Gaza Humanitarian Response Update | 30 September - 13 October 2024

A child receives treatment at Kamal Adwan Hospital’s Intensive Care Unit in North Gaza. Photo by OCHA
A child receives treatment at Kamal Adwan Hospital’s Intensive Care Unit in North Gaza. Photo by OCHA

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Period: 30 September - 13 October 2024

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The information below is provided every other week by Clusters and select technical working groups operating in the Occupied Palestinian Territory (OPT). For an overview of priority needs and activities by cluster, please see the Flash Appeal.

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Health

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Response

  • On 12 October, two WHO-led missions, together with the Palestine Red Crescent Society (PRCS), Cadus, the UN Mine Action Service (UNMAS) and OCHA, successfully transferred 19 critical patients from North Gaza to Al Shifa Hospital, in Gaza city, and delivered 20,000 litres of fuel to Kamal Adwan (15,000) and Al Awda (5,000) hospitals, in North Gaza, following three previous attempts. Only five out of 15 medical points in North Gaza that were functioning in the last few months are now considered functional. 
  • On 12 October, a mission was approved to deliver 23,000 litres of fuel, medical supplies and 800 units of blood to As Sahaba Hospital in Gaza governorate, after being denied access five times. In Gaza governorate, there are 41 health service points supported by 13 partners that provide basic healthcare. 
  • As of 13 October 2024, Al-Awda, Indonesian, and Kamal Adwan hospitals in North Gaza are operating at minimal capacity, with all fuel supplies depleted and more than ten trauma-related fatalities reported on hospitals’ grounds since the military operation in northern Gaza began on 6 October. The three hospitals currently have 285 patients, including eight children and five adults on ventilators in the Intensive Care Unit (ICU), and 161 patients in the emergency department. Many of the patients urgently require advanced surgeries, such as neurosurgery and vascular surgery. At Al-Awda, there are also two pregnant women and six new mothers who have been unable to return home and remain hospitalized.   
  • Preparations are underway for the second round of the Polio Vaccination Campaign, which includes vitamin A supplements, between 14 and 25 October.  
  • Over the last year, Health Cluster partners have carried out:  
    • Some nine million primary healthcare consultations. 
    • Some 476,000 trauma and emergency-related interventions. 
    • A total of 245,000 children immunized against diseases. 
    • Some 185,000 ante-natal consultations. 
    • Some 297,000 post-natal consultations. 
    • Some 1.7 million consultations for the management of non-communicable diseases. 
    • Some 75,100 multi-disciplinary rehabilitation consultations. 
    • Some 1.4 million basic psychosocial support and psychological first-aid consultations. 
    • A total of $114 million worth of health supplies and equipment procured, with nearly $80.3 million worth of supplies delivered. 

Challenges

  • Increased insecurity and persistent limitations on access to northern Gaza continue to pose significant challenges to the delivery of essential health services and vital life-saving supplies, such as fuel and medicine. For example, in Gaza governorate, health service points are near closure due to limited access to the area and resultant fuel shortages. 
  • Escalating hostilities are contributing to an increased bed occupancy rate at the few remaining partially functional hospitals across the Gaza Strip and straining their capacities.  
  • Insecurity continues to severely restrict the transportation of humanitarian aid and medical supplies from crossing points. 
  • A substantial backlog of over 12,000 patients await urgent medical evacuation outside the Gaza Strip.

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Nutrition

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Response

  • Efforts are underway to re-open a medical point in Gaza governorate, after mass evacuation orders and escalating hostilities forced three medical points that offer outpatient nutrition services to close in North Gaza (one) and Gaza (two) governorates and compromised the treatment of about 2,000 acutely malnourished children in northern Gaza.  
  • The blanket supplementary feeding programme through the distribution of small-quantity and medium-quantity Lipid-based Nutrient Supplements (LNS-SQ and LNS-MQ) and High-Energy Biscuits (HEB) – specialized products that provide energy and micronutrients – continues to target all children under the age of five and pregnant and breastfeeding women (PBW). As of September, more than 85 per cent of children are estimated to face severe food poverty and consume less than two types of food per day, indicating almost non-existent levels of child dietary diversity.  
  • Since January 2024, nutrition cluster partners have: 
    • Distributed 585,750 one-month supplements, reaching 31 per cent of children (90,800 out of 297,000) targeted with LNS-MQ per month at best (e.g. July) and 34 per cent of children targeted with LNS-SQ. An additional 147,000 children received HEB. Distributions also reached 25 per cent (200,000) of PBW targeted with LNS-MQ and 10 per cent of PBW targeted with LNS-SQ and HEB. 
    • Established 18 mother-baby-friendly spaces and 392 mother support groups. 
    • Reached at best 77 per cent (123,000) of caregivers and PBW (e.g. April) targeted with Infant and Young Child Feeding (IYCF) counselling per month.  
    • Supported the treatment of acute malnutrition cases: Severe Acute Malnutrition (SAM) admissions met 52 per cent of the target, with 5,214 cases admitted, 55 per cent of them in the last three months; and Moderate Acute Malnutrition (MAM) admissions met 46 per cent of the target, with 18,874 admissions, including 10,734 between July and September. 
    • Reported carrying out 350,400 screenings of children, including a monthly maximum of 78,000 children (e.g. July), and 54,000 screenings of PBW.

Challenges

  • Since January, and despite several attempts to scale up the nutrition programme, recurrent displacement, including of nutrition partners, shrinking humanitarian space, and continued supply chain complications, have not allowed for the full coverage of the needs, despite the prepositioning of adequate quantities of supplies outside the Gaza Strip. 
  • At the same time, the reduction of access in health services due to the massive evacuation orders and hostilities, especially in northern Gaza, will further delay the detection and start of the treatment of children in need and compromise the follow up of children already under treatment. 
  • The situation is expected to deteriorate due to a sharp reduction in the number of commercial trucks entering the Strip, which has further jeopardized the nutrition status of already vulnerable children who have suffered for months from very poor access to adequate diet, water and hygiene products. . This is also raising commodity prices beyond the sharp increases already registered since the escalation of the hostilities in October 2023 and threatening the market's stability, which could have severe consequences for malnutrition.

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Food Security

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نشرت بتاريخ 14 أكتوبر 2024