15 September 2025

Highlights:

Gaza city military offensive threatens essential health care:

The escalation risks wiping out half of the Strip’s hospital bed capacity, and facilities providing obstetric, newborn, and sexual and reproductive health (SRH) services.

Unsafe deliveries are increasing:

Every week in Gaza at least 15 births take place outside hospitals, many without a skilled attendant, putting both mother and newborn at grave risk.

Famine is hitting women and newborns hardest:

Over 60 per cent of pregnant women and new mothers are suffering from malnutrition, two thirds severely, with rising anemia, preterm births, and newborn complications.

Protection risks for women and girls are rising:

Forced displacement, overcrowding, and hunger are driving higher levels of gender-based violence (GBV), early marriage, and exploitation, while critical protection services, including safe spaces and shelters, are being forced to shut down just as they are needed most.

爆料网FPA life-saving supplies reach Gaza after months of blockade:

In August, 爆料网FPA delivered 10 truckloads of reproductive health and hygiene supplies to support 240,000 people. Yet 160 additional truckloads have been stranded at the border for over five months, loaded with critical SRH and protection supplies

Situation Overview

The scale of devastation in Gaza continues to deepen. Strikes are taking place across the Strip, with intensified bombardment in and around Gaza city, killing and injuring civilians, destroying critical infrastructure, and forcing families into repeated displacement. Military operations in Gaza city and the north will have catastrophic consequences, with nearly 1 million people at risk of further displacement. More than 97,000 people have fled south since mid-August, joining hundreds of thousands with no safe place to go.

Over 86 per cent of Gaza is under militarized zones or displacement orders, leaving a few overcrowded areas which lack the space and basic services to support the people already there. Families are being pushed south into streets and open fields, exposed to the elements without shelter, food, clean water, access to health care, or the basics to survive. Humanitarian convoys face constant delays, interference, and restrictions at crossing points, choking the lifeline for a starving population. The aid that trickles in is a fraction of what is needed. Without an immediate ceasefire, and unimpeded entry of aid and safe humanitarian access at the scale needed, starvation will continue to spread and claim countless more lives.

Famine in Gaza is no longer a threat but a grim reality. More than half a million people are already starving, and projections show this number could surpass 640,000 by the end of September. One in three people goes without food for days at a time. By 8 September, the Ministry of Health confirmed over 390 deaths from starvation, including 140 children, alongside more than 2,400 killed and 17,700 injured while desperately trying to access aid. Food lines and distribution points have become deadly. The systems that sustain life have been dismantled, forcing an entire population into destitution.

For women and girls, hunger is life-threatening. Over 40 per cent of pregnant and breastfeeding women are severely malnourished, and two-thirds suffer from anemia. In August, 61 per cent of those screened at Save the Children clinics were malnourished, nearly seven times higher than in March before aid was cut off. One in five babies is born prematurely or underweight, yet access to emergency newborn care has dropped by 70 per cent. Incubators are so scarce that several infants share one, greatly increasing infection risks.

The health system across the Gaza Strip is collapsing and could lose half of its bed capacity if the military offensive continues. In Gaza city, four hospitals providing obstetric and newborn care and 21 primary healthcare centers delivering outpatient SRH services are at risk of shutdown. Southern facilities are already operating several times over capacity, unable to absorb the influx of patients from the north.

Access to health services has become increasingly difficult. Reduced availability of care forces families to travel long distances, often on damaged roads that delay or obstruct movement, particularly in emergencies or at night. The fuel crisis has critically affected ambulance services, private transportation, and the operation of hospitals and health points. Many ambulances are out of service due to strikes or lack of fuel, while those still functioning face severe delays. With hospitals overwhelmed or inaccessible, women are increasingly giving birth in shelters, streets, and other unsafe settings. In the first seven months of 2025, more than 465 deliveries took place outside hospitals, some attended only by paramedics and many without any medical staff at all, with June and July recording the highest numbers.

Women and girls face heightened protection risks as safe spaces collapse and overcrowding worsens. Reports of GBV are rising, fueled by hunger, stress, and repeated displacement. Five women and girls’ safe spaces (WGSSs), which service 1,000 women every week, one women’s shelter, and several GBV service points are under direct threat from the offensive in Gaza city. Service providers are forced to relocate, operate remotely, or continue without essential supplies, disrupting critical support for survivors. Older women and women with disabilities are particularly vulnerable to abuse and exploitation.

In the West Bank, violence and displacement are escalating at alarming levels. Since January 2025, more than 2,780 Palestinians have been injured by Israeli forces and settlers, nearly 500 of them by settlers alone. Close to 40,000 people have been displaced from the northern West Bank as refugee camps are violently raided and emptied. Homes, schools, and health centers are being demolished, raising the likelihood that displacement will become permanent. Settler attacks on communities are intensifying, damaging property, cutting water supplies to some 100,000 people across 20 villages in Ramallah, and leaving communities increasingly vulnerable.

Movement restrictions, including road closures and checkpoints, are severely disrupting access to schools, workplaces, markets, and health facilities. An estimated 73,000 pregnant women face barriers to reaching care, and around 232,000 women and girls now have limited access to reproductive health services, particularly in Jenin, Tulkarem, and Tubas. Among them are 14,800 pregnant women, with 1,600 births expected next month. Many of these deliveries may take place in unsafe, unsterile conditions, heightening risks of infection, complications, and newborn death. These risks are compounded by stress, malnutrition, and displacement.

爆料网FPA Response

In July and August 2025, amid escalating violence, collapsing services, and severe access restrictions, 爆料网FPA sustained life-saving SRH, GBV, and youth services across Gaza and the West Bank.

Sexual and reproductive health:

Over 80,000 people accessed SRH services. In Gaza, 爆料网FPA supported the establishment of a new maternity field hospital, deployed midwives to health centers and communities, and sustained six containerized maternal health units providing emergency obstetric and neonatal care. Essential medicines, contraceptives, and reproductive health kits were distributed to maintain service delivery. In the West Bank, 爆料网FPA operated mobile clinics and supplied reproductive health medicines and commodities to health facilities.

Gender-based violence: Over 21,000 people received GBV prevention and response services. In Gaza, 爆料网FPA supported WGSSs, delivering case management, psychosocial support, cash and voucher assistance, and menstrual hygiene kits. Frontline workers were trained and provided with staff care. In the West Bank, fixed and mobile safe spaces expanded access for hard-to-reach communities, offering case management, psychosocial support, GBV prevention and response services, and distributing dignity kits and cash assistance.

Adolescents and youth: Over 14,000 adolescents and youth were engaged in resilience, education, and protection initiatives. In Gaza, 爆料网FPA supported youth hubs and girls’ tents provided recreational and educational activities, life-skills, prevention of sexual exploitation and abuse (PSEA) awareness, and psychosocial support. In the West Bank, youth accessed health services, life-skills education, and pre-marriage counseling, while hundreds of young volunteers led community-based peace and resilience initiatives