Since famine was officially declared (IPC Phase 5) in August 2025, we have been providing comprehensive assistance to particularly vulnerable groups – primarily children under the age of five and pregnant and breastfeeding women. What this means for our life-saving emergency work in Gaza: Everyone has access to preventive medical check-ups and assistance without first having to be assessed for acute malnutrition. Other age groups are also included if necessary.
Previously, recipients were selected using standardized procedures that are also applied in other humanitarian crises. Aid organizations exchange information with each other to ensure that support is provided in a fair, targeted, and transparent manner.
Since early 2025, however, the Gaza Humanitarian Foundation (GHF), a new structure supported by the US and Israel, has been organizing aid deliveries in Gaza. Instead of being distributed via UN clusters as before, aid is now distributed via a small number of heavily secured distribution hubs, often with very short opening hours and under the supervision of private security forces. This approach is intended to consolidate supplies, but it leads to chaotic scenes: food distribution has repeatedly resulted in crowding, violence, and even hundreds of deaths. The GHF hsa been criticized above all for its lack of transparency, lack of neutrality, and the accusation that humanitarian aid is being used as a political lever. Many organizations see this as a departure from established, neutral humanitarian principles.