  {"id":294314,"date":"2024-03-14T14:47:59","date_gmt":"2024-03-14T18:47:59","guid":{"rendered":"https:\/\/www.un.org\/unispal\/?post_type=document&#038;p=294314"},"modified":"2024-03-14T14:48:36","modified_gmt":"2024-03-14T18:48:36","slug":"gaza-is-at-breaking-point-unfpa-14mar24","status":"publish","type":"document","link":"https:\/\/www.un.org\/unispal\/document\/gaza-is-at-breaking-point-unfpa-14mar24\/","title":{"rendered":"\u201cGaza is at breaking point\u201d: Health workers and patients describe an unfolding catastrophe in Rafah &#8211; UNFPA press release"},"content":{"rendered":"<p>14 March 2024<\/p>\n<p><strong>RAFAH, The Gaza Strip<\/strong>\u00a0\u2013 Dr. Mohamed Ragab used to work as a gynaecologist and obstetrician at the Nasser Medical Complex in Khan Younis, in southern Gaza. But after the health centre was\u00a0<a href=\"https:\/\/www.who.int\/news\/item\/20-02-2024-who-transfers-critical-patients-out-of-nasser-medical-complex--fears-for-safety-of-remaining-patients\" target=\"_blank\" rel=\"noopener\">bombarded<\/a>\u00a0in February 2023, up to 70 women a day now visit the doctor in a tent set up at a camp for 40,000 displaced people in Rafah.<\/p>\n<p>\u201cThis might be the only place in the displacement camps where we can provide antenatal and pregnancy care,\u201d Dr. Ragab told UNFPA, the United Nations sexual and reproductive health agency, which has helped equip Dr. Ragab with basic supplies.<\/p>\n<p>With only the overcrowded\u00a0<a href=\"https:\/\/www.unfpa.org\/news\/impossible-choices-gaza-%E2%80%9Cwomen-are-giving-birth-prematurely-because-terror%E2%80%9D\" target=\"_blank\" rel=\"noopener\">Al-Helal Emirati Maternity Hospital<\/a>\u00a0still able to offer health services in the area, many pregnant women simply have nowhere else to turn. \u201cOur prenatal centre is based in the sand: We need to be in the camp to be closer to the women and relieve pressure on the hospital,\u201d explained Dr. Ragab. \u201cWe don\u2019t only diagnose, we also provide medications and treatment.\u201d<\/p>\n<p>Just\u00a0<a href=\"https:\/\/www.ochaopt.org\/content\/hostilities-gaza-strip-and-israel-reported-impact-day-157\" target=\"_blank\" rel=\"noopener\">12 out of 36 hospitals<\/a>\u00a0across Gaza remain partially functional, and only two are providing maternity services; yet in the throes of this chaos and catastrophe, some 180 women are giving birth every day. Haneen, 30, is eight months pregnant with her third child and has been displaced five times since October. She saw Dr. Ragab for a prenatal check-up \u2013 her second throughout her entire pregnancy.<\/p>\n<p>\u201cI am very tired; a pregnant woman is naturally tired during pregnancy while in her own home, let alone with life like it currently is,\u201d she told UNFPA. \u201cThe lack of bathrooms and essential items \u2013 it all makes the whole situation unbearable.\u201d<\/p>\n<p>Since the escalation of hostilities in October 2023, around\u00a0<a href=\"https:\/\/www.ochaopt.org\/content\/hostilities-gaza-strip-and-israel-reported-impact-day-157\" target=\"_blank\" rel=\"noopener\">1.7 million people<\/a>\u00a0have been displaced in Gaza, with an estimated 1.5 million crowded into Rafah. As food, fuel, clean water and medical supplies run desperately low, disease, illness, severe hunger and acute malnutrition are rife, particularly among the more than\u00a0<a href=\"https:\/\/www.unfpa.org\/resources\/unfpa-palestine-situation-report-6-1-march-2024\" target=\"_blank\" rel=\"noopener\">155,000 pregnant and breastfeeding<\/a>\u00a0women and their newborns.