Gaza Humanitarian Response | Situation Report No. 29

As of 18:00 on 23 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

  • Under the Nutrition Cluster, 4,000 cartons of Ready-to-Use Therapeutic Food (RUTF) and 50,000 bags of Super Cereal Plus were dispatched across Gaza last week to treat acutely malnourished children below and above the age of five. Malnutrition treatment sites in Gaza city have risen to 23. 
  • More than 13,700 children under the age of three have already been vaccinated through the ongoing catch-up immunization campaign. 
  • On 23 November, health partners retrieved critical medical equipment from the non-functional European Gaza Hospital in Khan Younis.

SITUATION OVERVIEW

Findings from the World Food Program (WFP) Market Monitor covering the first ten days of November show that, despite the ceasefire, most households in Gaza still face challenges in accessing markets due to lack of cash and in affording basic food items. While meal frequency for most surveyed households has improved compared to previous months, food consumption remains far below pre-conflict levels. Diets are dominated by cereals, pulses, and moderate amounts of dairy and oil, with very limited access to meat, vegetables, and fruits. Cooking gas shortages persist, forcing many families to rely on alternative methods like waste burning. The report shows an improvement in the prices of basic food commodities, which nonetheless remain higher than prior to 7 October 2023 levels and beyond the reach of most people.

Population movements continued across Gaza, with more than 21,300 recorded by Site Management partners between 16 and 22 November. Overall, since the onset of the ceasefire on 10 October, over 753,500 movements have been observed, of which more than 624,000 have been from southern to northern Gaza. As winter sets in, displaced households continue to face significant challenges in securing adequate shelter and reliable heating sources, with the risk of flooding further exacerbating their vulnerability.

UNITED NATIONS-COORDINATED AID ENTRY*

On 23 November, 3,959 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 24 November. About 68 per cent of these pallets contained food supplies, followed by shelter (30 per cent), operations, logistics and communication items (1 per cent), and health supplies (1 per cent). At least 109 truckloads were offloaded in Kerem Shalom and 61 truckloads in Zikim. 

On 21 and 23 November, UNOPS international monitors deployed at Gaza’s crossings observed the collection of 4,106 pallets of aid – 2,866 from Kerem Shalom and 1,240 from Zikim. These comprised 2,503 pallets of food supplies, including 1,011 of wheat flour; 559 pallets of blankets; 330 of winter clothes; 248 of hygiene items; 169 of cleaning supplies; 90 of animal feed; 88 of Lipid-based Nutrient Supplements for malnutrition programming; 45 of kitchenware; 26 of medical consumables; 20 of sleeping bags; 18 of tents, and 10 of wood pellets.

On 22 November, the UNOPS monitors were not able to obtain access to Kerem Shalom due to military activity. There was equally no mission to Zikim on 22 November as all planned cargo had already been collected.

Overall, between 10 October when the ceasefire entered into effect and 23 November, more than 104,606 pallets of aid were offloaded, and 88,958 pallets collected, from the different crossings, with only 1,838 pallets (three per cent of all collected) intercepted during transit in Gaza.

All the above data excludes bilateral donations and the commercial sector.

As of 24 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

  • During the first 11 days of the catch-up immunization campaign launched on 9 November, more than 13,700 children under the age of three were vaccinated. Discussions are ongoing for another potential round of vaccinations in the first quarter of 2026.
  • On 23 November, a health partners’ mission to the European Gaza Hospital in Khan Younis was approved, allowing the recovery of critical cardiac medical equipment.

Food Security

  • Approximately 80,000 metric tons (MT) of food supplies – both staple and fresh food stock – are required to enter Gaza each month to enable a diverse diet for acceptable food security for 2.1 million people, given the extremely limited local production capacity and higher needs compared to pre-crisis levels. This is an increase from the previous estimate of 62,000 MT for minimum emergency assistance requirements before 10 October 2025. Current humanitarian assistance provided under the Food Security Sector framework mainly entails basic staples (mostly carbohydrates), while commercial supply of fresh produce remains insufficient to guarantee adequate dietary diversity. Due to months of restricted access for both humanitarian and commercial deliveries, food quantities must be scaled up to compensate for the accumulated gap, support recovery efforts, and meet urgent needs—requiring both higher volumes of staples and greater diversity of food items.
  • In addition to the 42,000 empty flour and rice sacks donated during previous weeks, another batch of 40,000 sacks have been donated to the Site Management Cluster partners to support community-led flood mitigation efforts.

