ActionAid Ireland raises concern over the critical conditions of hospitals in Gaza due to fuel shortages

The critical shortage of fuel in Gaza is gravely impacting hospitals and affecting pregnant women’s ability to access vital healthcare. Hospitals are warning that vital life-saving equipment might be forced out of action if they do not receive sufficient fuel supplies quickly, while women have told ActionAid that they were forced to walk to hospital to give birth because the lack of fuel meant no transport was available.

Karol Balfe, ActionAid Ireland CEO said:

“Fuel is absolutely crucial to keep the infrastructure needed to sustain life operational in Gaza. It is shocking that hospitals are having to reduce their services due to shortages and that life-saving equipment could be forced out of action. The trickle of aid currently entering Gaza is nowhere near enough to meet the enormous and ever-growing humanitarian need.”

Nuha’s daughter in law gave birth at Al-Awda Hospital in northern Gaza, which is run by ActionAid’s partner Al-Awda and recently resumed services despite a brutal 13-day siege by the Israeli military that damaged much of the hospital.

Describing her relative’s journey to give birth, Nuha said:

“Unfortunately, there was no ambulance available to take her due to the shortage of fuel…We had to walk her all the way to the hospital.

“It is a well-known fact that fuel is scarce. It is needed for the generators to continue working and to keep all departments of the hospital operational…We now demand the world to provide fuel for hospitals. Hospitals are essential to us, the people, to receive treatment, and for pregnant women to follow-up on their pregnancy.”

Enas, who has been displaced from Jabalia camp in northern Gaza, recently gave birth at Al-Awda Hospital. She said:

“We didn’t find transportation, so we would go and come back on foot and [my] blood pressure would rise.

“…Al-Awda Hospital lacks fuel and electricity [and] medical supplies are in very short supply here…Doctors are trying their best but there is no food or [drinkable] water here. They suffer from power [outages]. They constantly have to turn the generator on because it [keeps] turning off.”

Dr Mohammad Salha, acting director of Al-Awda Hospital in northern Gaza, said a lot of services at the hospital were affected by the lack of fuel. In a voice note message, he told ActionAid:

“The [World Health Organisation] [was] providing fuel and medical supplies and medication.[But]from the 22nd of April [until] now they are not providing because the Israeli [military]refused to [let] the fuel and medical supplies [enter].So, [for] more than 50 days the hospital is without fuel and medical supplies. And the fuel that they are bringing is only [enough] for two weeks.

“[As a result] we are decreasing our intervention. And we are not running the big generators. We are running the small generators only to recharge the batteries. And [on this] we are doing the surgeries related to life saving. Because there is no fuel, there [are] a lot of our services [that are] affected; the maternity services, the [gynaecology] services, also our OT [operating theatre], [which is] not running at the full capacity…Our laboratory is also affected. We can’t do many analyses, related to orthopedic analysis [and]we are dealing with many patients. 70% of people who [are] affected from the Israeli aggression need orthopedic surgery.”

The Rafah crossing, which is the main entry point for fuel coming into Gaza, has been closed since it was seized by the Israeli military on May 7 during its ground invasion of Rafah. Since then, the amount of aid – including fuel – entering Gaza has fallen sharply, worsening the already dire humanitarian situation in the strip.

Commenting on this, Ms Balfe added:

We demand that the Rafah crossing is reopened immediately, that more aid and fuel is permitted to enter Gaza unhindered and that the safety of humanitarian workers distributing aid is guaranteed. We continue to urge all parties to agree to a permanent ceasefire now.”

Only 17 of Gaza’s hospitals are currently partially functioning, and the Ministry of Health is warning these could go out of service if they do not receive more fuel immediately. The only oxygen station in the Gaza City area is at risk of being shut off, it said, while medicines stored in refrigerators will also be damaged if generators are unable to function.

It is not just hospitals that are affected: key infrastructure such as water desalination plants and sewage facilities are struggling to operate without sufficient fuel, limiting water production and increasing the risk of sewage overflows. Only 20 per cent of fuel needed per week to ensure the operation of these facilities was received between May 26 and June 2, UNOCHA reports.

Alongside fuel, more supplies of food, water and medicines are urgently needed to stave off malnutrition, dehydration and disease.

Dr Mohammad Salha said:

“We are in the north [where] since more than two months, we are without vegetables and fruits and fresh food. We now have a few of kinds of food only: flour, some cans. And it’s [affecting] the nutrition of children and women.”
 
“There is no milk for many of [the] children. We are providing only one can of milk for each[baby] [for] the women who [gave] birth in Al-Awda Hospital. The Israeli [army] during the siege [targeted] the fifth floor of Al-Awda, which destroyed the water tanks, and we don’t have healthy water and filtered water [which] is affecting the staff and patients.
Protesters holding End Fossil Fuels banner at a climate demonstration, advocating for renewable energy solutions.

