Gaza and West Bank Response Log | April 2026

Consolidated Updates, April 18-23, 2026

During the reporting period, Anera sustained multi-sector humanitarian operations across Gaza and the West Bank, delivering food assistance, healthcare, livelihoods support, and protection services amid ongoing instability.

Gaza

In Gaza, Anera continued food distributions at scale. In addition to World Food Programme-supported activities, 630 vegetable baskets were distributed across Khan Younis, the middle area and Gaza City, with each 8 kg parcel supporting a family of six for approximately five days. Hot meal provision also continued, with 17,159 meals distributed across targeted shelters over a two-day period, alongside 1,827 fresh produce baskets for displaced households.

Access to safe water remained a priority. Anera distributed 960 cubic meters of potable water during the week, primarily in Khan Younis and the Middle Area. Distribution in Gaza City was temporarily suspended due to security concerns affecting water sources in Al-Shuja’iyya but is expected to resume. An additional 140 cubic meters of potable water were delivered to community shelters, alongside 19 hygiene promotion sessions reaching 617 participants.

Healthcare services continued through both static clinics and outreach. Anera provided health services to 8,106 beneficiaries, including 4,000 patients through primary healthcare clinics and 3,045 through mother and child health services. Mobile outreach teams also reached 1,061 children with screenings and basic care. Complementary health activities included seven health days serving 469 patients, while procurement for essential medicines remains ongoing.

Education and psychosocial support programming expanded across shelters and temporary learning spaces. Anera supported 1,151 students through education programs, distributed 65 education kits, and engaged 187 children, including children with disabilities, in psychosocial support sessions. Women’s empowerment efforts included training 15 women on food safety, hygiene, and basic management skills.

Livelihood and early recovery efforts are advancing despite constraints. Preparatory work has been finalized for a large-scale cleaning and sterilization campaign set to begin on May 1 across nine displacement camps, creating temporary employment for 216 individuals. Meanwhile, the We Can project has reached near completion, with 54 of 55 small businesses receiving tools and equipment, alongside ongoing coaching to support long-term sustainability.

West Bank

In the West Bank, Anera continued to invest in women’s economic empowerment and livelihoods. An assessment of 344 previous “Women Can” participants is underway to identify 40 women eligible for additional grant support. Selection for a new cohort in Hebron is ongoing in coordination with the Ministry of Social Development. Anera also initiated discussions with Al-Zaytouna microfinance institution to explore an Islamic banking compliant pilot program.

Healthcare programming in the West Bank reached a cumulative 15,532 beneficiaries through recently concluded mobile clinic initiatives. In parallel, agricultural support activities continued, including the distribution of summer crop seedlings and reinforcement measures to mitigate weather-related damage. Planning and procurement are also underway for the first year of the rooftop garden project.

Across both Gaza and the West Bank, Anera continues to adapt programming to evolving conditions, maintaining critical service delivery while laying the groundwork for longer-term recovery and resilience.

Anera-supported primary healthcare centers in Gaza provided care to 1,026 patients from April 21st to 23rd. This included 808 patients treated at the Khan Younis and Deir Al Balah clinics and another 218 patients at the Nuseirat clinic. Treatments included wound care, general surgery and emergency, dermatology, physiotherapy and internal medicine.

Anera also delivered 21,134 gallons of potable water to displaced families to camps in Khan Younis and 21,134 gallons to camps in the Deir Al Balah area.

Anera distributed 180 vegetable parcel to internally displaced families in camps across Gaza City. Each parcel weighed approximately 18 pounds. providing enough food to support one family for five days.

Anera also delivered 21,134 gallons of potable water to displaced families to camps in Khan Younis and 21,134 gallons to camps in the Deir Al Balah area.

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In case you missed it, the newly released Gaza Rapid Damage and Needs Assessment, prepared by the World Bank, European Union, and United Nations, underscores the unprecedented scale of devastation across Gaza. The report estimates $35+ billion in physical damage, $22+ billion in economic losses, and total recovery needs of $71.4 billion. It also highlights a deepening humanitarian crisis, with mass displacement, severe disruption of health and education services, and an economy reduced to a fraction of its pre-war size. Read the full report.

Water Distributions

Today, we distributed potable water to camps of internally displaced people in the Khan Younis and Deir Al Balah governorates.

April 11 to 16 program update

Gaza Activities

Food Security

• We continued distributing fresh produce (90 15-pound [7-kilogram] parcels daily), rotating every two days between the governorates of Khan Younis, Deir Al Balah, and Gaza City. Each parcel supports a family of six for approximately four days. We distributed a total of 630 vegetable parcels this week. (Integrated Shelters Project) And through a separate program, we distributed 1,832 vegetable baskets to community shelters in Gaza and Khan Younis.
• We distributed 10,286 ready-to-eat meals, 1,309 boxes of high-energy biscuits and 5,143 wheat flour bags to 5,143 households at distribution points in Mawasi Al-Qararah (South Gaza) and the Deir Al Balah governorate. The ready-to-eat boxes contain cooking oil, rice, red lentils, hummus, tomato paste, salt, white beans, wheat flour. (World Food Programme Gaza Food Distribution Project)
• Anera provided 17,104 hot meals, covering two daily distributions.

Water Distributions, Sanitation Services and Hygiene Sessions

• We distributed potable water through water truck delivers in Khan Younis, Deir Al Balah, and Gaza City governorates, delivering about 220 cubic meters daily or 339,725 US gallons for the week. (Integrated Shelters Project) And, through a separate program, we distributed an additional 69,741 gallons (264 cubic meters) of potable water across community shelters in Gaza City and Khan Younis governorates.
• We hosted 17 hygiene promotion sessions for 561 people.