Nutrition

  • The Nutrition Cluster continues to ensure early detection and treatment of acute malnutrition. Last week, 4,000 cartons of Ready-to-Use Therapeutic Food (RUTF) were dispatched to partners to support the treatment of all acutely malnourished children expected to be admitted in the second half of November. Available stocks of RUTF in Gaza may now cover all needs among under-five children through the end of the first quarter of 2026. 
  • Over 50,000 1.5-kilogramme bags of Super Cereal Plus have also been dispatched to partners, sufficient to meet the nutritional needs of 33,000 acutely malnourished children above the age of five for one quarter.
  • On 19 November, a Cluster partner opened a field hospital in Gaza city that provides outpatient treatment for acute malnutrition. In addition, two more health centres offering nutrition services were established, bringing the total number of functional malnutrition treatment sites in Gaza city to 23. 

Shelter

  • Between 20 and 22 November, Shelter Cluster partners distributed 900 tents, 5,100 tarpaulins, 2,300 blankets and clothing vouchers to vulnerable households.
  • The entry of shelter materials under the Cluster framework remains limited and insufficient. While more than 5 million bedding items, 800,000 tarpaulins, 56,000 tents and 29,000 solar lights are in the humanitarian pipeline, registration issues for international NGOs continue being a major obstacle for material entry.

Site Management

  • Site Management partners are working continue to work in makeshift sites to prepare the population for winter and implement measures to reduce the impact of potential flooding, using primarily flour and food sacks for these efforts. For the most at-risk populations living along the shoreline, discussions are ongoing regarding possible relocation, as no effective mitigation measures exist. Partners continue to collect and share updates on site changes to ensure all stakeholders remain informed.

Protection

  • Between 19 and 22 November, cluster partners facilitated 250 referrals to the Shelter Cluster and Cash Working Group. During the same time period, over 5,600 individuals were supported with different protection activities. 
  • Child Protection
    • Child Protection partners have continued distributing winter items, providing around 10,000 winter clothing items between 22 and 23 November, along with additional winter supplies for families of children with protection concerns. In northern Gaza, partners still face warehouse capacity constraints, which limit their ability to expand distributions. 
    • Three child-friendly spaces in Khan Younis that had temporarily suspended operations due to damage from the recent heavy rains have now resumed activities, restoring children’s access to essential protection and support services. 
  • Gender-Based Violence (GBV)
    • Cluster partners established a new Women and Girls’ Safe Space in Al Kateeba, Gaza city, increasing access to GBV and psychosocial support in the area.
    • A partner-operated safe shelter for vulnerable women and GBV survivors in Gaza city sustained significant damage following an airstrike on a nearby apartment. The GBV Area of Responsibility (AoR) is actively working to rehabilitate the facility to ensure the continuity of essential services.
  • Mine Action
    • On 24 November, Mine Action partners completed 11 Explosive Hazard Assessments across the Strip. 
    • Explosive ordnance risk education sessions continue being implemented daily by four partners in Deir al Balah, Khan Younis and Gaza city.

Education

  • Two learning spaces, set up in the course of November in Khan Younis and serving more than 3,100 school-aged children, have received stationery kits to improve the quality of learning. Despite escalating efforts to reach all pre-school and school-aged children, the entry restrictions on learning supplies continue to be a major bottleneck. Advocacy and coordinated efforts are urgently needed to facilitate the entry of these materials. 
  • An additional learning space opened on 22 November in Deir Al Balah: it is now supporting 240 learners and is staffed by 14 education personnel. Hundreds more learning spaces are still required to meet the needs of all children, and their establishment is contingent on the entry of high-performance tents and the relocation of displaced families from the remaining school buildings.

Fuel

  • Between 21 and 24 November, the UN Office for Projects and Services (UNOPS) distributed 715,814 litres of diesel to partners – 536,017 litres in the south and 179,797 litres in the north – to support critical WASH, health, logistics, rubble removal, education, nutrition, cash, and protection operations. During the same timeframe, UNOPS collected 531,750 litres of diesel and 51,100 litres of petrol from the Kerem Shalom crossing, with no uplifts occurring on 21 and 22 November.

* 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.