Humanitarian Crises

Nisreen Nassar and her family, like many other Palestinians, continue to live in schools and makeshift shelters.

Just before sunset on Thursday, Nisreen Nassar crouched over her makeshift oven, burning wood and scraps of plastic to bake bread for her family so they could break their fast.

Four months after the United States-brokered “ceasefire” came into effect in October, and as US President Donald Trump convened the first meeting of his Board of Peace on Thursday, she wasn’t expecting to be sheltering with her family in an abandoned school and cooking on an open fire during the Muslim holy month of Ramadan.

“Our preparations and expectations for Ramadan this month were that it would be better than previous ones during the war. Unfortunately, it is worse,” Nassar told Al Jazeera’s Hani Mahmoud, reporting from Gaza City.

Nassar’s family is one of many still living in schools and makeshift shelters throughout northern Gaza, relying on humanitarian aid for their basic needs and barely able to prepare a meal to break their fast, known as Iftar, due to gas shortages.

Nassar, her husband Thaer, and their seven children lived in Beit Hanoon, in the northeast, before Israel’s genocidal war on Gaza began in October 2023, which has killed more than 72,000 people, according to Gaza’s Ministry of Health statistics.

They have since been displaced several times, from Beit Hanoon to Rafah and Khan Younis in the south.

The Nassar family is still waiting for a decision that would allow them to return home – or to what remains of it. This marks the third Ramadan that they have been living in a school, which, apart from the concrete walls, offers little shelter.

The children sleep not in beds, but directly on a classroom floor. The Nassar family’s only possessions comprise a few bags of clothes and some thin blankets.

Thaer said his children are afraid to go outside due to Israeli gunfire, in violation of the “ceasefire” agreement.

“My children live in fear, whether they go out into the street or stay here in the shelter. In the past, in better days, they had better times, playing ball, going to school, and then returning home.”

According to Gaza’s Ministry of Health, more than 600 Palestinians have been killed in Israeli attacks since the “ceasefire” came into effect.

While Palestinians have had little respite this Ramadan, Mahmoud said Palestinians remain steadfast.

“For many of the Palestinians sheltering inside this school, Iftar is a celebration of spiritual resilience, unbroken by Israel’s genocide and a future that is far from certain.”

Qatar has pledged $1 billion to support the Board of Peace’s mission in Gaza, with Prime Minister Sheikh Mohammed bin Abdulrahman Al Thani backing Donald Trump’s 20-point plan and reaffirming support for Palestinian statehood and Israeli security.

The Hind Rajab Foundation has filed a criminal complaint to a court in Chile, seeking the prosecution of an Israeli Ukrainian who was an Israeli sniper in Gaza. Lucia Newman investigates his role in the deaths in Gaza.

Tigray, Ethiopia – Saba Gedion was 17 when the peace deal that ended the conflict in her homeland of Tigray in northern Ethiopia was signed in 2022.

She hoped then that fighting would be a thing of the past, but the last few months have convinced her that strife is once again looming, and she feels paralysed with despair.

“Many people are leaving the region in droves,” Gedion told Al Jazeera as she sat under the shade of a tree, selling coffee to the occasional customer in an area frequented by internally displaced people (IDPs) in Tigray’s capital, Mekelle.

Gedion – herself a displaced person – is from the town of Humera, a now-disputed area with the Amhara region that witnessed heavy clashes during the 2020-2022 war between Ethiopia’s federal government and the Tigray People’s Liberation Front (TPLF).

The now-21-year-old remembers the horrors she witnessed. Some of her family were killed, while others were abducted into neighbouring Eritrea, she says. She has not heard from them since.

Though she made it out alive, her life was turned upside-down when she was forced to flee to Mekelle for safety.

Years later, Gedion sees similar patterns as people leave Tigray – most headed to the neighbouring Afar region – once again looking for the safety that has become elusive at home.

“Recurring conflict and civil war have made us zombies rather than citizens,” she told Al Jazeera.

In recent weeks, enmity between Ethiopia and Eritrea has escalated amid separate accusations by both sides.

Speaking to Ethiopia’s parliament in early February, Prime Minister Abiy Ahmed addressed his landlocked country’s access to the sea, saying “the Red Sea and Ethiopia cannot remain separated forever”. This has led to accusations by Eritrea that Addis Ababa is seeking to invade its country and trying to reclaim the Red Sea Assab seaport, which it lost in 1993 with the independence of Eritrea.

Ethiopia, meanwhile, has accused Eritrean troops of occupying its territory along parts of their shared border, and called for the immediate withdrawal of soldiers from the towns of Sheraro and Gulomakada, among others. Addis Ababa also accuses Eritrea of arming rebels in the vast Horn of Africa country.

Observers say the heightening tensions point to an impending war between the two countries – one that could once again involve Tigray.

Unhealed scars of war

In Tigray’s capital, a once-booming city of tourism and business, most streets are quiet.

The young people who previously frequented cafes are now often seen applying for visas and speaking with smugglers in the hope of leaving Tigray.

Helen Gessese, 36, lives in a makeshift IDP camp on the outskirts of Mekelle. She worries about what will become of the already struggling region should another conflict erupt.

