In a statement published on Saturday to mark World Humanitarian Day, UN humanitarian coordinator Lynn Hastings said 77 healthcare workers were injured and 30 ambulances damaged while trying to help people in the occupied territory so far in 2023, whether during raids or protests or just on average days.

First responders – non-governmental organisations working with volunteers, doctors, nurses, municipal workers and more – often put their lives at risk while providing help, Hastings said.

They are impeded “amid Israel’s occupation, movement restrictions, political divisions, recurrent conflict, and even efforts to denigrate their work”, Hastings said.

Countless testimonies from first responders on the ground over the years have documented Israel’s deliberate practices in targeting first responders that show no signs of stopping.

Medical staff targeted

Omar Azzam, international humanitarian law coordinator at the Palestine Red Crescent Society, told Al Jazeera there were 193 violations by Israeli forces against its medical staff in the occupied West Bank to date in 2023.

These, he said, included direct attacks in the field, attacks on ambulances, denying and obstructing access, and targeting the wounded and the sick.

“In July alone, 10 direct attacks were recorded against medical staff, from gas and live fire, the last of which happened to a field volunteer in the Askar camp while providing treatment,” Azzam said. “He wore a badge but he was shot in the foot, which means it was intentional.”

In Jerusalem, Azzam’s team recorded 314 cases of first responders being prevented from driving to a location or being forced to change vehicles without consideration for the patients’ safety up to the end of June.

They also reported 80 cases of paramedics being denied complete access to the wounded by Israeli forces and 41 cases of being delayed or obstructed.

Moreover, nine patients were kidnapped while receiving medical treatment, something that happens even inside ambulances.

Azzam said during the latest Jenin raid, “One patient, in critical condition, was interrogated inside the ambulance then arrested and transferred to a military patrol after an assault on the paramedics.”

‘I crawled on the ground’

Hamza Abu Hajar, a volunteer at the Palestinian Medical Relief Society in Nablus, has paid a high price over the six years he has been providing assistance.

The 27-year-old told Al Jazeera he was shot in the chest with live ammunition during an Israeli raid in Nablus last December, which left him fighting for his life in intensive care for several days.

“Eight months after the injury, I’m still suffering complications from the bullets that entered my chest and [went] out through my back,” he said.

“Over the years, I’ve been subjected to many attacks by occupation forces, including when they shoot bullets, tear gas and sound bombs to prevent me from reaching the wounded, or even when occupation patrols attack me.”

Amir Ahmad Amir, a volunteer at the Red Crescent in Nablus, was shot by Israeli forces last month.

The 25-year-old, who became a father three months ago, was at the Askar refugee camp in Nablus trying to provide medical assistance to a child when he was shot three times in both legs by Israeli snipers.

“I crawled on the ground to try to get to a wall, but the bullets were being fired at me, directly and deliberately. Some of them shot through the shoes I was wearing,” he told Al Jazeera from a hospital, where he will undergo an operation for nerve damage.

Israel said after the July operation in Jenin it “ensures that humanitarian assistance is provided and does not apply any limitation on access for medical staff, except in places where the lives of medical staff is at risk due to exchanges of fire”.

Additional reporting by Ayman Nobani from Nablus in the occupied West Bank