Gazas

Khan Yunis: As monitors beep and doctors consult near them, two tiny newborns lie silently side-by-side, sharing a single incubator in a southern Gaza hospital running short on space and supplies.

Gaza’s youngest already face an extremely precarious entry into the world, given the dire humanitarian situation in the war-shattered territory that borders Israel and Egypt.

But for babies needing specialist care, such as those born prematurely, the road ahead is even more perilous.

“The situation is dire: there is no oxygen available for them, nor is there any spare incubators in the hospital,” said Hatem Dhahir, head of the neonatal department at Nasser hospital in the southern city of Khan Yunis.

“We’re trying to transfer them to other hospitals, but they’re always full and the situation is very bad. Most of the children need oxygen and are very underweight, and things are going from bad to worse,” he told AFP.

The war between Israel and Hamas has devastated the Palestinian territory’s healthcare system, with many medical facilities rendered completely or partially unusable.

Ongoing Israeli restrictions on goods entering the Gaza Strip mean medical supplies and specialist equipment are also running low.

Dhahir said Nasser hospital had seen a significant increase in the number of premature births in recent months, as well as twins and triplets.

The influx was forcing staff to place two or even three babies in each incubator, he said.

In March, the UN’s humanitarian agency OCHA said that one in three pregnancies in Gaza were high-risk and 70 percent of newborns were premature or underweight.

Incubator sharing significantly increased mortality risks, it said.

‘No room’

Nearly the entirety of Gaza’s population was displaced at least once during the devastating war which started in October 2023.

The fighting flattened swathes of the territory, left hundreds of thousands of people living in tents and temporary shelters and shattered vital infrastructure such as sanitation and access to safe water.

Despite a US-backed ceasefire declared in October 2025, the Israeli military continues to target Palestinians it says are militants.

A UN-mandated inquiry published in June said that severe shortages of food, medical supplies, fuel and the collapse of healthcare services had an enormous impact on maternal health.

“Against this background, rates of miscarriage, stillbirth, low-birthweight infants and congenital defects have increased,” the UN’s Independent International Commission of Inquiry said.

Heart conditions were among three types of congenital defects to have particularly increased, the commission said, citing medical practitioners.

In southern Gaza, Mona Ahmad was accompanying a baby taken to Nasser hospital in late August and diagnosed with a serious congenital defect in which the heart’s two main blood vessels are switched in position.

“We received a final report stating that the baby was suffering from transposed arteries and needed to be transferred, as there was absolutely no treatment available for her here,” Ahmad told AFP.

“The baby spent a full week in the neonatal unit and was discharged because there was no room for her there,” she added.

In a bid to revive Gaza’s neonatal care system, the UN children’s agency UNICEF has scaled up its work to supply medical equipment such as incubators, ventilators and monitors to hospitals.

Including work that began before the ceasefire, UNICEF has supplied 93 incubators to six facilities across the Gaza Strip.

But challenges remain immense and more needs to be done, said Toby Fricker, chief of advocacy and communications for UNICEF Palestine, following a visit to a neonatal intensive care unit in the territory.

For now, “through the pure… resilience of the doctors, of people, things are working,” he said.

Gaza City — Whenever Mervat Radwan hears the community kitchen in her displacement camp will serve lunch that day, she breathes a sigh of relief.

She takes a cooking pot and walks to the community kitchen with her nephew, six-year-old Ubay.

The meal is rarely enough for the seven people in her household, so she has to supplement it with whatever else she can find. A can of tuna, beans or peas from an aid parcel can help make the meal stretch further.

“Sometimes they give us a cooked meal, but it isn’t enough for seven people, so I try to find something besides it,” she told Al Jazeera.

Community kitchens are a vital source of food for families with little or no income in Gaza, but their operations have fluctuated sharply in recent months.

The kitchen near Radwan’s displacement site was closed for almost two months before resuming services for just two days a week.

Daily production in Gaza fell from about 1.5 million meals via 165 kitchens in mid-March to 698,000 served by 102 kitchens by July, according to the United Nations Office for the Coordination of Humanitarian Affairs.

This substantial reduction in the number of community kitchens operating in the Gaza Strip and the meals they serve has been attributed to severe funding shortages and rising operational costs, with charities facing difficulties securing sufficient food or cooking supplies.

Tinned food and charity

Radwan, 45, became the guardian of her three nephews when an Israeli air attack in northern Gaza on October 18, 2024, killed her 38-year-old brother Mohammad and his wife, Anwar, 33, and their one-year-old son, Yosuf.

Their three other children survived, but Nayef, now 14 years old, had shrapnel lodged in his head; Habib, 11, suffered burns to his body, while Ubay, who is now aged four, had also sustained severe burns.

For the past nine months, they have lived in a tent in Deir el-Balah with Radwan, her 70-year-old father, and her 40-year-old sister, Sanaa.

None of the carers has a regular source of income, so they are reliant on aid and charity to make it through to the next day.

The children have been left psychologically scarred by the loss of their parents, and their frail state is compounded by the family’s inability to source the basic necessities for existence, including food.

“It’s not just about taking them in; there is a lot of responsibility … food, drink, expenses, everything they need,” Radwan said.

When food is scarce, the adults skip meals so the children have enough to eat.

“My elderly father won’t eat until he knows his grandchildren have had enough … Maybe this is the most we can do in these difficult circumstances,” Radwan said.

Meat is an unaffordable luxury, and even fresh vegetables are difficult to find due to their scarcity and high costs. Some organisations operating in Gaza occasionally distribute vegetables, but their supply is sporadic.

For little Habib, his recovery relies on the food he eats, with a doctor telling Radwan that he must drink water frequently and eat foods with high water content, such as cucumbers, regularly.

But 1kg of cucumbers costs about 15 shekels ($4.50) and tomatoes cost 10 to 12 shekels ($3-3.60), prices the family can barely afford.

“If Ubay wants cucumbers, and the children like cucumbers, I buy three cucumbers, that’s it,” she says.

The World Food Programme said in July that even when there was food in markets, many households in Gaza struggled to source fresh vegetables, fruit and protein due to high prices.

About 77 percent of households in Gaza reported difficulties in this area, because their limited incomes were not enough to secure these costly staples.

The family’s limited diet is now affecting the children’s health. Habib has been suffering from kidney stones for about a year, which doctors said is due to his diet that is high in salt and almost completely based on canned goods.

Changing Habib’s diet is difficult when fresh food items are expensive and aid supplies, which the family relies on, consist mostly of tins of food.

For families like the Radwans, food assistance from charities helps them live another day, but a lack of diversity in their diets is costing them their health.