Gessese is an ethnic Irob, a persecuted Catholic minority group from the border town of Dewhan in the northeastern part of Tigray.

During the Tigray war, several of her family members were kidnapped, she said, as Eritrean troops expanded their hold of the area.

As the war intensified, she fled to Mekelle, about 150km away, looking for safety. Her elderly parents were too frail to join her on foot, so she was forced to leave them behind. Like Gedion, she has not heard from them or the rest of her family since 2022.

“My life has been held back, not knowing if my elderly parents are still alive,” she told Al Jazeera, the stress of the last few years making her seem much older than she is.

In Mekelle, it is not uncommon to meet people who are anguished or frustrated – some by the renewed tensions, and many by the trauma of the previous conflict.

More than 80 percent of hospitals were left in ruins in Tigray during the war, according to humanitarian organisations, while sexual violence that defined the two-year conflict is still a recurring issue. Hundreds of thousands of young people are still out of school, foreign investment that created jobs in the past has in large part evaporated, and the economy remains crippled after years of war.

Meanwhile, nearly four years later, the federal government’s decision to withhold foreign funds meant for the region is deepening a humanitarian crisis. The bulk of the public service in the region, for instance, has not been paid for months.

The Ethiopia-Eritrea relationship has also deteriorated in recent years.

The longstanding foes had waged war against each other between 1998 and 2000, but in 2018, they signed a peace deal. They then became allies during the 2020-2022 civil war in Tigray against common enemy, the TPLF.

But the relationship between Ethiopia and Eritrea has been in sharp decline since the signing of the 2022 accord that ended the Tigray war – an agreement that Asmara was not party to.

‘Acts of outright aggression’

Earlier this month, Ethiopia’s Minister of Foreign Affairs Gedion Timothewos wrote an open letter acknowledging the presence of Eritrean troops loitering on the Ethiopian side of the border and calling for them to leave.

“The incursion of Eritrean troops …” he wrote, “is not just provocations but acts of outright aggression.”

Asmara continues to deny the presence of its troops on the Ethiopian side, and Eritrean Minister of Information Yemane Gebremeskel has called such accusations “an agenda of war against Eritrea”.

As a sign of the worsening of the relationship between the two neighbours, Ethiopia’s Abiy, in his address to lawmakers early in February, also accused Eritrean troops of committing atrocities during the Tigray war. The accusation was a first from the prime minister, following repeated denials by his government about reported mass killings, looting and the destruction of factories by Eritrean troops during the Tigray conflict.

Eritrea’s government rejected Abiy’s claims about atrocities, with Gebremeskel calling them “cheap and despicable lies”, noting that Abiy’s government had until recently been “showering praises and state medals” on Eritrean army officers.

As the tensions escalate, many observers say war between the two is now inevitable and have called for dialogue and the de-escalation of the situation.

“The situation remains highly volatile and we fear that it will deteriorate, worsening the region’s already precarious human rights and humanitarian situation,” the United Nations Human Rights spokesperson, Ravina Shamdasani, said this month.

Kjetil Tronvoll, a professor of peace and conflict studies at Oslo New University College, told Al Jazeera a new war would have “wide-reaching implications for the region” – regardless of the outcome.

He believes the looming conflict between Ethiopia and Eritrea could take the shape of a new civil war, positioning Addis Ababa against Tigray’s leadership yet again.

From Ethiopia’s side, he argues the objective would be regime change in both Asmara and Mekelle, noting that “regime change in Eritrea may lead to Ethiopia gaining control of Assab”. For Asmara and Mekelle, the aim would also be regime change in Addis Ababa, he suggests.

“If it erupts, it will be devastating for Tigray,” Tronvoll said. “The outcome of such a war will likely fundamentally alter the political landscape of Ethiopia and the Horn [of Africa],” he warned, pointing out that regional states could also be pulled into a proxy war.

Fears for the future

For many in Tigray, memories of massacres committed during the 2020-2022 war are still fresh.

Axum, a UNESCO World Heritage site in the central zone of the Tigray region, is known for its tall obelisk relics of an ancient kingdom. But for 24 hours in November 2020, the city was the site of killings carried out by the Eritrean army. “Many hundreds of civilians” were killed, rights group Amnesty International said.

While the killings were denied by both the Eritrean and Ethiopian governments for many years, this month Abiy acknowledged they had taken place.

However, despite speaking of “mass killings” in Axum, he has been silent about the fact that the Ethiopian and Eritrean armies worked together openly as allies during that war.

Marta Keberom, a resident in her forties who hails from Axum, says very few people in her hometown have not been touched by violence in the last five years.

“The killings that happened during the war wasn’t just a conflict, it had the hallmark of a genocide where whole families were murdered without a cause,” she said of the killings that targeted Tigrayans.

“To relive that,” Keberom said, speaking at an IDP centre in Mekelle, would be “something I can’t begin to comprehend.”

Waiting for customers at her coffee stand in the city, Gedion is also afraid of what might come next.

She once aspired to be an engineer, but since being uprooted from her village, she now dreams of a future far away from Ethiopia.

