Rafah in Palestine: Blockade, Displacement, and Humanitarian Struggle

In Explainer News by Newsroom30-08-2025

Rafah in Palestine: Blockade, Displacement, and Humanitarian Struggle

Rafah lies on Gaza’s southern edge, bordering Egypt. For years, it has been a point of connection between Gaza and the outside world.

Now, it has turned into the final gathering point for Palestinians fleeing from relentless Israeli military action in the central and north areas of Gaza. Its streets and open spaces are filled with makeshift tents, battered vehicles, and families clutching the few belongings they could carry.

Since October 2023, the flow of displaced people toward Rafah has been relentless. Israeli bombardments pushed over a million Palestinians into the city, stretching its resources far beyond capacity.

Rafah was never equipped to handle such numbers. Infrastructure meant for tens of thousands now carries the burden of hundreds of thousands.

Access to clean water is scarce, medical facilities are overwhelmed, and electricity is mostly absent.

The Blockade of the Rafah Crossing 

The Rafah border crossing into Egypt used to be a lifeline for Palestinians. It allowed humanitarian supplies to enter and patients to leave for urgent medical treatment. 

Under current Israeli control and oversight, it has become a bottleneck. Dozens of aid convoys are stopped daily. Reports indicate hundreds of trucks carrying food, medical supplies, and fuel have been prevented from entering Gaza, leaving critical needs unmet.

Fuel shortages have paralyzed life in Rafah. Hospitals cannot run ventilators, bakeries cannot bake bread, and water treatment plants sit idle.

These shortages force families to make impossible choices between cooking a small meal or using scarce fuel for heating and light.

Mass Displacement and Evacuation Orders 

In March 2025, Israeli forces issued evacuation orders for Rafah’s residents, instructing them to move to al-Mawasi, a strip of coastal land declared a safe zone. In reality, the move offered little safety.

Many refused to leave, fearing bombardment on the journey or permanent displacement. These evacuation orders repeat a cycle many Palestinians have experienced multiple times: being forced to leave home without the promise of return.

Each relocation adds new layers of trauma, especially for children who have already witnessed violence, hunger, and the loss of friends or family.

The Paramedic Massacre of March 2025:

One of the darkest moments in Rafah’s recent history occurred on March 23, 2025. Israeli strikes targeted marked ambulances and UN vehicles in the al Hashashin area, killing 15 Palestinian medics. 

This attack not only took lives but also crippled Rafah’s already struggling health services. Emergency response teams were left without vehicles, equipment, or staff to respond to calls for help.

For patients in critical condition, the consequences were immediate and deadly. Without functioning ambulances, families carried injured loved ones on foot or in carts, hoping to find medical help that was often unavailable.

Collapse of the Humanitarian Aid System

The blockade and bombardment have fractured Gaza’s humanitarian aid network. Aid warehouses are unreachable due to road destruction and military restrictions. 

The World Food Programme has reported going more than a week without accessing its Rafah stores, cutting off thousands from food supplies.

Medical aid has also been halted. Doctors report surgeries being performed without anesthesia and hospitals lacking antibiotics or sterile equipment.

Diseases like cholera and hepatitis are reemerging as clean water supplies run out.

Historical Identity of Rafah Under Threat

Rafah was once a symbol of cultural resilience. Markets bustled with traders from both sides of the border, mosques stood as centers of community life, and families shared traditions passed down for generations.

Today, many of these cultural markers are in ruins. Homes are rubble, community centers are destroyed, and public spaces are unrecognizable. The city’s identity is being erased alongside its physical destruction.

International Law and Accountability

The International Court of Justice has ordered Israel to cease its military actions in Rafah, warning that such operations risk acts of genocide under international law. Yet without enforcement mechanisms, the ruling has had little effect.

International humanitarian law prohibits targeting civilians and obstructing aid. Israel’s ongoing blockade and military strikes have been condemned by multiple UN agencies, but diplomatic pressure has so far failed to bring lasting relief.

Mental Health Crisis in Rafah

Beyond physical destruction, Rafah faces a mental health crisis. Displaced families live under constant threat of attack. The sounds of drones, shelling, and gunfire are a daily reality.

Children show signs of severe psychological trauma, including night terrors, panic attacks, and loss of speech.

Mental health support is nearly nonexistent. A few volunteer counselors operate in displacement camps, but their resources are limited, and the need is overwhelming.

The Burden on Women

Women in Rafah are carrying an extraordinary load. They manage household survival under impossible conditions, caring for children, fetching water, and securing whatever food they can find.

Pregnant women face heightened risks, as access to medical care is limited or absent.

Births often occur in unsafe conditions, without trained medical staff or sanitary supplies. The maternal and infant mortality rate has risen sharply, and postpartum care is almost unheard of.

Children and Education in Crisis

Education in Rafah has nearly collapsed. Schools have been converted into shelters, leaving children without classrooms or teachers.

Makeshift lessons take place in overcrowded tents, with no textbooks or supplies.

The longer education is disrupted, the more difficult it becomes for children to regain learning momentum. Aid agencies warn of a generation growing up without the skills needed for future independence.

Economic Destruction

Before the war, Rafah’s economy relied on small trade, agriculture, and fishing. Now, with fields inaccessible, markets destroyed, and fishing banned due to naval control, livelihoods have disappeared.

Families who once supported themselves now depend entirely on humanitarian aid, which itself is dwindling.

The destruction of economic activity deepens poverty and makes long-term recovery even more challenging.

The Role of the Palestinian Diaspora

Palestinians abroad have mobilized to support Rafah, organizing protests, advocacy campaigns, and fundraising drives. While some aid reaches Gaza, much is blocked at the border.

Despite this, diaspora voices keep international attention on Rafah and counter narratives that minimize the humanitarian crisis.

International Political Response

Global political reactions have been inconsistent. While many leaders condemn Israel’s actions, few take concrete steps to enforce ceasefires or unblock aid.

This gap between rhetoric and action fuels Palestinian frustration and distrust in international promises.

Rebuilding and Recovery

Recovery for Rafah will require rebuilding infrastructure, restoring essential services, and supporting the mental and physical health of its people. This will take years, and without political change, reconstruction efforts risk being destroyed again.

Immediate Needs Include:

  • Opening Rafah crossing permanently for aid and civilian travel.
  • Ensuring protection for aid workers and medical staff.
  • Providing sustained funding for rebuilding homes, schools, and hospitals.
  • Delivering psychological support programs alongside physical reconstruction.

Why Rafah Matters for Palestine’s Future?

Rafah is more than a border town. It has become a symbol of endurance under siege, representing the resilience of the Palestinian people in the face of overwhelming odds. Protecting Rafah means preserving a lifeline for Gaza’s survival and a foundation for its recovery.

FAQs

Why is Rafah important to Gaza?

It is the only crossing to Egypt and the main route for humanitarian aid and medical evacuations.

What happened in March 2025 in Rafah?

Israeli strikes killed 15 Palestinian medics, crippling emergency medical services during a critical period.

How is aid delivery affected?

Blockades prevent trucks carrying food, fuel, and medicine from entering, causing shortages that affect all aspects of life.

What is the role of the ICJ?

The ICJ ordered Israel to stop military action in Rafah, citing genocide risk, but the ruling has not been enforced.

Can Rafah recover?

Yes, but it will require massive reconstruction, economic revival, and lasting protection from further attacks.