Gaza: “Emotional scars will last a lifetime”


16 November 2023


Women and girls in Gaza are experiencing unbearable trauma as conditions for civilians become bleaker by the day. 

CARE, 16 November 2023 – As the misery further deepens in Gaza, with 2.2 million Palestinians facing hunger, thirst, and a healthcare system in tatters, CARE International is calling attention to the immense and long-lasting toll the conflict is having on mental health – especially among women and girls in Gaza.

Donate to CARE's Gaza humanitarian crisis appeal

Hiba Tibi, CARE’s West Bank and Gaza Country Director, said:

“For the survivors, the emotional scars will last a lifetime,” said “We know that women and girls are especially vulnerable during humanitarian emergencies, particularly when this triggers mass displacement and upheaval. Often it is more difficult and dangerous for them to access essentials like food, drinking water and medical supplies. Already there are indications that people in the north are running out of food and people in the south have to skip meals. This is incredibly distressing for parents, and we know that many will forego food and water to lessen their children's suffering, putting their own well-being at greater risk.”

Devastating impact, especially for children

The horrific violence that has lasted for over five weeks has had a devastating impact on the emotional well-being of civilians. More than 11,000 people have reportedly been killed in Gaza, of which an estimated two-thirds are women and children.

Nour Beydoun, CARE’s regional advisor on protection and gender in emergencies, said:

“Women and children are subjected to increased levels of traumatic experiences, resulting in heightened feelings of fear, anxiety, grief, and anger. This is associated with the breakdown of social structures, family separation, and the disruption of support networks. This puts children, especially those without surviving family members, at higher risk of trafficking and forced recruitment.”

Due to the high number of children affected, the new term WCNSF – wounded child, no surviving family, has emerged in Gaza.

Hiba Tibi said:

“It is particularly troubling. These children now face an uncertain and immensely difficult future. Children must be protected from further suffering. Children should be able to enjoy their childhood without fear for their safety, fear of hunger and drinking dirty water. Gender and age-appropriate mental health and psychosocial support must be provided urgently and sustained over the longer-term,”

700 people share one shower

Just over 75% of Gaza's population - some 1.7 million people - are registered refugees or descendants of refugees, according to the UN. “Many women and children are living in overcrowded camps across the Gaza Strip. They have both inherited intergenerational trauma and already experienced trauma in their own lives,” said Hiba Tibi.

Over 1.5 million people in Gaza are reported to have been forced from their homes since October 7th. In shelters for internally displaced people in the south of Gaza, on average 160 people share a single toilet, with only one shower unit for every 700 people. This lack of access to sanitation facilities coupled with the lack of hygiene supplies exposes women and girls to diseases and skin infections and makes it very difficult to live with dignity.

Gaza’s only psychiatric hospital was also forced to close last week.

“Exposure to armed conflict is often associated with an increased prevalence of anxiety disorders. Working with communities to address the psychosocial effects of conflicts can be more effective when tailored to the gender and age-specific needs of affected individuals,” Beydoun said.

CARE's response in Gaza

CARE has integrated this approach in its emergency response.

“We plan to work with health respondents and community volunteers to provide recreational activities to children, as well as training front-line respondents to link survivors with specialised service providers where available,” Beydoun said.

At this point, access to Gaza is extremely limited for both aid and health workers.

Ceasefire NOW

At CARE’s office in the West Bank, the team is struggling to keep in touch with colleagues in Gaza, while preparing aid, in cooperation with colleagues in CARE Egypt and other organisations, that can enter from Egypt as soon as feasible. Hiba Tibi said:

“A ceasefire is vital to protect civilians, including women and children, and prevent further trauma. Access for humanitarian workers and supplies is critical. Time is running out to save lives in Gaza.”

Media enquiries

For media enquiries, please contact David Moore, Media Officer,

Image: Grayscale Media/CARE

You could help save lives in Gaza

Donate to CARE today

Latest news from CARE

  • CARE statement on International Court of Justice ruling to halt Rafah operation

    CARE welcomes the International Court of Justice ruling ordering Israel to immediately halt its military operation in Rafah, Gaza and open the Rafah crossing.

    Read more
  • Evacuation from Kharvkiv, Ukraine

    Escalation of conflict in Ukraine: Addressing humanitarian needs amidst internal displacement

    The recent escalation of the war in Ukraine has led to additional waves of internal displacement in the Kharkiv region. CARE is providing humanitarian support to affected communities.

    Read more
  • Sudanese refugees in Chad

    Escalating conflict in El Fasher deepens humanitarian crisis in Darfur region

    Sudan currently faces the world's largest internal displacement crisis, with over 6 million people displaced within the country. As fighting intensifies in El Fasher, North Darfur, the situation will deteriorate even further.

    Read more