Gaza Humanitarian Response | Situation Report No. 27

21 Nov 2025

As of 18:00 on 20 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 partners continue to deliver life-saving health services across 220 Health Service Points out of a total of 590 in the Gaza Strip, with 217 partially functional and three fully functional.
On 18 and 19 November, shelter partners distributed more than 23,500 tarpaulins, 5,100 tents, 68,300 bedding items, and 1,000 kitchen sets, reaching approximately 27,000 affected households.

SITUATION OVERVIEW

The Site Management Cluster (SMC) currently has records of 925 active displacement sites across the Gaza Strip, with a total recorded population of just under 1.5 million people. Of these sites, 767 are makeshift sites hosting over 1.1 million people and 158 are partner-managed collective centres with a population of about 350,000. Through recent mapping, SMC has identified 214 active makeshift sites that are at particularly high risk of flooding over the winter period due to their locations and site typology.

UNITED NATIONS-COORDINATED AID ENTRY^*

On 20 November, 4,853 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 11:00 on 21 November. About 63 per cent of these pallets contained food supplies, followed by shelter (24 per cent), water, hygiene and sanitation items (10 per cent), and nutrition supplies (3 per cent). At least 123 truckloads were offloaded in Kerem Shalom and 69 truckloads in Zikim.

On the same day, between 07:25 and 14:13 hours, UN2720 international monitors present at the Palestinian side of the Kerem Shalom and Kissufim crossings verified the collection of at least 2,029 pallets of UN and partner aid. These comprised 1,010 pallets of food supplies, 423 pallets of blankets, 100 pallets of hygiene items and 84 of diapers, 83 pallets of kitchen kits, 37 of tents, 32 of wood pellets, 31 of medical items, 8 of water tanks, and one pallet with fan heaters. According to preliminary data, 220,00 litres of fuel were also collected from Kerem Shalom.

Overall, between 10 October when the ceasefire entered into effect and 20 November, based on preliminary, partial data, 100,627 pallets of aid cargo were offloaded at Gaza’s crossings under the UN 2720 Mechanism, and 87,500 were collected into Gaza for onward distribution to people in need. All the above data excludes bilateral donations and the commercial sector.

As of 21 November, the Kerem Shalom, Zikim, and Kissufim crossings remained operational, with humanitarian cargo offloading and uplifting alternating days between Zikim and Kissufim.

HUMANITARIAN RESPONSE

Health

Health partners continue to deliver life-saving health services across 220 HSPs out of a total of 590 in the Gaza Strip, with 217 partially functioning and three fully functioning. These include 18 out of 36 hospitals, 10 out of 16 field hospitals, 82 out of 194 primary healthcare centers, and 110 out of 344 medical points.
The catch-up child immunization campaign continues to make progress. In nine days, more than 11,100 children under the age of three were vaccinated. Out of the total, 1.5 per cent received a dose for the first time, 25 per cent received a late dose, while the rest received an on-schedule dose.

Water, Sanitations and Hygiene (WASH)

An electricity disruption to the Southern Gaza Desalination Plant (SGDP) resulted in a one-third reduction in the plant's water production.
The connection of 19 shelters to the UAE water line in southern Gaza is nearly completed; it will reach more than 5,800 families through 121 tap stands.
As part of ongoing WASH winterization and repair efforts, cluster partners completed the repair of two 110mm sewage pipes in Gaza city, desludged sewage lines in West Jabalya, in North Gaza governorate, and maintenance of sewage pump stations in Khan Younis.
Ninety-five per cent of the works on the Sheikh Radwan stormwater lagoon outlet are now completed; the pumping is running at half capacity with water levels dropping.

Protection

On 19 November, Protection partners delivered 17 Psychological First Aid (PFA) sessions, provided family support to five households, conducted 50 legal awareness sessions, and offered an estimated 75 legal consultations. These efforts reached approximately 147 people in northern Gaza.
On the same day, in southern Gaza, activities included family-based sessions for 16 households, two case follow-ups, seven remote consultations, and counseling sessions and group consultations for 198 people. Additionally, relief items were distributed to 256 people, bringing the total reach in southern Gaza to approximately 456 people.
Child Protection
- Between 19 and 20 November, more than 1,400 children and 620 caregivers across Khan Younis, Deir Al Balah and Gaza city received Mental Health and Psychosocial Support (MHPSS) through fixed and mobile teams.
- Over the past week, an average of 950 children joined daily activities including PFA, individual and group counselling, recreational sessions, and emotional support. Caregiver engagement increased, with around 300 caregivers per day attending parenting support and stress-management sessions aimed at strengthening family coping and improving children’s well-being.
- Case workers identified and supported around 45 to 50 at-risk children each day across the Strip, including unaccompanied and separated children, children without parental care, children with disabilities, and children requiring urgent follow-up. They carried out assessments, safety planning, and referrals for specialized services including health, MHPSS, legal assistance, and emergency family tracing and reunification.
- Winterization support continued across multiple locations, with more than 2,200 distributions reaching families ahead of colder weather. This included 312 winter clothing kits across two camps in Khan Younis, 1,368 clothing packages for children aged three to nine in Gaza city and Deir al Balah, and winterization kits for 538 families in Barbara Camp in Khan Younis, with additional distributions planned in Al Shati Camp, Jabalya.
- Heavy rainfall affected several partners’ child-friendly spaces. In response, the cluster is equipping child protection service providers with 30 new high-performance tents to ensure safer spaces and expand access for children to MHPSS services.

Shelter

Shelter Cluster partners continue to support people affected by the recent rainstorm by assessing multiple sites and locations affected by flooding.
On 18 and 19 November, shelter partners distributed more than 23,500 tarpaulins, 5,100 tents, 68,300 bedding items, and 1,000 kitchen sets, reaching approximately 27,000 affected households.

* 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.