Report findings highlight: 1. Systematic violations of international law are harming women and children the most​​. 2. Gender-responsive aid requires a professional and community-led humanitarian response. 3. The scale of mass casualty and forced displacement in Gaza creates a triple burden for women: the loss of male relative support, the responsibility for additional dependents, and women’s own heightened exposure to hunger and violence. 4. Hunger and starvation compound grief and trauma, but they cannot extinguish hopes for the future. 5. Honoring the stories and lived experiences of genocide survivors in Gaza is not only central to a dignified humanitarian response, but also essential to ensuring accountability and to preventing such atrocities from occurring in the future. RECOMMENDATIONS The people of Gaza cannot wait another day—they need an immediate and permanent ceasefire to prevent further loss of life and human suffering. 1. The Government of Israel must abide by international humanitarian law and its obligations under the Genocide Convention. Israel must prevent the spread of famine and ensure safe, sustained humanitarian access across Gaza by immediately lifting restrictions on humanitarian aid, with food, nutrition, and healthcare assistance for the most vulnerable groups prioritized. Israel must enable a civilian-led, UN-coordinated humanitarian response, ending all forms of militarized aid distribution, removing bureaucratic impediments that prevent UN and humanitarian agencies from operating fully and safely in Gaza, and ending the targeting of humanitarian and medical personnel and infrastructure. 2. Humanitarian actors and donors must stem the gendered impacts of starvation by prioritizing food and nutrition for vulnerable groups; scaling malnutrition screening and treatment; prioritizing women-headed households for food distributions; and implementing gender-sensitive distribution mechanisms such as women-only queues, deployment of female humanitarian staff, and direct aid delivery to people who are unable to access distribution points. 3. UN Member States, the UN Security Council, the International Criminal Court, and the International Court of Justice must uphold international law, implementing immediate measures to ensure that all actors abide by international humanitarian law and obligations under the Genocide Convention, prevent the use of starvation as a method of warfare or act of genocide, and protect women and girls from harm. All actors must support and cooperate with independent investigations into the use of starvation as a weapon of warfare or act of genocide, and all actors must enforce measures to hold all perpetrators accountable. All UN Member States must end the transfer of arms that may be used in the commission of genocide, crimes against humanity, war crimes, and violations of international humanitarian law. 4. Israeli and Palestinian authorities, donors, and humanitarian and development agencies must support long-term, inclusive recovery and food security for women and girls in Gaza by integrating maternal and child nutrition programs into the rebuilding of health services; restoring women-led food production and the long-term independent food security of Gaza; rebuilding care infrastructures and mental health services for women and girls; and ensuring women and womenled organizations play a leading role in recovery. 4