<\/p>\n<p>&nbsp;<\/p>\n<figure class=\"align-center\" role=\"group\"><img class=\"lazyload\" decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" data-orig-src=\"https:\/\/www.unfpa.org\/sites\/default\/files\/inline-images\/intext1_gazaevacuation_mar2024.jpg\" alt=\"alt=&quot;&quot;\" data-entity-type=\"file\" data-entity-uuid=\"6237494c-411b-485c-9def-3fbd722860dd\" \/><figcaption>Haneen has been displaced five times with her three children; this is only her second prenatal visit. \u201c The whole situation is unbearable,\u201d she told UNFPA. \u00a9 UNFPA Palestine\/Bisan Ouda<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p><strong>Infections spread as medications dwindle<\/strong><\/p>\n<p>For pregnant women and new mothers, safe pregnancy, labour and delivery are just one hurdle to overcome. Conditions at the temporary camps they reside in are squalid; where available, bathrooms are shared among hundreds of people and lack clean water or hygiene products.<\/p>\n<p>This means the risk of infection and communicable disease spreading has soared, said Dr. Ragab. \u201cThe majority of cases we deal with are urinary tract infections from the lack of clean water. Some women have gynaecological infections and chest infections from being exposed to the cold,\u201d he said.<\/p>\n<p>\u201cThe greatest risks they face are from diseases such as Hepatitis A, which have spread widely. A pregnant woman is fragile; she is more vulnerable. She may become infected very quickly or her condition can deteriorate easily\u201d<\/p>\n<p>With just a fraction of the needed food, water, medicine and critical health supplies reaching the people of Gaza, illnesses can quickly become life threatening. \u201cThere is a shortage of important medications for women, like Clexane or Heparin, that should be available and can save lives. I am supposed to provide these medications to women, but I can&#8217;t,\u201d said Dr. Ragab.<\/p>\n<p>&nbsp;<\/p>\n<figure class=\"align-center\" role=\"group\"><img class=\"lazyload\" decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" data-orig-src=\"https:\/\/www.unfpa.org\/sites\/default\/files\/inline-images\/intext2_gazaevacuation_mar2024.jpg\" alt=\"alt=&quot;&quot;\" data-entity-type=\"file\" data-entity-uuid=\"c2c34946-ae8b-40bb-91b6-a63ccf9e7705\" \/><figcaption>\u00a0A strike hits as patients are evacuated from the Al Amal Hospital in Khan Younis, southern Gaza, to a field hospital in Rafah. The Al Amal Hospital had come under heavy bombardment and is currently no longer functional. \u00a9 UNFPA Palestine\/Bisan Ouda<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p><strong>Fighting the odds to reach people in peril<\/strong><\/p>\n<p>Where possible, UNFPA is providing supplies to support the sexual and reproductive health needs of Gaza\u2019s women and girls. Teams of health staff have been deployed to provide antenatal and postnatal care to pregnant and breastfeeding women at shelters in Deir al-Balah and Rafah, and together with partners UNFPA has so far supported over half of all births \u2013 21,000 \u2013 in Gaza since the war began.<\/p>\n<p>While UNFPA is delivering vital medicine and deploying health teams where accessible, for too many women, this support is simply impossible to reach in time. \u201cI think of myself as someone who sees a drowning person and is trying to provide them with a life jacket,\u201d said Dr. Ragab.<\/p>\n<p>&nbsp;<\/p>\n<figure class=\"align-center\" role=\"group\"><img class=\"lazyload\" decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" data-orig-src=\"https:\/\/www.unfpa.org\/sites\/default\/files\/inline-images\/intext3_gazaevacuation_mar2024.jpg\" alt=\"alt=&quot;&quot;\" data-entity-type=\"file\" data-entity-uuid=\"e3e9221a-4d5a-4d78-8b79-5e24ff56becf\" \/><figcaption>An ultrasound machine sits in the sand at Dr. Ragab\u2019s prenatal centre, set up in a displacement camp in Rafah that is currently sheltering some 40,000 people. \u00a9 UNFPA Palestine\/Bisan Ouda<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p>Tens of thousands of maternity, dignity, menstrual hygiene and reproductive health kits have also been distributed and psychosocial counselling and gender-based violence awareness sessions are being held, particularly aimed at young people and women who are most at risk of abuse.