Evidence map›Paper›PMID 41731615›Full record

ArticleConflict and health2026

Hospital functionality in the Gaza Strip: analysis of the World Health Organization health resources and services availability monitoring system database, 7 Oct 2023 to 31 Oct 2024.

David Mills, Yara Asi, Dennis Kunichoff, Erica Nelson, Juliana Nasser, Shannon Barkley, Ryan Arias Delafosse, Corey Scher, Osama Tanous, Weeam Hammoudeh and 7 more

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In one paragraph

Article in Conflict and health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

17 authors.

David MillsFXB Center for Health and Human Rights, Harvard University, 677 Huntington Ave, Boston, MA, 02115, USA. davidmills@hsph.harvard.edu.
Yara AsiFXB Center for Health and Human Rights, Harvard University, 677 Huntington Ave, Boston, MA, 02115, USA.
Dennis KunichoffFXB Center for Health and Human Rights, Harvard University, 677 Huntington Ave, Boston, MA, 02115, USA.
Erica NelsonDepartment of Emergency Medicine, MassGeneral Brigham, Boston, MA, USA.
Juliana NasserWorld Health Organization (WHO) occupied Palestinian territory Country Office, Jerusalem, Israel.
Shannon BarkleyWorld Health Organization (WHO) occupied Palestinian territory Country Office, Jerusalem, Israel.
Ryan Arias DelafosseThe Institute of Global Health, University of Geneva, Geneva, Switzerland.
Corey ScherGeography Program, College of Earth, Ocean, and Atmospheric Sciences (CEOAS), Oregon State University, Corvallis, OR, USA.
Osama TanousFXB Center for Health and Human Rights, Harvard University, 677 Huntington Ave, Boston, MA, 02115, USA.
Weeam HammoudehFXB Center for Health and Human Rights, Harvard University, 677 Huntington Ave, Boston, MA, 02115, USA.
Bram WispelweyFXB Center for Health and Human Rights, Harvard University, 677 Huntington Ave, Boston, MA, 02115, USA.
Nadine BahourFXB Center for Health and Human Rights, Harvard University, 677 Huntington Ave, Boston, MA, 02115, USA.
Richard PeeperkornWorld Health Organization (WHO) occupied Palestinian territory Country Office, Jerusalem, Israel.
Egmond EversWorld Health Organization (WHO) occupied Palestinian territory Country Office, Jerusalem, Israel.
Lianne GonsalvesWorld Health Organization (WHO) occupied Palestinian territory Country Office, Jerusalem, Israel.
Jamon Van Den Hoek *Geography Program, College of Earth, Ocean, and Atmospheric Sciences (CEOAS), Oregon State University, Corvallis, OR, USA.
P Gregg Greenough *Department of Emergency Medicine, MassGeneral Brigham, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSince October 2023, the destruction of Gaza's health care system and the barriers to providing critical hospital-based health care services to the Palestinian population have been extensively documented.

aimsThe objective of this study was to provide an aggregate and by-governornate descriptive analysis of individual hospital functionality and hospital system capacity over the first 13 months of conflict.

methodsThirty-five public, private, and non-governmental hospitals were analyzed from 7 October 2023 to 31 October 2024. Data sources included WHO 'rapid response' database and the WHO Health Resources and Services Availability Monitoring System. Data were combined to create a longitudinal and spatial representation of individual hospital capacity status (fully, partially, minimally, and nonfunctional). Hospital functionality status was weighted and aggregated to provide a proxy estimate of total hospital system capacity.

resultsBy 28 October 2023, 71.4% (n = 25) of hospitals were in the partially functional status, and 28.6% (n = 10) hospitals were rendered nonfunctional. Hospital system functionality hit its lowest point (13.9%) on 5 April 2024 and did not exceed 33% after December 2023. The largest number of hospitals in nonfunctional status was twenty-five, which occurred twice during the study period, once in November 2023 and again in April 2024, resulting in 71.4% nonfunctional status among all hospitals.

conclusionThis study provides additional evidence that the Gaza Strip's hospital system was directly affected by the first year of the conflict, greatly impacting the ability to provide critical health services.

Indexed as

ConflictGazaHeRAMSHospital Functionality

Identifiers

PMID41731615
PMCPMC13041049

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