Gaza Humanitarian Response | Situation Report No. 23

As of 18:00 on 15 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

  • Health coverage is expanding. As of 16 November, the number of health service points rose to 219, compared to 197 in October.
  • Between 14 and 16 November, cluster partners helped to distribute at least 83,000 tarpaulins, 59,000 blankets and 9,000 tents across the Strip.

SITUATION OVERVIEW

Heavy rain on 14 November caused severe flooding across Gaza, especially in Gaza city and northern Gaza, affecting over 13,000 families. The rain also further damaged drainage systems, destroyed thousands of tents, and disrupted humanitarian activities. Partners are providing emergency shelter and winterization support to the affected households with thousands of shelter items distributed in the past few days. OCHA and partners are prioritizing rapid assessments and urgent flood-mitigation efforts, though critical supplies are still awaiting entry.

The Site Management Cluster estimates the number of displaced people living in managed sites to be approximately 1.2 million with about 10 per cent in northern Gaza and 90 per cent in the rest of the Strip. Another 1 million people are estimated to live in informal makeshift sites with limited access to assistance and facing increasingly difficult conditions with the arrival of the winter season.

On 16 November, the Ministry of Health (MoH) in Gaza reported receiving 15 bodies of deceased Palestinian detainees, bringing the total since the start of the ceasefire to 330. 

UNITED NATIONS-COORDINATED AID ENTRY*

Between 15 and 16 November, 3,670 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 12:00 on 17 November. About 58 per cent of these pallets included food, followed by shelter supplies (27 per cent), WASH supplies (12 per cent), and various other kinds of supplies (4 per cent).

Between 11 and 15 November, 842 truckloads were collected from Gaza’s crossings: 658 from Kerem Shalom, 61 from Kissufim and 123 from Zikim. These contained 9,553 pallets of food parcels, mixed food and water, 856 pallets of wheat flower and 75 mt of animal fodder; 3,447 pallets of winter clothes, tents, blankets, tarpaulins, kitchen sets, and mattresses; 938 pallets of dignity kits, hygiene kits, and diapers;  236 pallets of medical items and medicine; 6 pallets of generator oil; and 188,200 litres of fuel.

As of 17 November, Kerem Shalom, Zikim, and Kissufim crossings are operational, with humanitarian cargo offloading and uploading alternating days between Zikim and Kissufim.

HUMANITARIAN RESPONSE

Health

  • Health partners continue to deliver routine services across the Strip and health coverage is expanding. As of 16 November, the number of health service points rose to 219, compared to 197 in October. The 22 new service points are 12 primary health care centres, six medical points across the Strip and in four hospitals: Rantissi, Haifa, Gaza Ophthalmic and St John’s Eye hospitals in Gaza city.

Water, Sanitation and Hygiene

  • As of 16 November, WASH partners continued with the following activities:
    • Repairs of critical water and wastewater infrastructure, including the South Well; resumption of pumping at Al-Amal Basin; continued installation of the additional Sheikh Radwan pipeline (600/1,000 m completed) and launch of wastewater network repairs at three priority locations.
    • Intensification of stormwater and winterization preparedness with the Coastal Municipalities Water Utility (CMWU): opening and cleaning the blocked Salah Ad Din stormwater culvert, debris removal at Manara and Saftawi stations, and deployment of mobile pumps and vacuum trucks to manage flooding across northern Gaza.
    • Partners strengthened power supply capacities by delivering 6,012 litres of generator oil to CMWU, and installing and operating generators. The Beit Lahia Municipality fabricated a mobile trailer to move generators between wells.
    • Debris was removed from key sites, enabling maintenance at secondary wells in Sheikh Radwan, clearing access to Al-Quds Well in Jabalia, and accelerating cleanup at Al Shifa Hospital desalination plant site.
    • Rain triggered widespread flooding, particularly in Gaza city and northern Gaza, with thousands of families affected and their tents damaged or destroyed. Sheikh Radwan Basin rose by 37 cm, prompting urgent field action and continuous vacuum truck operations. Various materials for winterization (flood mitigation) remain blocked from entering Gaza.

Protection

  • Since 14 November, partners provided mental health and psychosocial support, psychosocial support, child protection, gender-based violence (GBV) prevention and response, explosive remnants of war/mine risk education and awareness activities to more than 28,000 people, including children, women, caregivers, frontline workers, people with disabilities, and displaced families. The services included 140 sessions of speech therapy, 27 sessions of physiotherapy, 260 case management of new and follow-up cases of people in need, and legal counselling to 15 people. In addition, partners provided dignity kits, menstrual hygiene management supplies, diapers, hygiene parcels, food parcels, water containers, cash, and winter clothing to almost 4,000 families.
  • Child Protection 
    • On 15 and 16 November, partners distributed 3,000 winter kits across the Strip.
    • During the same period, more than 4,400 winter clothing kits were distributed to maternity hospitals across the Strip. Another 6,300 winter clothing kits for children under 2 were received and are planned for distribution this week.
    • Since the start of the ceasefire, the partners distributed about 33,000 winter clothing kits with more distributions planned in the near future.
  • Gender-Based Violence
    • GBV prevention and response activities continued across the 36 Women and Girls Safe Spaces across Gaza, reaching over 8,700 people last week with multisectoral services, including psychosocial support, case management, and dignity kit and menstrual hygiene material distribution.
  • Mine Action 
    • Over 160 Unexploded Ordnance (UXO)-related cases have been referred to partners for follow up since the ceasefire, with no newly reported incidents in recent days. Teams continue assessments and inter-agency missions across Gaza.

Shelter

  • On 15 and 16 November, more than 10,000 tents entered the Strip.
  • Between 14 and 16 November, cluster partners helped to distribute at least 83,000 tarpaulins, 59,000 blankets and 9,000 tents across the Strip. Additional distributions are planned in the coming days.

Education

  • Several temporary learning spaces were damaged by the rainstorms, and partners are now assessing repair needs and required materials. 
  • The Cluster is coordinating with partners to address challenges preventing students from accessing their exam results, including technical issues such as passwords used during exams not being linked to their registration IDs.

Site Management

  • Partners are working to address flooding impact and prepare for worsening winter conditions by identifying high-risk sites, assessing alternative location options, and coordinating drainage works, despite severe constraints on supplies and capacity.

* 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.