MSF currently operates in six hospitals, five healthcare centres, and four clinics, and runs two field hospitals and six medical points.

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 health care, wound dressing, mental health services, and health promotion, as well as minor surgeries. 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 health care, and health promotion. A 24-hour emergency service for stabilisation and referral remains available at the centre.

Al-Qarara inpatient feeding centre, Khan Younis – We are running this inpatient feeding centre, which has 16 beds to treat people with severe malnutrition.
 

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. 

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, as well as surgery and physiotherapy.

Al-Qarara sexual and reproductive health clinic – In support of PalMed, we are providing wound dressings and care for non-communicable diseases.

Bureij healthcare centre – At this centre we are providing care for complex and infected wounds. 
 

North Gaza

After having to suspend our activities in Gaza City in September 2025, we began returning to the city in mid-October following the announcement of the ceasefire.

Al-Helou Maternity hospital, Gaza City – MSF teams are supporting the emergency room, inpatient department, delivery rooms, operating theatre, and neonatal intensive care unit at Al-Helou. We also provide mental health and health promotion services.

Al-Shifa hospital, Gaza City – At Al-Shifa hospital, we opened a 40-bed inpatient department that includes an intermediate operating theatre for post-operative care and advanced wound management.

Al-Ahli hospital, Gaza City – We are supporting the hospital by providing wound care and physiotherapy, with a particular focus on capacity building for staff.

Al-Rantisi hospital, Gaza City – We are working to rehabilitate parts of the hospital by removing rubble, and also run a 50-bed paediatric ward and 10-bed emergency room.

MSF clinic, Gaza City – At this clinic, we are providing general care for non-communicable diseases, reproductive care, wound care, physiotherapy, and malnutrition screening and therapeutic feeding, as well as mental health and health promotion services.

MSF clinic, Gaza City – At this clinic near Al-Shifa hospital we are providing post-operative care on an outpatient basis, as well as physiotherapy.
 

Medical points

At six different medical points in Gaza, our teams are offering wound care, reproductive care, malnutrition care, physiotherapy, and mental health and health promotion services. 
 

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 distributed enough water for over 31,000 people to have six litres of water per day in the month of October. The desalination plants we support produced more than 10 million litres of water in October.

Since we returned to Gaza City, we have been able to significantly scale up our production, with 14 million litres of water produced in the first three weeks of November.

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 126 people, as of 4 December 2025, to different countries where they can receive the specialised treatment they need for their injuries or medical conditions. It is estimated that some 18,500 people are in need of medical care that cannot be provided in Gaza. We continue to call for the Israeli authorities to facilitate medical evacuations for all patients who need treatment that is not available 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 16 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

We have trained volunteers from the Palestine Red Crescent Society as first aid responders in Nablus, Tubas, and Qalqilya. We continue to train doctors and nurses in the emergency rooms of three different hospitals.

Jenin and Tulkarem

MSF runs 11 mobile clinics across Jenin and Tulkarem. We are also supporting eight clinics. In villages around Jenin and Tulkarem, MSF teams are delivering psychological first aid, and referring patients to newly established mental health points, as well as our mobile clinics.

1. The genocide in Gaza must stop. The blockade must be lifted to allow the delivery of independent humanitarian aid at scale.
2. MSF demands the immediate protection of medical workers and health facilities, including the immediate release of detained health workers, and the full respect of international law. We call for independent investigations into 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. A clear and predictable medical evacuation system must be urgently established — with safe passage, no family separation, and safe and voluntary guaranteed return to Gaza after treatment. Furthermore, people who want to leave Gaza must be allowed to do so — provided their right to safe and voluntary return is guaranteed. Countries must open their doors to patients trapped in Gaza who urgently need specialised and lifesaving care. They must prioritise evacuations based on medical urgency and clinical need, including accepting adults and the elderly, who make up 75 per cent of the waiting list.  
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’.

Despite the ceasefire agreement, violence and killing remain a daily reality, and Israel maintains its blockade, preventing sufficient aid from entering the Gaza Strip, depriving people of the essentials they need to live, and prolonging this genocide.

The systematic and intentional deprivation of aid, including food, water, electricity, and medical supplies, has led to deaths, malnutrition, and profound trauma that will scar the people of Gaza for generations.

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 completely non-functional and the other 18 are only partially functional. As it stands, the very few hospitals and medical facilities that remain operational cannot cope with the vast medical needs.

New aid coordination mechanisms implemented since the ceasefire agreement, which includes the establishment of the Civil Military Coordination Centre (CMCC) to oversee humanitarian aid and its delivery to the enclave, have not resulted in the necessary increase of humanitarian aid in Gaza. An urgent massive scale up is urgently needed to respond to the ongoing humanitarian catastrophe. Between 10 October and 27 November, MSF had deliveries into Gaza that equate to 29 trucks. This is low when compared to the 69 trucks we had enter the enclave during the first six weeks of the previous ceasefire, which began in January 2025 and ended on 18 March of the same year.
 

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 3 December 2025, 1,088 Palestinians were killed in the West Bank, including 224 children.  

Israel’s policies and practices toward annexation, as part of a broader plan of territorial and demographic engineering, amount to ethnic cleansing and create a grave risk of forcible transfer.  

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.