Health Services

• Our medical clinics provided essential treatment and care to 6,791 patients across six locations, including three field primary healthcare centers (in Khan Younis, Deir Al Balah City, and Nuseirat) and three mother and child health clinics (in Gaza City, Khan Younis, and Zawayda).
• We hosted psychosocial support activities for 300 children, along with counseling sessions for youth and teachers, and positive parenting sessions for parents. (Partnership with NAFS for Empowerment) And, through a separate program, we hosted eight psychosocial support sessions for 186 children, including some children with disabilities.

Shelter and Clothing

• We distributed family clothing kits to 750 families. (Integrated Shelters Project)

Education

• Anera currently has 1,151 students, ranging from kindergarten to grade six, enrolled in thrice weekly classes at our temporary learning spaces. (Palestinian Early Childhood Education Program)

Economic Empowerment

We continued to tools and equipment to family businesses (in sectors like carpentry, education, food processing, barbershops, sewing, hairdressing, photography, and blacksmithing) — to 34 such businesses thus far. Our business development coaching visits to assess progress and support sustainable implementation of business plans were ongoing. (We Can Project)

West Bank Activities

Economic Empowerment

Anera held a four-day business training in Bethlehem for 38 program participants in our family business support initiative. The training covered business planning, idea validation, and marketing, using interactive exercises to support participants in refining their business concepts. We also completed the coaching sessions for these participants. (We Can Program)

Education

We hosted a one-day teacher training on social and emotional learning for 24 kindergarten teachers and also provided mentorship support.

Water Distributions

Food Security

April 11-12 Update from Gaza

On Saturday, April 11, Anera distributed vegetable parcels to 90 internally displaced families in Khan Younis. Each parcel, weighing approximately 6.95 kg, is designed to support a family for four days. The same day, our team delivered 55,400 gallons of potable water across Gaza: about 21,100 gallons in Khan Younis, 21,100 gallons in the middle area, and 13,200 gallons in Gaza City.

On April 12, another 90 vegetable parcels went out to displaced families in the middle area. Water distribution continued at similar scale, reaching approximately 58,000 gallons across Khan Younis, the middle area, and Gaza City.

Anera also launched medical screenings for children in temporary learning spaces, integrating health and education services to reach approximately 1,100 children across five locations, with a focus on early detection and timely care.

At the primary health clinic in Al Nuseirat, services provided from April 7 to 12 reached 269 patients across multiple specialties, including wound care, general surgery and emergency services, dermatology, physiotherapy, pediatrics, gynecology and obstetrics, and internal medicine.

April 4-9 Update from Gaza

The Anera team in Gaza distributed 9,022 ready-to-eat meals, 4,510 bags of flour and 1,151 high-energy biscuit boxes in shelters and 17,086 hot meals through community programs. Fresh produce distributions resumed, reaching 630 families this week through 1,450 vegetable parcels.

Water access was sustained through the daily delivery of potable water across Gaza, Khan Younis and Deir Al Balah, totaling 335,498 for the week, alongside additional distributions in community shelters. Hygiene awareness sessions reached 368 participants.

Health services remained operational through our six clinics, providing care to 5,765 patients, complemented by mobile health days serving 440 individuals. Anera also procured essential medical supplies, including hearing aids.

Education and psychosocial support programs continued, with 1,183 students attending temporary learning spaces and hundreds of children, parents and teachers participating in recreational, counseling and parenting sessions.

During this time period, a daily deployment of 56 workers collected and removed 48 tons of solid waste from seven internal displacement camps.

Communities across Palestine are facing mounting crises as violence, economic strain and environmental challenges converge.

In the West Bank, rising attacks and land seizures are deepening insecurity, even as global attention shifts elsewhere. In Gaza, halted aid flows, fuel shortages and rising prices are cutting off access to food, water and essential services. At the same time, critical medicine supplies are running dangerously low, and uncollected waste is fueling serious public health risks.

The situation is rapidly evolving, and needs are growing. Read more about what’s happening in Palestine, based on reports from Anera staff.

Update on program totals in Gaza for March 28 to April 2

Food Assistance & Livelihoods

• 25,629 hot meals distributed across Gaza and Khan Younis shelters.
• 367 vegetable baskets delivered to families in community shelters.
• A women-led bakery initiative produced and distributed 1,263 pastry meals.
• 6,521 ready-to-eat meals distributed
• 4,776 wheat flour bags provided to households
• 1,198 high-energy biscuit boxes distributed
• Fresh produce distributions resumed, with 90 baskets delivered daily across multiple locations.

Solid waste management: A team of 56 workers is deployed daily, collecting 48 tons of solid waste from seven makeshift displacement camps. Sterilization campaigns are ongoing to reduce insect-related health risks. Five hazardous sewage pits were backfilled as part of winterization efforts.

Water: Distributed 58,118 gallons of daily throughout Khan Younis, the middle area and Gaza City.

Health: Anera clinics served 5,272 patients across six locations with another 525 patients treated through mobile health days across Gaza and Khan Younis. Services included primary healthcare, maternal and child care, nutrition and psychosocial. Anera also conducted 11 hygiene awareness sessions, reaching 237 participants.

Education: Temporary learning spaces continued operating in partnership with local organizations, with 1,183 students (KG–Grade 6) attending regular learning sessions.