The United Nations said the recent ceasefire has allowed more humanitarian aid into Gaza but that deliveries remain well below needs and that multiple logistical and administrative barriers persist.

UN spokesperson Farhan said the ceasefire produced “a 46% increase in the amount of aid” tracked by the UN mechanism but added, “much more still needs to be done,” calling for more open crossing points, “passage for aid workers and civilians, unrestricted entry of goods, sustained entry of fuel, and operational space for the UN and NGOs.”

Why it matters: rapid, predictable access and adequate fuel are prerequisites for scaling medical evacuations, food and water distribution and repairs to damaged sanitation systems across Gaza.

The UN Office for the Coordination of Humanitarian Affairs reported needs assessments at two collective centers in Gaza City’s Azetoun neighborhood hosting more than 200 returning families. Observers documented “extremely poor” hygiene conditions, widespread skin disease linked to lack of clean water and damaged sewage systems, and near‑absent services such as medical points, mobile health teams and nutrition screening. Displaced families told assessors they urgently need food, clean water, hygiene items, materials to repair water and sanitation infrastructure, and cash assistance for winter items.

On medical evacuations, the World Health Organization led the transfer of 41 critical patients and 145 companions out of Gaza — the first such evacuations since the ceasefire — and said about 15,000 patients still await approval to receive care outside Gaza.

Logistics and supplies: the UN and partners offloaded hundreds of trucks at crossings last week. The World Food Programme and UNICEF reported deliveries of food, diapers, hygiene kits, tarpaulins and supplies for community kitchens; UNOPS reported collecting 159,000 liters of diesel and distributing more than 118,000 liters of diesel and over 1,200 liters of petrol for critical operations.

Correction and monitoring: the spokesperson corrected an earlier figure, saying 105 UN and partner trucks were offloaded at Kerem Shalom and Kisafim on a recent day, not the previously reported 263. Farhan said the UN’s published truck numbers cover UN and partner cargos only and that the overall daily target described in ceasefire arrangements — widely discussed as roughly 600 trucks per day across all channels — includes commercial and bilateral consignments as well as UN shipments. He added the UN lacks monitors at all crossing points, which limits its ability to report a full, consolidated daily truck count.

Administrative barriers: Farhan emphasized that the UN and international NGOs require visas and operational approvals to scale distributions inside Gaza, and that more crossing points and cleared roads are needed for steady aid flows. He said the UN has the capacity to move greater volumes when more crossings and routes are open, citing performance during an earlier ceasefire as evidence.

Reconstruction and financing: asked about the estimated cost to rebuild Gaza’s health system — cited by WHO in the briefing as at least $7 billion — the spokesperson said rebuilding will require “appeals” and broad member‑state commitment, but he did not specify funding pledges or which governments might be asked to shoulder reconstruction costs.

On political developments, Farhan stated the secretary‑general “would oppose any effort to change the territorial status quo of the West Bank,” and said that a recent Knesset step was not a final decision, noting additional votes and readings would be required.

The UN said it will transmit the International Court of Justice advisory opinion to the General Assembly and urged compliance with international humanitarian and human rights law by all parties.

Looking ahead, the UN said it will decide representation for an upcoming Gaza Reconstruction Conference in Egypt and reiterated the need for member‑state support to fund reconstruction and large‑scale humanitarian operations.