She has already contacted a smuggler to help her leave, she says, through Libya and on towards the Mediterranean Sea – despite the extreme risks of such a journey.

“I would rather take a chance than die a slow, certain death with little future prospects,” she said.

A fire at a key fuel refinery in the capital comes amid Cuba’s mounting fuel emergency due to US-imposed restrictions.

A fire broke out at a key fuel processing plant in the Cuban capital Havana, threatening to exacerbate an energy crisis as the country struggles under an oil blockade imposed by the United States.

A large plume of smoke was seen rising above Havana Bay from the Nico Lopez refinery on Friday, drawing the attention of the capital’s residents before fading as fire crews fought to bring the situation under control.

Cuba’s Ministry of Energy and Mines said the fire, which erupted in a warehouse at the refinery, was eventually extinguished and that “the cause is under investigation”. There were no injuries and the fire did not spread to nearby areas, the ministry said in a post on social media.

“The workday at the Nico Lopez Refinery continues with complete normalcy,” the ministry said.

The location of the fire was close to where two oil tankers were moored in Havana’s harbour.

Cuba, which has been in a severe economic crisis for years, relied heavily on oil imports from Venezuela, which have been cut off since the abduction of the country’s leader Nicolas Maduro by United States forces last month.

US President Donald Trump has also threatened Cuba’s government and passed a recent executive order allowing for trade tariffs on any country that supplies oil to the island.

The country has seen widespread power outages due to the lack of fuel. Bus and train services have been cut, some hotels have closed, schools and universities have been restricted, and public sector workers are on a four-day work week. Staffing at hospitals was also cut back.

United Nations Secretary-General Antonio Guterres warned last week of a humanitarian “collapse” in Cuba if its energy needs go unmet.

On Thursday, two Mexican navy vessels carrying more than 800 tonnes of humanitarian aid arrived in Havana, underscoring the nation’s growing need for humanitarian assistance amid the tightening US stranglehold on fuel.

Experts in maritime transport tracking told the AFP news agency that no foreign fuel or oil tankers have arrived in Cuba in weeks.

Cuba can only produce about one-third of its total fuel requirements.

Cuba’s Deputy Foreign Minister Carlos de Cossio accused the US of carrying out “massive punishment” against the Cuban people in a post on social media Friday.

Cuba requires imports of fuel and “the US is applying threats [and] coercive measures against any country that provides it”, the deputy minister said.

“Lack of fuel harms transportation, medical services, schooling, energy, production of food, the standard of living,” he said.

“Massive punishment is a crime,” he added.

Mexico’s President Claudia Sheinbaum has said her government seeks to “open the doors for dialogue to develop” between Cuba and the US and has criticised Washington’s oil restrictions as “unfair”.

Heads of state are arriving in Addis Ababa for the 2026 African Union Summit, with a water-focused theme centred on climate change. Conflicts in Sudan, South Sudan, DR Congo and the Sahel loom, while Israel’s recognition of Somaliland adds pressure over borders.

The Sudan Doctors Network said the deadly strike was carried out by the paramilitary Rapid Support Forces.

A drone attack on a mosque in central Sudan has killed two children and injured 13 more, according to a Sudanese doctor’s association, amid a rise in similar attacks across the region. 

The Sudan Doctors Network said the attack was carried out at dawn on Wednesday by the Rapid Support Forces (RSF), a paramilitary group engaged in a three-year civil war with the Sudanese Armed Forces.

The children were reportedly studying the Quran at the Sheikh Ahmed al-Badawi Mosque in North Kordofan State when the building was hit by a drone in a “blatant violation of international humanitarian law and a grave assault on places of worship”, the doctors’ group said in a Facebook post.

“Targeting children inside mosques is a fully constituted crime that cannot be justified under any pretext and represents a dangerous escalation in the pattern of repeated violations against civilians,” the doctors said.

The Sudan Doctors Network said the RSF has previously targeted other religious buildings for attack, including a church in Khartoum and another mosque in el-Fasher, reflecting a “systematic pattern that shows clear disregard for the sanctity of life and religious sites”.

“The network calls on the international community, the United Nations, and human rights and humanitarian organizations to take urgent action to pressure for the end to the targeting of civilians, ensure their protection, open safe corridors for the delivery of medical and humanitarian aid, and work to document these violations and hold those responsible accountable,” it said.

The UN separately said on Wednesday that a recent series of drone attacks have been reported on civilian infrastructure in Sudan’s South Kordofan, North Kordofan and West Kordofan states.

A World Food Programme (WFP) warehouse in Kadugli was also hit by a suspected rocket attack on Tuesday night, according to UN spokesperson Stephane Dujarric. He did not say which group was responsible for the attack.

“The fact that we have to reiterate almost every day that civilians and civilian infrastructure, places of worship, schools and hospitals cannot and should not be targeted is a tragedy in itself,” Dujarric told reporters.

The UN has warned that Sudan’s civil war is expanding from western Darfur into the Kordofan region.

It has documented more than 90 civilian deaths and 142 injuries caused by drone strikes between the end of January and February 6, which were carried out by the RSF and Sudanese Armed Forces.

