The hospitals faced a lack of fuel due to the Israeli siege and relied on backup generators for the first two weeks of the war.[3] By 23 October 2023, Gaza hospitals began shutting down as they ran out of fuel, starting with the Indonesia Hospital.[4] When hospitals lost power completely, multiple premature babies in NICUs died.[5][6] By the end of May 2024, both the World Health Organization and International Rescue Committee reported only one-third of Gaza's hospitals remained at least partially operational.[7][8]
Numerous medical staffers were killed, and ambulances, health institutions, medical headquarters, and multiple hospitals were destroyed.[9] The Medecins Sans Frontieres said scores of ambulances and medical facilities were damaged or destroyed.[10][11] By late-October, the Gaza Health Ministry stated the healthcare system had "totally collapsed",[12] while on January 13 out of Gaza's 36 hospitals reportedly remained partially functional.[13] By May 2024, the World Health Organization documented 450 Israeli attacks on Gaza's healthcare system.[14]