Gaza Humanitarian Response | Situation Report No. 20

13 Nov 2025

As of 18:00 on 12 November 2025, unless otherwise noted.

This report, issued daily from Monday to Saturday, outlines efforts and progress made by the UN and its partners to scale up humanitarian response across the Gaza Strip under the ceasefire that entered into effect on 10 October 2025. For all situation reports see here.

HIGHLIGHTS

On 12 November, WHO facilitated the medical evacuation of 19 critical patients, alongside 33 companions, from Gaza for specialized care abroad.
The nutrition situation across the Gaza Strip showed improvement in October, with 110,000 children screened and 9,200 cases of acute malnutrition treated, down from 11,700 in September and 14,400 in August. Global and severe acute malnutrition rates dropped from 24 to 20 per cent.
Some 44 partners continue water trucking and distribution across the Gaza Strip, including the repair of a well in Jabalya Camp and support to maintain generator access.

SITUATION OVERVIEW

According to the Site Management Cluster (SMC), movement of people across flow monitoring points from south to north of the Strip has remained steady, averaging approximately 4,000 movements per day over the past few days. Reverse movements from north to south have been minimal, averaging fewer than 100 per day.

UNITED NATIONS-COORDINATED HUMANITARIAN AID ENTRY^*

On 12 November, 2,977 pallets of aid administered by the UN and its partners were offloaded at Gaza’s crossings, based on data retrieved from the UN 2720 Mechanism dashboard at 18:00 on 13 November. About 39 per cent of these pallets included food, followed by WASH supplies (29 per cent), shelter supplies (20 per cent), health supplies (8 per cent), and nutrition supplies (4 per cent).

On 12 November, based on preliminary data, at least 1,035 pallets of blankets, winter clothes, mattresses and hygiene kits, as well as 345,000 litres of fuel were collected from the crossings under the United Nations coordinated mechanism. This data excludes bilateral donations and the commercial sector.

As of 13 November, Kerem Shalom and Kissufim crossings remain open and operational. On 12 November, Zikim crossing reopened.

Meanwhile, Government-to-Government convoys from Jordan remain suspended since 18 September and ongoing customs delays and stringent scanning procedures continue at Ashdod Port.

Within Gaza, the Salah ad Din Road has not yet reopened. As a result, cargo collection in the south remains limited to the narrow and highly congested Philadelphi Corridor/Al-Rasheed Road, exposing convoys to heightened risks of interception, particularly when loaded trucks are forced to pause in crowded areas.

HUMANITARIAN RESPONSE

Health

On 12 November, WHO facilitated the medical evacuation of 19 critical patients, alongside 33 companions, from Gaza to receive specialized care abroad.

Shelter

From 9 to 12 November, more than 16,000 tents and 10,000 blankets entered the Strip.
During the same period, cluster partners distributed emergency shelter materials and other essential items across Gaza as follows:
- Some 7,000 blankets to more than 1,800 households.
- About 15,000 tarpaulins to more than 3,700 households.
- Winter clothing to more than 500 households.
Several partners started moving additional supplies to northern Gaza and have already identified specific neighbourhoods for targeted interventions. Partners continue to face significant challenges in access and implementation, largely due to extensive rubble, damaged infrastructure, and the limited space available for distributions or site setup.

Water, Sanitation and Hygiene

Piles of solid waste at Firas market in Gaza city are now reaching up to six to eight metres high, creating hazardous conditions. Discussions with technical authorities are underway to identify solutions.
Medical waste poses a serious risk, with no organized collection or disposal system in place; joint meetings are ongoing to address this issue and explore possible interventions.
Joint visits to major hospitals are scheduled to investigate recent water contamination incidents and assess the functionality of water treatment systems.
Some 44 partners continue water trucking and distribution across the Gaza Strip, repairing wells like one recently restored in Jabalya Camp and supporting access to generators to sustain operations.
Progress has been made in repairing sewage pumping stations and improving water distribution, though further support and coordination are still needed.

Nutrition

The nutrition situation in the Strip is starting to improve. In October, partners screened around 110,000 children, identifying 9,284 cases of acute malnutrition, who were subsequently admitted for treatment, compared with 11,747 cases in September and 14,436 in August. The global and severe acute malnutrition rate decreased from 24 to 20 per cent.
Blanket Supplementary Feeding Programme continues to be delivered at scale, reaching 74,000 children and Pregnant and Breastfeeding Women since the beginning of November.

Protection

From 9 to 11 November, partners provided mental health and psychosocial support interventions for 11,500 people, including 4,000 children and 300 caregivers. Eight thousand others were reached through awareness and risk education on Gender-Based Violence (GBV), Protection from Sexual Exploitation and Abuse, child protection, and crisis coping. Around 260 people received case management or specialized support, 2,400 received hygiene/dignity supplies, 1,500 households received from food or material assistance, and 140 people with disabilities accessed rehabilitation services.
Child Protection (CP):
- Ongoing “Teaching Recovery Techniques” training is being conducted with four partners in northern Gaza to support children’s psychosocial recovery.
- A second round of training-of-trainers on supporting children with disabilities took place on 6 and 13 November, further strengthening technical capacity among partners in child protection service providers from Khan Younis, Deir al Balah and northern Gaza.
Gender-Based Violence:
- GBV response has expanded, with two new partners establishing activities in northern Gaza, bringing the total number of women’s and girls’ centres active across the Gaza Strip to 236.
- Around 9,600 people received GBV response services in the past week across the Strip, including psychosocial support, case management, and the distribution of dignity kits.
Mine Action:
- Additional Explosive Ordnance Training capacity is being deployed to enhance the speed and effectiveness of responses to Explosive Hazard Survey (EHS) requests, with two additional organizations.
- Three EHS incidents have been recorded and addressed since the start of the ceasefire.

Emergency Telecommunication Cluster

The cluster is coordinating with partners to repair damaged internet fiber lines in the Strip, particularly near Erez Crossing, though access delays continue to risk communication blackouts.
Repairs are challenged by a shortage of spare fiber, with previous fixes made possible through partner donation.
Alternative solutions, including long-distance radio links, are being explored to maintain connectivity in case of further disruptions.
Work is ongoing with partners to expand and strengthen secure communication systems for wider and more reliable coverage.

* All figures solely refer to UN and partner assistance dispatched through the UN-coordinated system. They are preliminary and will be reconciled in the course of the ceasefire. Supplies entering through bilateral donations and the commercial sector are not reflected.