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“We had no choice but to act quickly": An account from North Gaza

Project coordinator Sarah Vulstyeke describes how MSF working to fill gaps left by flattened health centers in northern Gaza.

Palestinians collect water next to a building that is in danger of collapsing in Beit Lahia, northern Gaza.

Palestinians collect water next to a building that is in danger of collapsing in Beit Lahia, northern Gaza. | Palestine 2025 © Nour Alsaqqa/MSF

Sarah Vulstyeke is a project coordinator with Doctors Without Borders/Médecins Sans Frontières (MSF) who recently returned from Gaza, where she coordinated operations with an MSF team in northern Gaza. MSF runs mobile clinics in northern Gaza that provide Palestinians with medical assistance including general consultations, treatment of non-communicable diseases, dressings, and health promotion. During the first and second weeks of February, MSF mobile clinics were deployed in Jabalia camp and in Beit Hanoun. Around 1,200 consultations were conducted, including about 12 percent for children under 5 years old and 24 percent for upper respiratory tract infections, and 169 dressings. 

By Sarah Vulstyeke, MSF project coordinator


When we arrived at the first health center in the north of Gaza in early February to assess the situation, it was a slap in the face for all of us. There was nothing left to assess: we were shocked and felt helpless after realizing how much infrastructure, how many buildings and lives had been destroyed. 

Right after the ceasefire, one of our priorities was to look at how we could support access to primary health care for the population of Gaza, especially in the northern part of the Strip. Jabalia camp was besieged and heavily bombed by Israeli forces since October 6, 2024, and Israeli authorities dramatically reduced the quantity of essential aid authorized to enter. Therefore, tens of thousands of people have remained trapped in the north with barely any access to health care since last October, while hundreds of thousands have returned after the implementation of the ceasefire at end of January 2025.  

We tried to assess the conditions of health centers. But we visited the first one, and it was flattened. Then the second, the third ... Everything was in ruins and reduced to piles of rubble.

The devastation we found in Jabalia is hard to describe: There was nothing left, only rubble. We tried to assess the conditions of health centers. But we visited the first one, and it was flattened. Then the second, the third ... Everything was in ruins and reduced to piles of rubble. It's breathtaking and heartbreaking. Looking at the scale of the destruction, we had no choice but to act quickly. 

The biggest challenge was to start setting up medical activities amid the rubble. It took a week to clear up enough rubble with our rented bulldozer, just to set up a temporary structure. 

The first week, we parked by the side of the road and began our activities. Later, we were able to set up tents and shelter where patients could wait for their consultations. The weather was freezing, but still hundreds of patients came every day.  

People in Gaza, as well as our teams, are determined to try to rebuild what was lost, despite the unbearable difficulties they face every day. The situation is still very precarious, and we are really worried about the consequences that a blockade of humanitarian aid into Gaza could have. People in Gaza still need an immediate and massive scale-up of humanitarian supplies, and it is unacceptable that an entire population is now once again being prevented from receiving humanitarian aid.

How we're responding to the war in Gaza