Protestors at COP 28 in Dubai. Photo: Konrad Skotnicki.

Climate protest with diverse crowd holding signs about environmental action in a city square.

Belfast Climate Change March, 2019. Photo: Trócaire.

The Profit Driving the Crisis

Despite their overwhelming contribution to global emissions, fossil fuel companies continue to attract significant financial backing—driven by their enduring profitability. This is starkly illustrated by the case of ExxonMobil, the top fossil fuel investment held by asset managers based in Ireland. In 2023, ExxonMobil reported €33.63 billion ($36 billion) in profit. That is almost twice the GDP of Botswana (€18.1 billion) and nearly three times Namibia’s GDP (€11.5 billion).

Ireland plays a hugely disproportionate role in facilitating investments into fossil fuel companies like ExxonMobil. In 2023, the investments made into fossil fuel companies by investment managers based in Ireland generated an estimated 72.5 million tons of CO2e. This is more than the CO2e emissions for the entire country of Ireland—and more than ten times that generated by Sierra Leone.

The Global Human Impact

The climate crisis is here, now, and it is causing disproportionate harm in the Global South. In Bangladesh, rising sea levels and increasingly severe cyclones are displacing coastal communities, with projections indicating that 17% of the entire country could be underwater by 2050. The legally binding Paris Agreement on climate change explicitly acknowledges the importance of tackling private finance. Its three overarching goals are: keeping below 1.5C of warming; increasing adaptation and making finance flows consistent with low emissions and resilience.

This gives a clear mandate for action:  both tax reform and corporate regulation are needed to tackle financial flows, and both nationally in Ireland and at EU level, ‘polluter pays’ taxes are lacking and regulation of the financial sector remains weak and fragmented. While EU regulation exists, it is designed more to nudge investors toward more sustainable investment practices by increasing transparency and reporting levels than to enforce strict standards. And it is moving in the wrong direction: the recently passed EU Corporate Sustainability Due Diligence Directive excluded investments; and now the EU Commission’s Omnibus legislative proposal threatens to undo the limited gains made on climate plans, as well as blocking future attempts for stronger action at national level.

The Risk of Inaction

Fossil fuel investment is too profitable to remain weakly regulated. If Ireland continues with its current strategy of encouraging FDI at all costs, and relying on weak EU regulation, we are headed for catastrophe. The Inter-governmental Panel on Climate Change has repeatedly warned that every fraction of a degree beyond 1.5°C brings irreversible consequences: collapsed ice sheets, vanishing coral reefs, and extreme weather events that will make vast regions of the planet uninhabitable. And yet, companies are developing oil and gas fields that could push global warming beyond 2°C.

Our research found that 91% of the investments made into fossil fuel companies by investment managers based in Ireland were to companies that have plans for fossil fuel expansion like these. Ireland cannot afford inaction on this issue.

About This Research

The figures in this report regarding investment from Ireland are based on new research commissioned by ActionAid Ireland and Trócaire. In the paper, we uncover the scale of fossil fuel investment through Ireland, who the investors are, and in which fossil fuel companies they are investing.  We analyse the current regulatory framework and explain why it is inadequate—and moving in the wrong direction. And we make specific recommendations for change, which are summarised below.

Summary of Recommendations

Regulate the private financial sector
Ireland must end its outsized role as an enabler of destructive fossil fuel investment. Ireland should introduce a strong gender-responsive national human rights and environmental due diligence framework which includes the regulation of investors with respect to human rights and the environment and climate. The transposition of the EU Corporate Sustainability Due Diligence Directive could achieve this if downstream activities are included and the Omnibus proposal is rejected. Ireland should prohibit investments in fossil fuel expansion and require investors to implement climate transition plans consistent with a 1.5°C climate limit.

Endorse the Fossil Fuel Non-Proliferation Treaty
Ireland should endorse developing a Fossil Fuel Non-Proliferation Treaty to curb fossil fuel expansion and commit to a fair and funded phase out of fossil fuels.

Support tax justice
Ireland should support bold and fair new global tax rules through the UN Framework Convention on Tax, should adopt all OECD BEPS measures, and should conduct an updated and comprehensive spillover analysis of its tax policy. Ireland should take coordinated action globally, at the EU level and domestically to introduce a range of new taxes to mobilise finance needed for climate justice, based on ‘polluter pays’ and social equity principles such as wealth taxes for the highest earners, climate damages tax on investors, fossil fuel production taxes and levies on aviation and shipping.

Finance a just transition
Ireland must also meet its fair share climate finance obligations under Article 9.1 of the Paris Agreement, and pay our ecological debt to the Global South. Ireland should support conditionality-free debt cancellation for countries on the front lines of the climate crisis, commit to a new UN Framework Convention on Sovereign Debt, moving debt negotiations from the IMF to the UN, and to a debt workout mechanism that is fully representative and fair.

Further reading