In the Shujaeyya neighbourhood on Baghdad street in Gaza City, a woman is carrying her child back home through the rubble. Palestine, 2025. © MSF
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Palestine: Ceasefire in Gaza, humanitarian aid must flow immediately

MSF calls for sustained humanitarian access and medical evacuations as Gaza’s health system lies in ruins.

The announcement of the first phase of the ceasefire in Gaza brings a welcome moment of relief for exhausted, starved and grieving Palestinians and a great relief to the families of all hostages — but it comes after more than two years and over 67,000 lost lives. 

While we welcome the ceasefire, it does not mark the end of this horrendous suffering. People in Gaza are left to survive amid the ruins of what was once their home, facing immense medical, psychological and material needs. 

“The feeling of our colleagues and the people around us is one of hope, a lot of hope, wishing that this nightmare will finally stop and they will be able to be at peace, be able to recover from their trauma, both physical and mental,” says Jacob Granger, MSF emergency coordinator in Gaza. “But there’s also a lot of uncertainty of what is going to happen, what are the next steps.”  

The ceasefire must be respected and sustained because it’s the only way that will allow care to be provided at the scale people desperately need — something that was impossible under siege and bombardment. In the long term, we hope to see this ceasefire leading to efforts to rebuild the Gaza Strip, including restoring the shattered healthcare system. The most basic necessities are still urgently needed in Gaza: medical equipment, medicines, food, water, fuel and adequate shelter for two million people who will face the approaching winter without a roof over their heads. 

This ceasefire must be accompanied by an immediate massive and sustained scale-up of aid into and across Gaza, including the north. We urge the Israeli authorities to allow a sufficient and unimpeded flow of humanitarian assistance and to authorize medical evacuations for patients in need of urgent specialist care. At the same time, the UN-led humanitarian coordination mechanism must be reinstated to guarantee safe and impartial access to aid for people in need, wherever they are in the Gaza Strip.