MSF

Medical charity has been barred for not providing Israeli authorities with personal details of its staff in the enclave.

Israel says it will terminate the humanitarian operations in Gaza of Doctors Without Borders, known by its French acronym MSF, after it failed to provide a list of its Palestinian staff, further depriving Palestinians in the besieged enclave of life-saving assistance.

In December, Israel announced it would prevent 37 aid organisations, including MSF, from working in Gaza from March 1 for failing to submit detailed information about their Palestinian employees, drawing widespread condemnation from NGOs and the United Nations.

“The Ministry of Diaspora Affairs and Combating Antisemitism is moving to terminate the activities of Medecins Sans Frontieres (MSF) in the Gaza Strip,” the ministry said on Sunday.

The decision followed “MSF’s failure to submit lists of local employees, a requirement applicable to all humanitarian organisations operating in the region”, it added.

The ministry had earlier alleged that two MSF employees had links with Palestinian groups Hamas and Islamic Jihad, which the charity has denied.

On Sunday, the ministry said MSF had committed in early January to sharing the staff list as required by the Israeli authorities but ultimately refrained, citing concerns for staff safety and a lack of assurances over how the information would be used.

“Subsequently, MSF announced it does not intend to proceed with the registration process at all, contradicting its previous statements and the binding protocol,” the ministry added, saying, “MSF will cease its operations and depart the Gaza Strip by February 28.”

Israel’s decision to terminate MSF’s operations in Gaza “is an extension of Israel’s systematic weaponisation and instrumentalisation of aid”, James Smith, an emergency physician based in London, told Al Jazeera.

“Israel has systematically targeted the Palestinian healthcare system, killing more than 1,700 Palestinian healthcare workers,” thereby “creating a profound dependency on international organisations”, Smith said.

MSF said 15 of its employees have been killed over the course of Israel’s genocidal war in Gaza, which began on October 7, 2023.

MSF has long been a key provider of medical and humanitarian aid in the enclave, particularly since the war began.

The charity said it currently provides at least 20 percent of hospital beds in the territory and operates about 20 health centres.

In 2025 alone, it carried out more than 800,000 medical consultations and more than 10,000 infant deliveries. It also provides drinking water.

Aid groups warned that without international support provided by organisations such as MSF, critical services such as emergency care, maternal healthcare and paediatric treatment could collapse entirely in Gaza, leaving hundreds of thousands of residents without basic medical care.

The medical charity Doctors Without Borders says it will provide Israeli authorities with the personal details of some of its Palestinian and international staff working in Gaza and the rest of the occupied Palestinian territory.

But critics warn Israel, whose army has killed more than 1,700 health workers – including 15 employees of the charity, also known by its French initials MSF – during the genocide in Gaza, could use the information to target more humanitarian workers in the besieged Strip and the occupied West Bank, including East Jerusalem.

MSF said it faced an “impossible choice” to either provide the information or be forced by Israel to suspend its operations.

On January 1, Israel withdrew the licences of 37 aid groups, including MSF, the Norwegian Refugee Council and International Rescue Committee and Oxfam, saying they failed to adhere to the new “security and transparency standards”.

The measure could exacerbate an already dire humanitarian situation for people in war-shattered Gaza, as they endure continued attacks.

Here’s what you need to know:

Why did Israel corner NGOs?

Last year, Israel said it would suspend aid groups that did not meet new requirements on sharing detailed information about their employees, funding and operations.

According to rules set out by Israel’s Ministry for Diaspora Affairs, the information to be handed over includes passports, CVs and names of family members, including children.

It said it would reject organisations it suspected of inciting racism, denying the state of Israel’s existence or the holocaust. It would also ban those it deems as supporting “an armed struggle by an enemy state or a terrorist organisation against the State of Israel”.

The measures were roundly condemned, given that Israel has weaponised aid throughout the genocide and falsely accused the United Nations humanitarian agencies of working with Hamas fighters and sympathisers.

Israel has also accused MSF – without providing evidence – of employing people who fought with Palestinian groups.

MSF said it would “never knowingly” employ people engaging in military activity.

Why did MSF agree to Israel’s demands?

MSF runs medical services in Gaza as well as the occupied West Bank, providing critical and emergency medical care, including surgical, trauma, and maternal care. It also helped run field hospitals in Gaza during two years of Israeli genocide.

In a statement on Saturday, MSF said following “unreasonable demands to hand over personal information about our staff”, it has informed Israeli authorities that, as an exceptional measure, “we are prepared to share a defined list of Palestinian and international staff names, subject to clear parameters with staff safety at its core”.

It said MSF’s Palestinian employees agreed with the decision after extensive discussions.

“We would share this information with the expectation that it will not negatively affect MSF staff or our medical humanitarian operations,” MSF said. “Since 1 January 2026, all arrivals of our international staff into Gaza have been denied and all our supplies have been blocked.”

How have observers reacted?

MSF’s decision was condemned by some doctors, activists and campaigners, saying it could endanger Palestinians.

A former MSF employee, who requested to remain anonymous, told Al Jazeera, “It is extremely concerning, from a duty of care perspective, from a data protection perspective, and from the perspective of the most foundational commitment to humanity, that MSF would make a decision like this.”

“Staff are extremely concerned for their wellbeing and futures. Other NGOs have been in uproar, since it further exposes their decision not to concede to Israel’s demands,” they said. “MSF faces profoundly difficult decisions – concede to the demands of a genocidal regime, or refuse and face complete expulsion and an abrupt end to all health activities in the coming weeks. But what is humanitarianism under genocide? There must be alternatives – alternatives that demand a much bolder and more disruptive approach to humanitarianism amid such brutal political decline.”

Ghassan Abu Sittah, a British surgeon who has volunteered in Gaza several times, said, “The moral bankruptcy lies in the implication that during a genocide, Palestinians are capable of making free consent. Their employees have as much choice as the Palestinians who knowingly went to their death at the feeding stations to feed their families.”

He added that the decision was “in clear contravention” of European Union data protection laws.

Hanna Kienzler, a professor of global health at King’s College London, said on X, “MSF, you have withdrawn your teams from war-affected settings before when you felt a mission’s integrity and/or safety were compromised. What makes you think Palestinian staff can be treated like cannon fodder so you can continue your mission in Gaza?”

Have other groups heeded Israel’s demands?

Israel says 23 organisations have agreed to the new registration rules. The others are understood to be weighing their decisions.

Al Jazeera contacted Oxfam and is awaiting a response.

Is aid being delivered to Gaza?

Gaza has been pulled back from the brink of famine, but needs far more aid to support the population amid continued Israeli attacks – more than 400 people have been killed since a fragile ceasefire came into place in October, large-scale displacement and a healthcare crisis.

Food shortages persist.

Israel said it would commit to allowing 600 aid trucks per day to enter the Strip, but in reality, only 200 or so are being let in, locals say.