Targets included a WFP convoy, markets, health facilities and residential neighbourhoods in southern and northern Kordofan, the UN said.

Russia will operate only return flights from Cuba as ‘evacuation’ of Russian citizens visiting the Caribbean island gets under way.

Russia is preparing to evacuate its citizens who are visiting Cuba, Moscow’s aviation authorities said, after a United States-imposed oil blockade on the island nation has choked off supplies of jet fuel.

“Due to the difficulties with refuelling aircraft in Cuba, Rossiya Airlines and Nordwind Airlines have been forced to adjust their flight schedules to airports in the country,” Russia’s federal aviation regulator Rosaviatsia said in a statement on Wednesday.

“Rossiya Airlines will operate a number of return flights only – from Havana and Varadero to Moscow – to ensure the evacuation of Russian tourists currently in Cuba,” the regulator said.

About 5,000 Russian tourists may be on the island, Russia’s Association of Tour Operators said earlier this week.

Russia’s Ministry of Economic Development separately called on citizens not to travel to Cuba amid its worst fuel crisis in years, caused by the US choking off supplies of oil from Venezuela following the US military’s abduction of Venezuelan President Nicolas Maduro in early January.

Russia’s TASS news agency said the Russian embassy in Havana is in contact with national carrier Aeroflot and Cuban aviation authorities to “ensure our citizens return home safely”.

Aeroflot has announced repatriation flights for Russians, TASS said, reporting also that the embassy in Havana told Russian media outlet Izvestia that Moscow plans to send humanitarian aid shipments of oil and petroleum products to Cuba.

Humanitarian ‘collapse’ in Cuba

A traditional ally of Havana, Moscow has accused Washington of attempting to “suffocate” the Caribbean island nation.

Kremlin spokesman Dmitry Peskov said on Monday that Moscow was discussing “possible solutions” to provide Havana with “whatever assistance” it needs.

More than 130,000 Russians visited Cuba in 2025, according to reports, the third-largest group of visitors to the island after Canadians and Cubans living abroad.

Air Canada and the Canadian airlines Air Transat and WestJet have also cut flights to Cuba due to the fuel shortages.

While Cuba has been in a severe economic crisis for years, largely caused by longstanding US sanctions due to Washington’s antipathy towards Havana’s socialist leadership, the situation has become dire since the return of President Donald Trump to the White House.

Trump has directly threatened Cuba’s government and passed a recent executive order allowing for the imposition of trade tariffs on countries that supply oil to Cuba.

Cuba, which can produce just a third of its total fuel requirements, has seen widespread power outages due to the lack of fuel. Bus and train services have been cut, some hotels have closed, schools and universities have been restricted, and public sector workers are on a four-day work week.

United Nations Secretary-General Antonio Guterres warned last week of a humanitarian “collapse” in Cuba if its energy needs go unmet.

Israeli raids and attacks across Gaza and the occupied West Bank have continued as Trump and Netanyahu prepare to meet.

Humanitarian operations have been impeded by attacks, looting and restrictions on movement.

Ajok Ding Duot crouches on the dusty floor of a displacement camp in South Sudan’s Lakes state, cracking nuts open one by one.

She and her family of 10 arrived here about two weeks ago, fleeing intensifying fighting between government and opposition forces in neighbouring Jonglei state.

While they have found temporary shelter, Duot said there was hardly anything to eat at the camp. To survive, they rely on these nuts and wild fruits.

“We don’t know anything about what the government is doing. They’re fighting, but we don’t know what the problem is,” she told Al Jazeera.

“We’re in darkness. It’s only ever the humanitarian organisations who help.”

South Sudan has seen renewed fighting in recent weeks between government soldiers and fighters loyal to the Sudan People’s Liberation Army-in-Opposition (SPLA-IO).

The United Nations says an estimated 280,000 people have been displaced by the fighting and air attacks since late December, including more than 235,000 across Jonglei alone.

The UN’s children agency UNICEF also warned last week that more than 450,000 children are at risk of acute malnutrition due to mass displacement and the halting of critical medical services in Jonglei.

Nearly 10 million people need life-saving humanitarian assistance across South Sudan, a country still reeling from a ruinous civil war that killed nearly 400,000 people and displaced millions between 2013 and 2018.

Humanitarian operations, however, have been crippled by attacks and looting, with observers saying both sides in the conflict have prevented assistance from reaching areas where they believe civilians support their opponents.

The UN’s World Food Programme (WFP) suspended its activities last week in Baliet county, in Upper Nile state, following repeated attacks on a convoy carrying humanitarian assistance.

The WFP said the suspension would remain in place until the safety of its staff could be guaranteed and authorities take immediate action to recover the stolen supplies.

Separately, medical humanitarian NGO Doctors Without Borders, known by its French initials MSF, said last week a hospital in Jonglei was hit by a government air attack, marking the 10th attack in 12 months on an MSF-run medical facility in the country.

In addition, the MSF health facility in Pieri, also in Jonglei, was looted by unknown assailants, forcing staff to flee. The organisation said the violence had left some 250,000 people without healthcare, as the NGO had been the only medical provider in the area.

