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MSF operations in Gaza

Details about MSF activities in response to the ongoing humanitarian catastrophe in Gaza.

An MSF nurse examines 8-month-old Nour, who is severely malnourished.

Palestine 2025 © MSF

Last updated on December 22, 2025

Doctors Without Borders/Médecins Sans Frontières (MSF) has been working in Gaza for decades, and our teams have continued to deliver lifesaving medical aid throughout the ongoing catastrophe. With both local Palestinian staff and international teams operating throughout the Strip, MSF is providing medical care and humanitarian relief in the face of massive challenges, including attacks by Israeli forces, evacuation orders, severe supply shortages, and ongoing carnage. 

MSF activities in Gaza

With a team of surgical and emergency staff, logisticians, and coordinators, our teams are providing Palestinians with surgical and wound care, physiotherapy, postpartum care, primary health care, vaccination, and mental health services, in addition to critical water and sanitation activities.
MSF staff assess a borehole in Gaza, Palestine.
Palestine 2025 © Nour Alsaqqa/MSF

Facilities we support

NASSER HOSPITAL

Nasser Hospital is the last remaining partially functional Ministry of Health hospital in southern Gaza. Its maternity wards and intensive care units for children and newborns are among the few that remain functional in the south. Our teams at Nasser provide support to various units in the facility, including the following: 

  • Trauma, orthopedic, and burn units
  • Operating theaters
  • Inpatient therapeutic feeding center for children with malnutrition
  • Pediatrics department, including pediatric intensive care unit (PICU) and neonatal intensive care unit (NICU)
  • Emergency room for pediatric and maternal care
  • Outpatient maternity and specialist care
  • Mental health care
  • Health promotion activities

We recently worked to boost hygiene through infection prevention and control measures and by improving patient flows in the overcrowded facility.  

AL-ATTAR PRIMARY HEALTH CARE CENTER

Teams at this MSF facility provide general and pediatric consultations for acute and chronic conditions, in addition to emergency and wound care; vaccination; pre- and postnatal care; family planning; psychosocial and mental health care; health promotion; and malnutrition care. Our malnutrition activities at Al-Attar include screening and outpatient treatment for severe and moderate cases, and a program for children under 6 months old. This facility also has a 24-hour emergency service to stabilize and refer patients. In October 2025, teams at Al-Attar provided 17,000 consultations. 

AL-QARARA INPATIENT THERAPEUTIC FEEDING CENTER

MSF teams at this facility run a 16-bed inpatient therapeutic feeding center for patients with severe malnutrition. 

KHAN YOUNIS PRIMARY HEALTH CARE CENTER

The Khan Younis primary health care center is an MSF facility with 24/7 stabilization beds. Services at the facility include: outpatient consultations; vaccination; sexual and reproductive health care; care for non-communicable diseases; wound care; physiotherapy; mental health care; and outpatient malnutrition care including screening for children under 5 and pregnant and breastfeeding women, as well as an outpatient therapeutic feeding center. 

AL-MAWASI PRIMARY HEALTH CARE CENTER

Our teams at Al-Mawasi Primary Health Care Center provide outpatient services including general and pediatric consultations for acute and chronic conditions; vaccination; wound care; physiotherapy; minor surgery; mental health care; health promotion; reproductive health care including pre- and postnatal care as well as family planning; and malnutrition screening and outpatient treatment. The clinic also has a 24/7 emergency room to stabilize and refer patients. 

AL-AQSA HOSPITAL

Our teams at Al-Aqsa Hospital support the emergency room with an ER doctor and nursing team supervisor on-site.  

AL-QARARA SEXUAL AND REPRODUCTIVE HEALTH CLINIC

MSF supports the organization PalMed with sexual and reproductive health care services, general outpatient services including wound dressing and care for non-communicable diseases.

AL-ZAWAIDA FIELD HOSPITAL

MSF opened Al-Zawaida Field Hospital in collaboration with the Ministry of Health to help fill the gaps following the destruction of Gaza’s health system. The facility has an emergency department, inpatient and outpatient departments, and operating theaters for orthopedic, vascular, general, and plastic surgery. Since late June, the field hospital has expanded to 110 beds and opened a third operating theater as a result of high needs.

BUREIJ PRIMARY HEALTH CARE CENTER

Our teams support care for complex, infected wounds at a rate of about 500 consultations per month.

