MSF currently operates in two hospitals, two field hospitals, and four healthcare centres in central and southern Gaza.

Our teams are offering surgical support, wound care, physiotherapy, maternity and paediatric care, general healthcare, vaccinations, malnutrition care, 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 the last remaining partially functioning Ministry of Health hospital in southern Gaza, with one of the sole functional maternity wards and paediatric intensive care units in the Strip. Working with the Ministry of Health, we are supporting the four paediatric wards at the hospital, including the newborn and paediatric intensive care units. We are providing maternity care, including specialist, and pre- and post-partum, consultations. We are supporting the trauma, orthopaedic, and burn units, as well as the inpatient therapeutic feeding centre for children with malnutrition. We are supporting the mental health and health promotion activities at Nasser hospital.

Al-Mawasi healthcare centre, Rafah – We provide outpatient services, including general consultations, vaccinations, reproductive healthcare, wound dressing, mental health services, and health promotion. The centre 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 – MSF teams offer a range of services at Al-Attar, including general medicine, paediatric consultations, emergency healthcare, wound care, antenatal and postnatal care, malnutrition treatment, mental healthcare, and health promotion. A 24-hour emergency service for stabilisation and referral remains available at the centre.
 

Middle Area

Al-Aqsa hospital, Deir Al-Balah – In early August, MSF returned to the emergency room in Al-Aqsa hospital, after months of providing remote support. An MSF doctor and nursing supervisor are present every day, providing hands-on support during mass casualty incidents, training other medical staff, and ensuring infection prevention and control measures are in place.

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

Al-Zawaida field hospital, Deir Al-Balah – MSF teams are working with the Ministry of Health to run this field hospital in Deir Al-Balah, which offers 110 beds through an emergency department, outpatient department, inpatient department, and three operating theatres for orthopaedic, vascular, general, and plastic surgery. Even with an expansion of services, bringing the bed count from 90 to 110, and the two operating theatres to three, the occupancy rate of the field hospital remains over capacity.

Deir Al-Balah MFH field hospital, Deir Al-Balah – We moved some of our services from Nasser hospital to this field hospital in Deir Al-Balah. We are providing burn and orthopaedic care, and outpatient services. MSF teams are also providing physiotherapy, and mental health services.
 

North Gaza

Israel’s relentless offensive in the north of Gaza, especially in Gaza City, has led us to reluctantly suspend our activities in the area. This is not a decision MSF took lightly, as there are people trapped in Gaza City with enormous humanitarian and medical needs. The escalating attacks by Israeli forces have created an unacceptable level of risk for our staff.
 

Water and sanitation

We continuously work to increase the quantity of drinkable water in the Gaza Strip by providing technical support to desalination plants, water trucking, and establishing points for people to collect safe water. Through these activities, MSF was distributing almost 1.9 million litres of water per day in August 2025. The desalination plants we support produced more than 556,000 litres of drinking water per day in August 2025, which covers the bare minimum needs (7.5 litres per person per day, according to WHO standards) for over 74,000 people.

MSF’s production and distribution of water decreased in September due to the escalating Israeli attacks on Gaza City, in the north of the Strip. Production was divided by three because we had to displace most of our water desalination plants to the south to protect them from combat. Currently, almost no water is being distributed in Gaza City.

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.

Medical evacuations

MSF has supported the medical evacuation of 73 people to different countries where they can receive the specialised treatment they need for their injuries or medical conditions. As of April 2025, the WHO estimates that some 12,000 people were in need of medical care that cannot be provided in Gaza.

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 17 mobile clinics. We deliver mental health services, donations to hospitals, and first-aid kits to communities. We also provide social work case management for communities affected by settlers’ attacks, including in Hebron’s Old City, Dura, and Masafer Yatta. MSF also runs community activities in Umm Qussa, Al Majaz, Umm Al Kheir and in H2 neighbourhood of the Hebron city. Our teams also distribute relief items to families affected by violence and forcible displacement.

Nablus

In Nablus district, we provide psychological first aid, psychiatric care, and sexual and reproductive healthcare. We have trained volunteers from the Palestine Red Crescent Society as first aid responders in Nablus, Tubas, and Qalqilya, and we have begun training members of the Nablus fire department. We’re also providing basic healthcare through a mobile team that visits Ministry of Health clinics.