MSF said the targeted attacks on its facilities have forced the closure of two hospitals in the Greater Upper Nile and the suspension of general healthcare activities in Jonglei, Upper Nile and Central Equatoria states.

On Sunday, UN chief Antonio Guterres “strongly” condemned the escalating violence in the country and warned that civilians continue to bear the brunt of the conflict.

In a statement, the secretary-general called on all parties “to immediately and decisively halt all military operations, de-escalate tensions through dialogue, uphold international law, protect civilians, and ensure safe and sustained humanitarian access and the security of aid workers and United Nations peacekeeping personnel and their assets”.

An Israeli air attack on a residential building in western Gaza City has killed at least four people.

United Nations human rights chief also decries ‘preventable human rights catastrophe’ in Sudan’s el-Fasher.

Fatal drone strikes on civilians persist in Sudan’s Kordofan, as the central region has emerged as the latest front line in Sudan’s nearly three-year conflict, the United Nations has said.

Addressing the Human Rights Council in Geneva on Monday, UN High Commissioner for Human Rights Volker Turk painted a grim picture of the conflict between the Sudanese Armed Forces (SAF) and the paramilitary Rapid Support Forces (RSF), which has plunged the country into widespread bloodshed and humanitarian catastrophe.

“We can only expect worse to come” unless decisive steps are taken by the international community to stop the fighting, Turk said, emphasising that inaction would lead to even greater horrors.

Turk also highlighted harrowing survivor testimonies from el-Fasher, the capital of North Darfur, which fell to RSF forces in October following an 18-month siege. He described accounts of atrocity crimes committed by the paramilitary after it overran the city, including mass killings and other grave violations targeting civilians.

“Responsibility for these atrocity crimes lies squarely with the [RSF] and their allies and supporters,” he said

As Sudan’s devastating civil war expands beyond the western Darfur region into the central Kordofan areas, Turk cautioned that the shift in fighting is likely to bring even more severe violations against civilians, expressing deep concern over the potential for additional grave abuses, specifically highlighting the increasing use of “advanced drone weaponry systems” by both warring parties.

“In the last two weeks, the SAF and allied Joint Forces broke the sieges on Kadugli and Dilling,” Turk said. “But drone strikes by both sides continue, resulting in dozens of civilian deaths and injuries.”

Turk’s office has documented more than 90 civilian deaths and 142 injuries caused by drone strikes carried ⁠out by both the RSF and the armed forces from late January to February 6, he said.

Among those incidents were three strikes on health facilities in South Kordofan that killed 31 people last week, according to the World Health Organization.

On February 7, a drone attack carried out by the RSF hit a vehicle transporting displaced families in central Sudan, killing at least 24 people, including eight children, the Sudan Doctors Network said.

The latest attacks follow a series of drone attacks on humanitarian aid convoys and fuel trucks across North Kordofan.

The UN human rights chief said he has witnessed the destruction caused by RSF attacks on Sudan’s Merowe Dam and its hydroelectric power station.

“Repeated drone strikes have disrupted power and water supplies to huge numbers of people, with a serious impact on healthcare,” he said.

Khaled Meshaal, the head of Hamas abroad, has spoken at the Al Jazeera Forum on the rights of Palestinians to resist occupation. The political leader says the demand of disarmament is unacceptable.

“Israel, as the occupying power, has the obligation to ensure the needs of people are met in Gaza.” As he prepared to leave Gaza, the Red Cross’s Patrick Griffiths is hopeful the Rafah crossing’s “opening” will give Palestinians a chance to heal, but says more must be done.

Sudanese military officials say they’ve broken through a siege by the Rapid Support Forces (RSF) paramilitary group of the South Kordofan capital of Kadugli. It’s the military’s second major advance in the Kordofan region in less than a week.

The Rafah border crossing between Gaza and Egypt has finally reopened after months of closure as a result of Israel’s devastating war on the Gaza Strip.

Hopes were running high that the freedom of movement would ease the dire humanitarian crisis created by this war.

But Israel has set strict conditions on who can leave the Strip and who can enter.

Now, only a small number of people are allowed to move in both directions – mainly for medical evacuations.

But much-needed humanitarian aid and construction materials are still barred from entering the Strip, which is in ruins.

Will this reopening ease the suffering of Palestinians after two years of war?

Presenter: Maleen Saeed

Guests:

Hussein Haridy – Former Egyptian assistant foreign minister

Mosab Nasser – CEO of FAJR Global, an organisation that provides medical care, surgical missions and emergency evacuations

Akiva Eldar – Political analyst and contributor to Haaretz newspaper

The long-awaited re-opening of Gaza’s Rafah crossing has been deemed too late for many seeking treatments, in life-or-death conditions. Al Jazeera’s Hind Khoudary spoke to a mother who had lost her sick child while waiting for the crossing to open.

Gaza City – With what remains of her wounded forearms, Nebal al-Hessi scrolls on her phone to follow news updates on the reopening of the Rafah land crossing from her family’s tent in an-Nazla, Jabalia in the northern Gaza Strip.

