MSF clinic (near Al-Shifa), Gaza City – In our clinic close to Al-Shifa hospital, our team provides general consultations, screening for non-communicable diseases and malnutrition, as well as antenatal and postnatal care.   

Water and sanitation

In November, we distributed over 730,000 litres of water daily through more than 60 water points in Al-Mawasi, Khan Younis, Rafah, and Deir Al-Balah. This was a decrease from the 816,000 litres per day distributed in previous months, due to fuel shortages

In partnership with a local organisation, Palestinian Agriculture and Development Association (PARC), we provide build latrines, distribute hygiene kits, and provide 30,000 litres of clean drinking water per day in camp shelters in Deir Al-Balah and Khan Younis.

Supplies and logistics

Medical and humanitarian supplies entering Gaza are critically low. In November 2024, we managed to move just eight trucks into Gaza. The Rafah crossing point, formerly the main functional entry point for humanitarian organisations, has been closed since early May.

In the West Bank, we are maintaining activities focused on emergency care, basic healthcare via mobile clinics, and mental healthcare in Hebron, Nablus, Tulkarem, and Jenin.

Hebron  

In Hebron district, we provide medical care through 15 mobile clinics. With medical staff, we also support five clinics and the maternity ward and emergency room in Halhul hospital. We provide mental health services and donations to hospitals and first-aid kits to community focal points in Beit Ummar, Al Fawwar camp, Al Arroub camp, Al-Rshaydeh, and Umm al Kheir. MSF teams trained medical staff in Al-Mohtaseb, Halhul, Dura, and Yatta hospitals.

Nablus  

In Nablus district, we provide psychological first aid, consultations, and sexual and gender-based violence case management in Nablus, Tubas, and Qalqiliyeh. We have trained volunteers from the Palestine Red Crescent Society as first aid responders in Nablus, Tubas, and Qalqilya. We are also providing basic healthcare through a mobile team that visits six locations across Qalqilya and Nablus.

We are training local psychologists and medical and paramedical volunteers for the Palestinian Red Crescent.

Jenin and Tulkarem

We train medical and paramedical staff, primarily in ambulances, to provide first aid and lifesaving care.

We also equip volunteer paramedics in Jenin, Tulkarem and Nur Shams refugee camps with donations and training, so they can stabilise patients during active hostilities in case ambulances are not able to reach them.  

MSF staff also provide individual and group mental health sessions and psychological first aid in communities and in Khalil Suleiman hospital. 

We have a base in Egypt to facilitate the transit of our supplies and international staff.

• We ask world leaders and organisations to exert their influence in favour of a ceasefire that will spare the lives of Gazans and restore the flow of humanitarian aid.
• We ask Israel to lift the blockade to allow unhindered and continuous humanitarian supplies to cross into Gaza.  
• Protection for civilians and healthcare personnel and facilities on both sides, at all times; hospitals and ambulances are not targets.
• Basic guarantees of safety to enable our teams to move to provide humanitarian and medical services.
• Access to people in need of medical care and humanitarian aid, including the sick and wounded.
• People to be afforded safe access to essential supplies like food and water and health facilities.
• Increased essential humanitarian supplies like medicine, medical equipment, food, fuel and water must be allowed to enter Gaza.
• Those who wish to leave must be able to do so safely without prejudicing their future option to come back.
• In the West Bank, for Israeli authorities to put an end to the violence and forced displacements of Palestinians.  
• Israeli authorities must stop implementing restrictive measures in the West Bank that impede the ability of Palestinians to access basic services, including medical care.
• Airdrops and sea routes cannot be considered viable alternatives to aid delivery by land.

We call all on States, in particular the US, UK, and allied EU Member States, to do everything in their power to influence Israel to adopt a ceasefire and to stop supporting the ongoing siege and the continuing attacks against civilians and civilian infrastructure in Gaza. 

The situation in Gaza has been described by our teams as ‘apocalyptic’.

Israeli forces carry out widespread attacks disproportionately impacting civilians. Palestinians in Gaza are suffering each day from an all-out destructive military campaign that blatantly ignores the rules of war. What our medical teams have witnessed on the ground throughout this conflict is consistent with the descriptions provided by an increasing number of legal experts and organisations concluding that genocide is taking place in Gaza. While we don’t have legal authority to establish intentionality, in the north of Gaza – which has been besieged and turned into a wasteland – our teams are seeing clear signs of ethnic cleansing, as Palestinians are forcibly displaced, trapped, and bombed.

The recurrent forced displacement of people and Israel's attacks on densely populated areas, even those designated by Israel as “safe” or “humanitarian zones”, continue to expose the absence of true safety in Gaza.

The closure of the Rafah crossing, and the Israelis’ continued obstruction of aid entering the Strip is jeopardises the lives of people and the humanitarian response. Stocks, including fuel, food, medicines, and water, are now dangerously low. The increasing scarcity of food is leaving people in a state of sheer desperation.

Half of all displaced people crammed in the south live in appalling conditions, in temporary structures made of a few pieces of wood banged together and covered in plastic sheeting. Many people sleep in the streets or in open areas. They struggle to find enough water to meet their hygiene needs. With winter, people are becoming sick in the cold and wet conditions.

The Israeli forces have dismantled the health system and have left people without, or with very difficult, access to medical care. Staff and patients from MSF have had to leave 17 different health facilities and have endured 41 violent incidents since 7 October 2023, which includes airstrikes damaging hospitals, tanks being fired at agreed deconflicted shelters, ground offensives into medical centres, and convoys fired upon. Eight MSF staff have been killed.
 

Israeli armed forces have announced the West Bank as a closed area. Most checkpoints across the West Bank remain closed, exacerbating movement restrictions on people and affecting their ability to access basic services, including food, and medical care.

In West Bank towns, people are experiencing an explosion of violence against them. Jenin has been particularly hard hit, with bombings and incursions by Israeli forces in the refugee camp killing and wounding dozens of people.

Over 5,000 Gazan workers have sought refuge in the West Bank. An unspecified number of Palestinians from Gaza were previously arrested by Israeli Forces when Israeli authorities cancelled their permits and many of them are still missing.

In Jenin, our teams report treating patients who showed signs of being tied up and beaten, reportedly by Israeli forces.

Our medical teams at Jenin hospital have witnessed Israeli forces shooting at the hospital itself, while they’ve also treated medical staff who were shot by soldiers while still in an ambulance. Israeli forces also prevent the ability of ambulances to move around, blocking entrances to the refugee camp.  

In Hebron, families have been displaced after violence from Israeli settlers and forces, including having their homes burnt down. Patients in Hebron old city, known as H2, are facing challenging access to our mobile clinic when it’s there, due to extreme restrictions on movements.

These attacks on medical care MUST stop.