MSF currently operates in two hospitals (Al-Aqsa hospital, Nasser hospital), two field hospitals, six 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, Israel’s blockade on Gaza has left hospitals without sufficient supplies despite the massive scale up of services and assistance that is needed.

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 67-bed inpatient ward, and support the hospital’s mother and child care. We opened an inpatient therapeutic feeding centre for children with malnutrition.

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 service, general medicine, paediatric consultations, emergency healthcare, wound care, antenatal and postnatal care, malnutrition treatment, 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, health promotion activities, 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 70 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 opened next to the first, 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.

Sheikh Radwan healthcare centre, Gaza City – We are training Ministry of Health staff on nutrition and emergency care in the centre, as well as donating supplies.

Water and sanitation

In January, we distributed 500,000 litres of water daily through more than 60 water points in Al-Mawasi, Khan Younis, Rafah, and Deir Al-Balah. We have also begun trucking water in the north of Gaza, and continuously work to increase the quantity of drinkable water in the Strip.

In partnership with a local organisation, Palestinian Agriculture and Development Association (PARC), we are building latrines, distributing hygiene kits, and supporting water treatment units in camp shelters in Deir Al-Balah and Khan Younis.

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 six clinics and the maternity ward 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, Aida camp, Azza camp and Dheisheh camp. . MSF teams trained medical staff in Al-Mohtaseb, Halhul, Dura, and Yatta hospitals. We also provide social work case management in communities affected by settler attacks.

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’re 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

Due to the current security situation, our activities in Jenin and Tulkarem are focussed on meeting people’s most basic humanitarian needs. We are supporting medical facilities with supplies and fuel and providing people in displacement camps with basic necessities like food, medications, diapers, and mattresses.

• World leaders and organisations to exert their influence in favour of a permanent and sustained ceasefire.
• Israel to lift the blockade to allow unhindered and continuous humanitarian supplies like medicine, medical equipment, food, fuel and water to enter Gaza. 
• 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.
• 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.

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 permanent ceasefire in Gaza.  

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

Israeli forces carried out widespread attacks that disproportionately impacted civilians. Palestinians in Gaza are suffering each day from the aftermath of Israel’s all-out destructive military campaign. 

Gaza City and the North governorate of Gaza are almost fully destroyed, with no available essential services. Over half a million people have returned to the north of Gaza since the ceasefire was implemented and most are returning to neighbourhoods and homes that have been reduced to ashes. Hospitals have been razed. People are settling on the rubble of their homes with no other shelter to face the winter. There is a worrying lack of health structures, water, and other essential services. . People are in a state of sheer desperation. 

The Israeli forces have dismantled the health system and have left people without, or with very difficult, access to medical care. Out of 36 hospitals in Gaza, 18 are partially functional. As it stands, the very few hospitals and medical facilities that remain operational cannot cope with the vast medical needs. Staff and patients from MSF had to leave 17 different health facilities and endured 41 violent incidents during the war. Nine MSF staff have been killed.

The situation is worsening in the West Bank, with increased settler violence and Israeli incursions, particularly in Jenin, Tulkarem and Tubas. This is causing immense suffering and severe obstruction to the provision of healthcare.   

A military operation called “Iron wall” was launched by Israel on 21 January and has killed at least 50 Palestinians as of 2 February, according to Israeli Forces. It has forcibly displaced 20,000 residents in Jenin and more than 12,000 in Tulkarem, as well as severely damaged an estimated 150-180 homes, according to OCHA.   

This operation is leading to a shortage of vital supplies. People lack water, fuel and electricity. MSF is committed to staying and supporting residents, despite the restrictions on movement caused by insecurity.  

Severe movement restrictions imposed by Israeli forces across the West Bank are making every journey complicated, whether to go to work, visit relatives, or seek medical care. Moving in the West Bank is characterised by road closures, prolonged delays at checkpoints, and the installation of new gates at village entrances.