<\/p>\n<p>As the conflict grinds on, access is increasingly fraught and obstetric\u00a0<a href=\"https:\/\/www.unfpa.org\/news\/impossible-choices-gaza-%E2%80%9Cwomen-are-giving-birth-prematurely-because-terror%E2%80%9D\" target=\"_blank\" rel=\"noopener\">emergencies and premature births<\/a>\u00a0are surging. After a recent visit to the Rafah\u2019s Al-Amal Hospital, UNFPA\u2019s Head of Office in Gaza, Judith Starkulla, described scenes of \u201cbombed-out ambulances and badly damaged hospitals \u2013 but still women sought medical assistance and gave birth.\u201d<\/p>\n<p>\u201cHospitals are not places of hope anymore, nor of refuge or care \u2013 we cannot continue like this,\u201d she said. \u201cGaza is at breaking point, and it will break very soon.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>14 March 2024 RAFAH, The Gaza Strip\u00a0\u2013 Dr. Mohamed Ragab used to work as a gynaecologist and obstetrician at the Nasser Medical Complex in Khan Younis, in southern Gaza. But after the health centre was\u00a0bombarded\u00a0in February 2023, up to 70 women a day now visit the doctor in a tent set up at a camp <a href=\"https:\/\/www.un.org\/unispal\/document\/gaza-is-at-breaking-point-unfpa-14mar24\/\"> [&#8230;]<\/a><\/p>\n","protected":false},"author":299,"featured_media":0,"parent":0,"template":"","meta":{"footnotes":""},"country":[],"document-category":[1329],"document-source":[2337],"committee-meeting":[],"document-subject":[1769,1945,2033,6872,2005,2533,1841],"entity":[1729],"document-language":[6542],"class_list":["post-294314","document","type-document","status-publish","hentry","document-category-press-release","document-source-united-nations-population-fund-unfpa","document-subject-armed-conflict","document-subject-assistance","document-subject-children","document-subject-disease","document-subject-gaza-strip","document-subject-health","document-subject-women","entity-united-nations-system","document-language-english"],"_links":{"self":[{"href":"https:\/\/www.un.org\/unispal\/wp-json\/wp\/v2\/document\/294314","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.un.org\/unispal\/wp-json\/wp\/v2\/document"}],"about":[{"href":"https:\/\/www.un.org\/unispal\/wp-json\/wp\/v2\/types\/document"}],"author":[{"embeddable":true,"href":"https:\/\/www.un.org\/unispal\/wp-json\/wp\/v2\/users\/299"}],"version-history":[{"count":5,"href":"https:\/\/www.un.org\/unispal\/wp-json\/wp\/v2\/document\/294314\/revisions"}],"predecessor-version":[{"id":294323,"href":"https:\/\/www.un.org\/unispal\/wp-json\/wp\/v2\/document\/294314\/revisions\/294323"}],"wp:attachment":[{"href":"https:\/\/www.un.org\/unispal\/wp-json\/wp\/v2\/media?parent=294314"}],"wp:term":[{"taxonomy":"country","embeddable":true,"href":"https:\/\/www.un.org\/unispal\/wp-json\/wp\/v2\/country?post=294314"},{"taxonomy":"document-category","embeddable":true,"href":"https:\/\/www.un.org\/unispal\/wp-json\/wp\/v2\/document-category?post=294314"},{"taxonomy":"document-source","embeddable":true,"href":"https:\/\/www.un.org\/unispal\/wp-json\/wp\/v2\/document-source?post=294314"},{"taxonomy":"committee-meeting","embeddable":true,"href":"https:\/\/www.un.org\/unispal\/wp-json\/wp\/v2\/committee-meeting?post=294314"},{"taxonomy":"document-subject","embeddable":true,"href":"https:\/\/www.un.org\/unispal\/wp-json\/wp\/v2\/document-subject?post=294314"},{"taxonomy":"entity","embeddable":true,"href":"https:\/\/www.un.org\/unispal\/wp-json\/wp\/v2\/entity?post=294314"},{"taxonomy":"document-language","embeddable":true,"href":"https:\/\/www.un.org\/unispal\/wp-json\/wp\/v2\/document-language?post=294314"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}