Nebal’s hands were amputated in an Israeli artillery attack on the home where she had taken shelter with her husband and her daughter in the Bureij refugee camp in central Gaza, on October 7, 2024.

More than a year later, the 25-year-old mother is one of thousands of wounded people placing their hopes on the reopening of the Rafah crossing between Gaza and Egypt as they seek access to adequate medical treatment outside the besieged Palestinian territory.

“It’s been a year and five months since I got injured … Every day, I think about tomorrow, that I might travel, but I don’t know,” Nebal tells Al Jazeera in a quiet voice.

Recalling the attack, Nebal says she was sitting on her bed holding her baby daughter Rita, trying to communicate with her family in northern Gaza, when the shell hit suddenly.

“I was trying to catch an internet signal to call my family … my daughter was in my lap… suddenly the shell hit. Then there was dust; I don’t remember anything else,” Nebal says.

“It was the shell fragments that amputated my hands,” she recounts.

‘Life is completely paralysed’

Nebal was taken to the hospital with severe injuries, including complete amputation of both upper limbs up to the elbows, internal bleeding, and a leg injury. She underwent two abdominal surgeries.

She spent about 40 days in the hospital before beginning a new stage of suffering in displacement tents, without the most basic long-term care.

Today, Nebal, an English translation graduate and mother to two-year-old Rita, relies almost entirely on her family for the simplest daily tasks.

“I can’t eat or drink on my own … even getting dressed, my mother, sister, and sister-in-law mainly help me,” she says sorrowfully.

“Even going to the bathroom requires help. I need things in front of me because I cannot bring them myself.”

Nebal talks about the pain of motherhood left suspended, as her daughter grows up before her eyes without her being able to hold her or care for her.

“My little daughter wants me to change her, feed her, give her milk, hold her in my arms like other mothers… she asks me, and I can’t,” Nebal says with sorrow.

“My life is completely paralysed.”

Doctors tell Nebal that she urgently needs to travel to continue treatment and have prosthetic limbs fitted, emphasising that she needs advanced prosthetics to regain a degree of independence, not just cosmetic appearance.

“Doctors tell me that I need a state or an institution to adopt my case so I can gradually return to living my normal life,” she adds.

With Palestinian authorities announcing arrangements to open the Rafah crossing today for batches of wounded people and medical patients, Nebal, like many others, lives in a state of anticipation mixed with fear.

According to Gaza’s Ministry of Health, thousands of wounded still require specialised treatment unavailable inside the Strip, while the scheduling of names depends on medical lists and complex approvals, amid the absence of a clear timetable or publicly announced priority criteria.

Nebal says she received repeated calls over the past months from medical organisations informing her that she would be among the first on the travel lists.

“They contacted me more than once, told me to prepare… they gave me hope,” she adds. “But this time, no one has contacted me yet.”

Today, Nebal fears her case might be overlooked again, or that the crossing’s opening could be merely a formality, disregarding the urgent needs of patients like her.

“I die a little every day because of my current situation … not figuratively. I’ve been like this for a year and four months, and my daughter is growing up in front of me while I am helpless,” she says.

Uncertain future

Nada Arhouma, a 16-year-old girl whose life has been completely altered by a single injury, is also hoping the crossing opens as soon as possible.

Nada, who was displaced with her family from Jabalia refugee camp in northern Gaza amid Israel’s two-year genocidal war on Gaza, was hit in the face by shrapnel while inside a displacement tent in Sheikh Radwan, Gaza City.

The incident caused the complete loss of one eye, in addition to fractures in her facial bones, orbital damage, and severe tissue tearing.

Her father, Abdul Rahman Arhouma, 49, says that her health deteriorated over time despite treatment attempts in Gaza.

“She entered the ICU at al-Shifa Hospital, then was transferred to Nasser Hospital. She stayed there for about two and a half months. They tried multiple times to graft her eye, but each operation failed, and the disfigurement worsened,” he says.

According to her father, Nada underwent three surgical attempts using tissue from her hand and other facial areas, but all failed, further complicating her medical and psychological condition.

“My daughter bleeds from her eye every day, and she has pus and discharge,” he says. “I am standing helpless, unable to do anything.”

Today, Nada needs constant assistance to walk and suffers from persistent dizziness and balance weakness. Her vision in the healthy eye is also affected.

“Even going to the bathroom, my sisters help me. I can’t walk alone,” Nada tells Al Jazeera in a soft voice.

Nada has an official medical referral and urgently needs to travel for reconstructive surgery and the implantation of a prosthetic eye. But her ability to get the treatments remains uncertain pending the reopening of Rafah – as is the case for other patients and wounded individuals.

“Since I’ve been in the hospital, I hear every week: next week the crossing will open. Honestly, I feel they are lying. I’m not optimistic,” Nada says.

Her father told Al Jazeera that the continuing wait for the Rafah crossing to reopen was “disappointing”.

“Unfortunately, we didn’t understand anything. All the reports came from Israeli sources, and it seemed Rafah looked like a gate for prisoners, not for travel,” he says.

