Palestinians in Gaza are ‘locked in’, denied free access to the remainder of the occupied Palestinian territory and the outside world. Movement restrictions imposed by Israel since the early 1990’s and intensified in June 2007, following the takeover of Gaza by Hamas, have severely undermined the living conditions. The isolation of Gaza has been exacerbated by restrictions imposed by the Egyptian authorities on its single passengers crossing (Rafah), as well as by the internal Palestinian divide. The UN Secretary-General has found that the blockade and related restrictions contravene international humanitarian law as they target and impose hardship on the civilian population, effectively penalizing them for acts they have not committed. Major escalations of hostilities in the past years have resulted in extensive destruction and internal displacement.
In Gaza, severe limb injuries caused by live ammunition have created a substantial burden on the already overstrained health system. Between 30 March 2018 and 31 July 2019, more than 8,000 Palestinians have been injured by live ammunition by Israeli forces during the “Great March of Return” (GMR) demonstrations along the fence between Gaza and Israel. According to the oPt Health Cluster, 87 per cent of these are limb injuries, with injuries to the abdomen and pelvis accounting for approximately five per cent.
The increase in electricity supply in the Gaza Strip since October 2018 has improved the delivery of water and sanitation services, while reducing expenditure on fuel for back-up generators for households and businesses. This increase has also reduced the need for the emergency fuel provided by the UN to avert the collapse of key service providers.
Since early 2018, citing security concerns, the Israeli authorities, and to a lesser extent Hamas, have imposed various measures which further tightened restrictions on the movement of humanitarian staff in and out of Gaza. Combined, these procedures have increased uncertainty, delays and logistic challenges. The UN continues to conduct negotiations with all relevant actors in Israel and Gaza to alleviate these restrictions.
UNRWA, in partnership with UNICEF and with the support of the European Union, has concluded the “Keeping Kids Active” (KKA) project in Gaza. Over five weeks, from 29 June to 1 August, KKA reached approximately 100,000 children throughout Gaza, providing recreational activities, psychosocial assistance, and referrals to more specialized mental health services, where needed.
For the past decade, the Gaza Strip has suffered from a chronic electricity deficit that has undermined already fragile living conditions. The situation deteriorated further after April 2017 due to disputes between the de facto authorities in Gaza and the West Bank-based Palestinian Authority (PA), which has been ongoing since the takeover of Gaza by Hamas in 2007. The failure to resolve a longstanding dispute between the two Palestinian authorities on issues related to tax exemption for fuel and revenue collection from electricity consumers resulted in the PA reducing payments for electricity in Gaza. Compounded by a halt in the electricity supply from Egypt due to malfunctioning and inability to repair the feeder lines, this triggered electricity blackouts of 20-22 hours a day. The power shortages had a severe impact on essential services such as health, water and sanitation services, and undermined Gaza’s fragile economy, particularly the manufacturing and agriculture sectors. During this period, the UN coordinated the delivery of donor-funded emergency fuel for generators to ensure the operation of some 250 critical health and WASH facilities.