The ongoing humanitarian crisis in Gaza has brought the region’s healthcare system to the brink of collapse, with a desperate necessitate for prioritizing primary care even amidst ceasefire discussions. While much attention has rightly focused on the trauma and emergency care required in the wake of escalating conflict, experts warn that a sustainable recovery hinges on rebuilding and strengthening primary healthcare services – the first point of contact for most people’s health needs. This need for prioritising primary care during ceasefire in Gaza is becoming increasingly urgent as public health conditions deteriorate and access to essential medicines dwindles.
The scale of the devastation is staggering. According to the World Health Organization (WHO), as of January 2025, approximately seven percent of Gaza’s population had been killed or injured since October 2023. Dr. Rik Peeperkorn, WHO representative for the West Bank and Gaza, described the situation as grim, noting that over 25 percent of the 105,000 injured civilians now face life-changing injuries. The sheer number of casualties, combined with limited resources, has overwhelmed the remaining healthcare facilities.
Systematic Dismantling of Gaza’s Healthcare Infrastructure
The health sector in Gaza is not simply strained; This proves being “systematically dismantled,” according to Dr. Peeperkorn. Only 16 of the region’s 36 hospitals were partially operational as of early January 2025, with a collective capacity of just over 1,800 beds – woefully inadequate for the overwhelming medical needs. Shortages of medical supplies, equipment, and qualified personnel are rampant. Hospitals like Kamal Adwan, North Gaza’s main healthcare facility, have suffered severe damage from raids, forcing the transfer of critical patients to already overburdened facilities like the Indonesian Hospital, which itself lacks essential supplies.
The situation is particularly dire in North Gaza, where Al-Awda Hospital, the last operational hospital, struggles to provide even basic care. The UN High Commissioner for Human Rights, Volker Türk, has condemned the destruction of hospitals as a “human rights catastrophe” unfolding before the world, detailing patterns of targeted attacks on healthcare facilities, including the killing and forced removal of patients, and staff. The UN report details these attacks and their devastating consequences.
Beyond Emergency Care: The Critical Role of Primary Healthcare
While emergency care is undoubtedly vital in a conflict zone, the long-term health and well-being of the population depend on a functioning primary healthcare system. Primary care encompasses a wide range of services, including preventative care, chronic disease management, maternal and child health services, and mental health support. These services are essential for addressing the ongoing health needs of the population, preventing further complications, and building resilience.
The current crisis has severely disrupted access to these essential primary care services. With hospitals overwhelmed and many healthcare facilities destroyed, people are unable to receive routine check-ups, vaccinations, or treatment for chronic conditions. This lack of access is leading to a rise in preventable illnesses and exacerbating existing health problems. The WHO reported in August 2025 that public health conditions in Gaza are “catastrophic,” with hospitals operating far beyond capacity. The report also highlighted that some life-saving medicines are completely out of stock, and deaths from malnutrition and disease are increasing.
Malnutrition and Disease on the Rise
The breakdown of primary care services is contributing to a worsening malnutrition crisis, particularly among children. Since the start of 2025, 148 people have died from malnutrition, including 49 children under the age of five. The lack of access to clean water, sanitation, and adequate nutrition is further exacerbating the problem, increasing the risk of infectious diseases. Bed occupancy rates in major facilities are alarmingly high – Shifa Hospital is at 250 percent capacity, Nasser at 180 percent, Al-Rantisi at 210 percent, and Al-Ahli at over 300 percent, according to the WHO.
Challenges to Rebuilding Primary Care
Rebuilding Gaza’s primary healthcare system will be a monumental task, even with a sustained ceasefire. The destruction of infrastructure, the shortage of medical personnel, and the ongoing political instability all pose significant challenges. The displacement of large numbers of people is disrupting access to healthcare services and creating new health needs. The WHO has noted that displacement orders now place its own warehouse in an evacuation zone, threatening further disruption to services.
Israel’s ongoing actions continue to impact Gaza’s healthcare system, even under a ceasefire, as reported by Al Jazeera. The continued conflict, even at a reduced intensity, hinders efforts to repair damaged facilities and replenish depleted supplies.
Despite these challenges, there is a growing recognition of the need to prioritize primary care in Gaza. International organizations, such as the WHO, are working to provide essential medicines and supplies, support healthcare workers, and rebuild damaged facilities. However, sustained funding and political commitment are essential to ensure the long-term sustainability of the healthcare system.
Disclaimer: This article provides information for general knowledge and informational purposes only, and does not constitute medical advice. It is essential to consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.
The next critical step will be the implementation of comprehensive plans to rebuild and strengthen Gaza’s primary healthcare infrastructure, contingent upon a lasting ceasefire and sustained international support. Continued monitoring of public health conditions and access to essential services will be crucial in the coming months. Share this article to raise awareness about the urgent need to prioritize primary care in Gaza, and join the conversation in the comments below.