“Our situation is difficult, and it’s clear we face a long wait to secure my daughter’s right to treatment.”

Pilot reopening

Sunday was the first pilot reopening day at Rafah, amid ambiguity and a lack of clarity about the mechanism, particularly regarding the number of patients and wounded who would be allowed to travel.

According to Gaza’s Ministry of Health, thousands of patients and wounded people require urgent medical transfers outside the Strip, amid the collapse of the healthcare system and lack of resources.

The World Health Organization has repeatedly confirmed that Gaza’s health system is “on the brink of collapse”, and that delays in travelling for critical cases threaten their lives.

Meanwhile, Israel has said it will only allow those whose names it has approved in advance to cross, without any clear announcement on daily numbers or approved criteria, leaving families of patients in constant anticipation and frustration.

For Nada’s family, this “experimental opening” means little so far.

“We can’t plan, neither to stay nor to leave,” her father says. “The decision is not in our hands. One lives in a whirlpool, unable to decide what happens. Even the Ministry of Health has not disclosed anything.”

‘Devastating’ struggle to access treatment

Raed Hamad, 52 and a father of four, is also desperate to leave Gaza in order to seek treatments and medication that are not available in the war-ravaged territory.

Hamad was undergoing kidney cancer treatment a year before the war started. He underwent kidney removal after tumour detection to prevent its spread. But the outbreak of the war in October 2023 halted his treatment protocol, significantly affecting his health.

Hamad lives in the remains of his destroyed home in Khan Younis, amid the devastation left by the war, under deteriorating humanitarian conditions.

He describes his current struggle to access treatment during the war, alongside other cancer patients he meets in the hospital’s oncology department, as “devastating.”

“The war has made it almost impossible to obtain medicines and medical supplies. Cancer treatments and known treatment protocols are unavailable,” he says.

“Food, its nature, and the harsh crises we’ve endured during the war—all of this has greatly affected my health.”

Raed’s weight dropped from 92kg (203lb) to 65kg (143lb) due to complications from the disease, lack of treatment, and malnutrition.

“I continue my treatment whenever I can at my own expense,” he says. “Every time I go to the hospital, I cannot find my treatment and see that capabilities in Gaza are extremely limited. My immunity is low, and every day I face new hardships.

“I need to complete my protocol, undergo nuclear scans, and obtain some essential medications to continue my treatment.”

Israel says it will reopen the Rafah crossing on Sunday after nearly two years — but only for restricted, tightly controlled movement of people. Humanitarian aid remains barred. Al Jazeera’s Hani Mahmoud reports from Rafah as Israel retains full security control.

Deir el-Balah and Khan Younis, Gaza – For the past two years, Khitam Hameed has clung to the hope of a single sliver of news that could fundamentally change the fate of her entire family.

The reopening of the Rafah crossing, shut and controlled by Israel as part of its genocidal war on Gaza in spite of a ceasefire agreement, would allow her family to travel and reunite with her husband outside Gaza.

But for this family, the reopening is not just about freedom of movement. It represents both a chance for reunion after a long separation, and an opportunity to secure treatment for their son, whose life, schooling, and normal childhood have all been destroyed by the two-year Israel-Palestine war.

With the United States pushing a deeply intransigent Israel to progress to phase two of the ceasefire that began on October 10, the reopening of the Rafah crossing was directly tied by the far-right government to the recovery of the remains of the final Israeli captive, and only partially for pedestrian use under strict military supervision.

On Monday, the retrieval of the last Israeli captive’s body appeared to open that locked door, with thousands in urgent need of treatment or family reunification in a state of anxious anticipation.

From her family’s displacement site in the Nuseirat refugee camp near Deir el-Balah in central Gaza, Khitam, 50, a mother of six, sits trying to organise her thoughts as news circulates about Rafah.

Next to her is her 14-year-old son, Yousef, unable to walk, suffering from a rare genetic disorder called Ehlers-Danlos Syndrome (EDS), a painful condition primarily affecting his bone development, with potential cardiac complications.

“Yousef has been undergoing treatment for this syndrome since he was very young … he has had around 16 surgeries,” Khitam tells Al Jazeera.

“We got used to hospitals, but before the war, there was some monitoring and a little hope.”

Since long before October 2023, the Rafah crossing between Gaza and Egypt has been a lifeline for Palestinians, not only as a natural exit and entry point, but also as a symbol of connection with the outside world.

Before the war, the crossing was heavily used by patients seeking medical treatment, families visiting relatives abroad, and the movement of goods and supplies that helped ease Gaza’s economic pressure under Israeli blockade.

Its closure, beginning in May 2024 after Israeli forces took control, marked a dramatic turning point in the humanitarian crisis.

The shutdown affected not just the movement of people, but also significantly reduced the flow of medical aid and essential supplies, impacting thousands of patients waiting for treatment outside Gaza, including children and the wounded, amid a severe shortage of health services and medical equipment.

‘Opening the crossing shouldn’t be a miracle’

Before the war, Khitam and her family monitored Yousef’s condition regularly, and he could walk and move.

But the war halted everything. Hospitals were routinely bombed by Israel, and most ceased functioning. Medics were killed by the hundreds, medications ran out, and medical checkups became nearly impossible.