Jenin and Tulkarem

MSF runs 11 mobile clinics across Jenin and Tulkarem. We are also supporting eight clinics and five shelters with treatment of chronic conditions, like diabetes and hypertension, mental health services, and treatment of respiratory infections. MSF teams distribute hygiene kits, food parcels, bedding, and water heaters. In Tulkarem, we are delivering essential supplies to displaced people.

1. The genocide in Gaza must stop. The ethnic cleansing and forced displacement must stop. An immediate and sustained ceasefire must be implemented, and the siege must be lifted to allow the delivery of independent humanitarian aid at scale.
2. The destruction of the healthcare system, and the killing and persecution of people who provide care, must stop. Israel’s bombing and raiding of medical facilities, and killing of medical staff, including 12 of our MSF colleagues, are grave violations of international humanitarian law. One of our colleagues remains in Israeli detention, after his arrest in October 2024. We call for independent investigations into these violations, including the killing of our own staff and the members of their families, and urge Israel’s allies to increase pressure to end the collective punishment of Palestinians and to ensure accountability for these crimes.
3. The Israeli authorities must facilitate medical evacuations for all patients who need specialised treatment not available in Gaza. Patients must be allowed to travel with at least one caregiver, and their right to a safe, voluntary, and dignified return to Gaza must be fully respected. People who have been medically evacuated, along with their caregivers, must also be provided with safe and dignified living conditions by host states. Countries in the Middle East, the EU, and beyond must open their doors to patients trapped in Gaza who urgently need specialised and life-saving care.  
4. Governments must stop sending weapons to Israel that are used to kill and maim our patients and to sustain its genocidal campaign. States have a responsibility to prevent genocide and to ensure that the weapons they provide are not being used to harm civilians, violate human rights, or commit war crimes. Day after day, our medical teams treat patients with terrible injuries caused by Israel’s use of explosive weapons in densely populated areas, including victims of targeted and indiscriminate attacks. These arms transfers are fuelling the mass killings of civilians, demolition of vital civilian infrastructure, and the systematic destruction of the health system in Gaza. The hypocrisy is stark: states cannot claim to uphold humanitarian values and express empty words of concern for Palestinians while supporting a military campaign that is destroying the conditions of life in Gaza.
5. Israel must end all coercive measures aimed towards annexation, including, but not limited to, prolonged large-scale military operations, barriers to providing and receiving medical and humanitarian aid, collective punishment including home demolitions, settler violence, and movement restrictions.
6. Israel must begin following the binding orders from the International Court of Justice, to take immediate action to prevent genocide, including to enable the provision of urgently needed humanitarian aid into Gaza. All states have a duty to prevent and respond to genocide. States providing support for Israel’s military campaign are complicit and must use their influence to protect civilians.
    

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

Since 18 Match, Israeli forces have been carrying out widespread attacks that disproportionately impact civilians. Palestinians in Gaza are suffering each day from Israel’s all-out military campaign, which is now accompanied by the misery of an inhumane siege.

While large numbers of people have fled south due to evacuation orders, there are still hundreds of thousands of people in Gaza City, who are unable to leave and have no other option but to stay, even as Israeli forces increase their attacks in the city. People in Gaza City have been repeatedly and relentlessly bombed. They are exhausted and are being deliberately deprived of the essentials needed to survive.

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.

Despite the supposed lifting of the siege on 18 May, only tiny amounts of humanitarian aid have been allowed in. Food distributions, either through the Israeli-US scheme, or people waiting for the tiny number of humanitarian trucks allowed in, are leading to deadly massacres. We are seeing humanitarian aid, and food in particular, being weaponised.
 

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. According to OCHA, between 7 October 2023 and 20 August 2025, 995 Palestinians were killed in the West Bank, including 210 children.  

A military operation called “Iron wall” was launched by Israel on 21 January 2025, intensifying demolitions and displacement in Jenin, Tulkarem, and Nur Shams camp. It’s estimated that between January 2024 and April 2025, at least 41,270 Palestinians were displaced across the West Bank.  

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.