DEIR Al-BALAH HEALTH CENTER

After operating a wound care clinic out of Al-Aqsa Hospital for 15 months, MSF relocated these services to a health center run by the Ministry of Health. This was due to the fluctuating security levels at Al-Aqsa Hospital. At the health center, MSF’s team provides wound care and follow-up, as well as malnutrition screenings for children under 5.

DEIR AL-BALAH MFH FIELD HOSPITAL

The MFH field hospital in Deir al-Balah has 80 inpatient beds and provides outpatient services, mainly care for complex burns, wound dressing, orthopedics, surgery, and physiotherapy.

MSF WOUND CARE CLINIC

Located in the Ministry of Health’s Deir al-Balah Primary Health Care Center.

At the wound care clinic our teams provide physiotherapy education, nutritional screening, health promotion, and mental health consultations.

MSF CLINIC

In October 2025, MSF resumed activities at our clinic in Gaza City after suspending services in September amid Israeli forces’ offensive in the area. Today, our teams at the clinic provide general consultations, reproductive care, wound care, physiotherapy, mental health care, health promotion, treatment for non-communicable diseases, and malnutrition screening and treatment for children under 5 years old and pregnant and breastfeeding women.

MSF also runs a clinic near Al-Shifa Hospital providing outpatient post-operative care. Each week, our teams provide 1,000 consultations (70 percent for trauma and 30 percent for burn cases), 350 physiotherapy sessions, and 45 procedures requiring sedation.

AL-AHLI HOSPITAL

MSF teams have started supporting Al-Ahli Hospital with wound care and physiotherapy services, focusing on capacity-building.

AL-HELOU MATERNITY HOSPITAL

The Ministry of Health relocated Al-Shifa Hospital’s maternity department to Al-Helou, where MSF provides support to the emergency room and inpatient department in the maternity ward, delivery rooms and operating theaters, and newborn intensive care unit (NICU). We also provide mental health care and health promotion activities.

AL-RANTISI HOSPITAL

MSF is supporting the rehabilitation of parts of Al-Rantisi Hospital, including rubble removal, and is now running a 50-bed pediatric ward and a 10-bed ER department.

AL-SHIFA HOSPITAL

Al-Shifa is the Ministry of Health’s main secondary care facility, however its pre-war capacity has been reduced drastically, with a reported bed occupancy of 250 percent. To help meet the needs, MSF opened a 40-bed inpatient department in the maternity building, with an intermediate operating theater for post-operative trauma care and advanced wound management.  

OTHER FACILITIES
  • At Kamal Adwan and Al-Rahma medical points, MSF teams are providing wound care and physiotherapy. At Zaytoun Advanced Medical Point, we provide general and pediatric consultations, stabilization and wound care, sexual and reproductive health care, mental health care, health promotion, vaccination, and care for severe and moderate cases of acute malnutrition.
  • At Tel a-Rabe'e School, MSF offers general consultations, wound care, nutrition care, sexual and reproductive health care, mental health education, and a pharmacy.  
  • At Al-Yarmouk Medical Center in eastern Gaza City, our teams provide wound care, physiotherapy, mental health consultations, and a pharmacy.  
  • The team at Al-Karama Medical Center in northwest Gaza provide general consultations, wound care, nutrition, sexual and reproductive health care, mental health care, and a pharmacy. 

MSF response in Gaza

By the numbers

1,446,081 million outpatient consultations

499,758 emergency presentations

88,474 people treated for diarrhea

20,444 surgical interventions

72,529 inpatients admitted

77,954 prenatal consultations

19,500 deliveries

83,583 individual mental health sessions

107,516 non-communicable disease consultations 

A man looks at notes as a child looks through the window of a clinic in Gaza.

Other MSF activities in Gaza

Israeli forces have decimated Gaza’s water network. Gaza has no independent means of producing drinkable water, as groundwater is too salty or contaminated by sewage and agricultural chemicals to be fit for human consumption. Israeli authorities have also blocked the entry of key water production supplies, leaving authorization requests for items like pumps, spare parts, and tanks pending for months.

The establishment of the yellow line has exacerbated the lack of access to water, with key water infrastructure located within or close to the militarized zone. With boreholes near this mutable line, people risk their safety trying to access water points.

Lack of water is life-threatening and can contribute to health issues like diarrhea, jaundice, and scabies—all of which are on the rise in Gaza. Dehydration can be lethal and also makes it harder to recover from other diseases. This is why water and sanitation is a significant part of MSF’s response in Gaza. We carry out water trucking activities, establish distribution points, and provide technical support to desalination plants.