“Since the war, Yousef’s condition has deteriorated. His legs are weaker, walking is harder, he uses crutches,” Khitam pauses before continuing: “He falls often… and my heart is in my throat every time.”

The mother no longer knows the full extent of her son’s health. “I don’t know if he has heart complications, or if his spine has worsened … we are living with him with no answers.”

The war also separated the family. Weeks before the conflict erupted, Khitam’s 52-year-old husband, Hatim, had left Gaza for Egypt, as an initial step to secure a chance for the family to migrate and access advanced medical care for Yousef.

“Since then, I’ve been alone. Six children, one with a special medical condition, war, displacement, hunger,” Khitam says, her voice exhausted.

“Being displaced alone is so difficult. You don’t know where to go, how to protect your children, how to provide food or safety. The constant anxiety and fear have affected everyone, but Yousef suffers the most.”

“No school, no play, no outings, no treatment … even psychologically, he is exhausted. A child his age should be living his life, not caught between war and illness.”

But, she adds, “just the idea of travelling eases us a bit psychologically. It feels like a door might open” for treatment outside of the besieged enclave.

She still fears how the crossing will operate, even as hope keeps her going.

“Even if the crossing opens, not everyone can leave, and not every case will be approved,” she adds. “Opening the crossing shouldn’t be a miracle… it’s a right.”

Yousef’s story intersects with those of hundreds of families of sick children in Gaza, for whom Rafah is not just a crossing, but a lifeline.

‘The family started a new battle against time’

Local estimates indicate that more than 22,000 patients and injured people, including about 5,200 children, are unable to travel for treatment due to the Israeli closure, with thousands more waiting for approved medical transfers that cannot be executed.

Among them is Hur Qeshta, a newborn girl only 15 days old, born with a large, unusual tumour in her neck, affecting breathing and swallowing.

She requires urgent surgery outside Gaza, according to doctors at Nasser Hospital in Khan Younis, in southern Gaza.

Her mother, Doaa Qeshta, 32 and a mother of five, tells Al Jazeera, “From the first moment she was born, the family started a new battle against time to ensure she could urgently travel for treatment.”

Hur was delivered via Caesarean section and now lies in the Nasser Hospital neonatal ICU, on oxygen and fed via a tube from her abdomen.

“She can’t breastfeed, everything is through a tube, and the mass is growing rapidly … all within 15 days,” says her mother.

Doctors confirmed that surgery inside Gaza is currently impossible due to a lack of facilities.

Doaa links her daughter’s condition to the circumstances during her pregnancy, including displacement in a tent in al-Mawasi, exposure to nearby shelling, smoke, gunpowder, hunger, and lack of nutrition.

“I was pregnant during famine … no food, no vitamins, no safety,” she recalls. “Shelling was nearby, 300 metres (980 feet) away… the tent shook; we thought we were dead.”

“Opening the crossing means saving my daughter’s life,” she says. “I’ve registered the whole family as companions … the most important thing is Hur goes, gets treatment, and survives.”

Of the reopening of the Rafah crossing, Doaa says, “We hear news and live on hope, but we are really in a limbo… we don’t know what’s happening or when. We just pray this is true.”

‘Our lives and futures hang on a hope’

The effects of Rafah’s closure go beyond medical access, affecting an entire generation of youth whose education has been halted at a closed gate.

Among those affected is Rana Bana, a 20-year-old from the Daraj neighbourhood in Gaza City.

She graduated from high school in 2023 with a 98 percent average in the science track, with a focus on pharmacy. Within a single year, she received multiple opportunities abroad, but none materialised due to Rafah’s closure.

“In 2024, I was accepted for a scholarship in Egypt, ready to leave, but the crossing closed. A year later, I got a scholarship to Turkiye, did the online interviews, was accepted, and since then I’ve been stuck,” Rana tells Al Jazeera.

Her Turkish scholarship includes 220 students from Gaza, all from different disciplines, most with high academic grades.

Over the past two years, Rana tried not to stagnate, taking Turkish language courses and exploring alternatives like local universities. But she would hold back each time she heard news of Rafah possibly reopening.

“Every time there’s news the crossing might open, I tell myself, ‘Let me wait a bit’… but it turns out to be just talk, and my hopes are dashed,” she adds. “A lot of our time and life has been wasted waiting … our lives and futures hang on a hope.”

Rana is displaced with her family of eight. They returned briefly to northern Gaza during the first ceasefire, found their home intact, but fled again after fighting resumed, and are now settled in Deir el-Balah.

“My biggest fear is leaving and not being able to come back,” she says. “Before, they [her family] were 100 percent supportive. Now there’s fear because the travel process is unclear, and they don’t know how many will be allowed or registered to travel.”

Many Palestinians fear leaving Rafah would be a one-way ticket as part of an openly touted Israeli plan to permanently expel the population from Gaza.

“We students and youth are the most affected group during the war,” Rana says. “Our years have gone by silently, our studies destroyed by war, and no one talks about us. All we want is education — not travel for tourism or anything else.”