MSF has distributed over 1.4 million gallons of water in Gaza, and the desalination plants we support produced more than 2.6 million gallons of water in October 2025. Since resuming activities in Gaza City, we have been able to scale up our support, producing  3.7 million gallons of water in the first three weeks of November alone.

Our teams also work in partnership with PARC (the Agriculture Development Association) to provide sanitation support to a camp hosting 400 people with disabilities and camp shelters in Deir al-Balah and Khan Younis.   

MSF has supported over 120 medical evacuations from Gaza. Most of these patients were evacuated to Jordan for treatment at MSF’s reconstructive surgery hospital in Amman; the remainder were evacuated to Switzerland, Spain, and other countries in partnership with governing authorities. But this is only a drop in the ocean: More than 18,500 Palestinians are waiting to be medically evacuated, including children and elderly patients with severe burns and fractures, amputations, congenital anomalies, and other serious conditions. A clear, predictable medical evacuation system must be established urgently—with full respect to patients’ right to a safe, voluntary, and dignified return to Gaza. 

Medical needs in Gaza

The medical needs in Gaza are immense and urgent, not only for people wounded or burned in strikes but for children with malnutrition, pregnant women who are about to deliver, the elderly, and people with chronic diseases.
A civilian injured while trying to get food at a GHF distribution site in Gaza.
A civilian injured while trying to get food at a GHF distribution site. Since May 27, at least 1,373 Palestinians have been killed while seeking food, including more than 800 killed at GHF sites, according to the UN Human Rights. Palestine 2025 © Nour Alsaqqa/MSF

Many patients require care for war wounds, crush injuries, and burns sustained in bombings and other attacks by Israeli forces. MSF teams have seen an increase in the number of patients with burn injuries—most of them children. Many of these children were burned by bomb blasts; others by boiling water or fuel used for cooking or heating in makeshift shelters.  

Infections resulting from poorly treated wounds are a growing concern, driven by the difficulty wounded people face accessing care and follow-up, shortages of supplies, and lack of access to hygiene. There is also high risk of infectious diseases including diarrhea, acute respiratory infections, skin infections, and hepatitis due to overcrowding and poor hygienic conditions in camps where displaced people are sheltering, and shortages of medicines and medical supplies.  

Even before the current war started, many years of instability had already taken a toll on the physical and mental health of Gaza’s children, leaving many with life-changing injuries, amputated limbs, and the trauma of losing parents and other loved ones along with their homes and schools. Children are also especially vulnerable to various health risks arising from insufficient access to water, food, and warm shelter.

On August 22, 2025, the United Nations-coordinated Integrated Food Security Phase Classification (IPC) system officially declared famine in Gaza governorate, in the north of the Gaza Strip, indicating a severe risk of malnutrition, with children being the most vulnerable. In hospitals and clinics, both patients and staff are fighting to survive on what limited food is available, often going days at a time without eating. In July, one in four young children and pregnant women screened at MSF clinics were malnourished, and the number of patients with acute malnutrition reached an all-time high at two MSF facilities. 

Pregnant women in Gaza have been forced to navigate severe obstacles to reach medical facilities for prenatal care or delivery, including traveling dangerous routes amid fighting and without safe transportation, which can delay access to care and increase the risk of complications. Those able to reach a hospital often find them without capacity, and end up giving birth in deplorable conditions in plastic tents or public spaces; others must return to their makeshift shelters mere hours after undergoing cesarean sections. To date, MSF teams have assisted more than 16,000 deliveries in Gaza.

Throughout the war, our teams operated under a severe shortage of medical supplies such as anesthetics, pediatric antibiotics, and medicines for chronic conditions like epilepsy, hypertension, and diabetes as a result of the blockade. Staff have been forced to ration medications and even turn some patients away because they don’t have the proper tools to treat them. 

At a glance

Gaza before the war

The Gaza Strip is a 141 square mile territory surrounded by walls and fences and under the constant control of the Israeli authorities. With 2.3 million people, it has one of the highest population densities in the world. Every aspect of life in Gaza is impacted by the ongoing siege and constant threat of violence. 

Gaza has been under blockade since 2006—meaning the entry and exit of people and goods are strictly controlled by Israel, including clean water and vital supplies. The blockade has limited the supply of essential medicines—particularly during the COVID-19 pandemic—which has led to alarming rates of antibiotic resistance

Frequent escalations of violence have taken a heavy toll on people’s health and wellbeing, as well as infrastructure like health care and education. The current war in Gaza has been the longest and most devastating.

Gaza Before 7 October