woensdag 27 augustus 2025

Israel's systematic use of sexual and other forms of gender-based violence

 13 March 2025

English only

Human Rights Council

Fifty-eighth session

“More than a human can bear”: Israel's systematic use of

sexual, reproductive and other forms of gender-based violence

since 7 October 2023

Independent International Commission of Inquiry on the Occupied

Palestinian Territory, including East Jerusalem, and Israel

Summary

The Independent International Commission of Inquiry on the Occupied

Palestinian Territory, including East Jerusalem, and Israel submits the present

conference room paper to the Human Rights Council on the systematic use of sexual,

reproductive and other gender-based violence by the Israeli Security Forces since 7

October 2023.

In the paper, the Commission examines Israel’s widespread destruction of

Gaza and the disproportionate violence against women and children resulting from

Israel’s method of war, including the targeting of residential buildings and the

indiscriminate use of heavy explosives in densely populated areas. It describes the

destruction of Palestinians through reproductive violence and harms resulting from

the Israeli Security Forces’ deliberate attacks on sexual and reproductive health care

facilities and the collapsed health care infrastructure in Gaza.

The Commission also examines the sharp increase in sexual and gender-based

violence perpetrated by members of the Israeli Security Forces and settlers online and

in person across the Occupied Palestinian Territory, including rape and other forms

of sexual violence. It also examines how sexual and gender-based violence has taken

different forms when committed against male and female members of the Palestinian

community in order to dominate, oppress and destroy the Palestinian people in whole

or in part.A/HRC/58/CRP.6

Contents

I. III. IV. V. Overview and Methodology ................................................................................................................................ 3

II. Applicable Law .................................................................................................................................................... 4

Female casualties and the disproportionate effect of heavy explosives ................................................................ 7

Israel’s targeting of women and girls ................................................................................................................... 9

Israel’s destruction of Palestinians through reproductive violence and harms .................................................. 11

A. Direct attacks on sexual and reproductive health care facilities .................................................................... 11

B. Blocking access and availability of reproductive health care ........................................................................ 13

C. Starvation and reproductive harms ................................................................................................................ 15

D. Menstrual and reproductive health concerns ................................................................................................. 17

VI. Israel’s systematic use of sexual and gender-based violence ............................................................................. 19

A. Masculinity, nationalism and militarization .................................................................................................. 19

B. Sexual harassment and public shaming of Palestinian women ...................................................................... 20

C. Filming and photographing acts of sexual violence against men and boys during arrest .............................. 22

D. Sexual violence during ground operations including at checkpoints and evacuations .................................. 24

E. Sexual, reproductive and other gender-based violence in detention .............................................................. 26

VII. Sexual and gender-based violence by settlers and other civilians ...................................................................... 29

VIII. Gendered impacts of displacement ...................................................................................................................... 31

IX. Impunity and accountability .............................................................................................................................. 33

X. Analysis and legal findings ................................................................................................................................ 36

A. B. C. D. E. Extermination and wilful killing .................................................................................................................... 36

Violations and crimes related to sexual and reproductive rights and personal autonomy ............................. 37

Sexual and gender-based violence ................................................................................................................. 39

Persecution of men and boys ......................................................................................................................... 42

Violations committed by settlers and soldiers in the West Bank and Israel .................................................. 44

XI. Conclusions ........................................................................................................................................................ 45

XII. Recommendations ................................................................................................................................................. 47

2A/HRC/58/CRP.6

I. Overview and methodology

1. This conference room paper of the Independent International Commission of

Inquiry on the Occupied Palestinian Territory, including East Jerusalem, and Israel.

(the Commission) focuses on sexual, reproductive and other forms of gender-based

violence carried out since 7 October 2023 by the Israeli Security Forces (ISF) and Israeli

settlers.

1

2. The paper summarizes and expands the findings on gender-based violence

included in the Commission’s reports that were published after 7 October 2023. In its

reports, the Commission found that gender-based violence and harms are not isolated

incidents but rather part of broader patterns of discriminatory violations and crimes

perpetrated within a system of oppression and domination imposed by Israel as the

occupying power. The Commission considers that these issues must be integrated in

future accountability processes. This report includes additional cases and findings

following subsequent investigations conducted by the Commission in 2024.

3. The Commission’s comprehensive findings on violations and abuses committed by

the military wing of Hamas and other Palestinian armed groups on and since 7 October

2023 were presented in the Commission’s reports to the Human Rights Council in June

2024 and to the General Assembly in October 2024, as well as in a separate conference

room paper.

2 In these reports, the Commission concluded that sexual and gender-based

violence was perpetrated in several locations in Israel and by multiple Palestinian

perpetrators.

4. From 7 October 2023 to 30 November 2024, several requests for information and

access were sent the Government of Israel, as well as requests for information to the State

of Palestine and the Ministry of Health in Gaza. The State of Palestine provided

information and extensive comments on the report presented by the Commission

before the Human Rights Council at its 56th session. On 15 January 2025, the

Commission submitted a request for information to Israel about ongoing investigations

and accountability efforts (see section Impunity and Accountability, para. 147). No

responses were received from Israel. The Commission has also not received from Israel

any further information on violations and abuses committed by the military wing of

Hamas and other Palestinian armed groups on 7 October 2023. The Commission has

not received any information about prosecutions of members of Hamas and other

armed groups for the crimes committed on 7 October 2023.

5. The Commission’s findings on gender-based crimes are based on verified

digital content as well as victim and witness testimonies. The Commission also met

with civil society and women’s rights organisations who provided information to it.

6. In relation to the standard of proof applied to cases of sexual violence, the

Commission has found the standard of ‘reasonable grounds to conclude’ to have been

met when information has been corroborated by one or several victims or witnesses or

supported by digital evidence that demonstrates similar patterns and descriptions to

those identified by witnesses. Information that does not meet this level of

corroboration has been excluded from the Commission’s findings. The Office of the

High Commissioner for Human Rights guidelines inform that the method of

verification for sexual violence may differ from other violations. While corroboration

of other violations requires obtaining concurring information from two other

independent and reliable sources, verification for sexual violence may rely on a single

primary source if deemed credible and if the case corresponds to a pattern that is

consistent with other similar cases.

3

1 See A/HRC/56/26, C/56/CRP.4 and A/79/232.

2 See A/HRC/56/26, A/79/232 and A/HRC/56/CRP.3. Officially known as Izz al-Din al-Qassam

Brigades, the Commission uses the terms “Hamas military wing” or “Hamas militants.

3 Office of the Hight Commissioner (OHCHR), Commissions of inquiry and fact -finding missions on

international human rights and humanitarian law – Guidance and Practice, 2015, p. 60; OHCHR,

Integrating a gender perspective in human rights investigations – Guidance and Practice, 2018, p.18.

3A/HRC/58/CRP.6

7. An integrated gender analysis has been applied throughout the Commission’s

investigations to examine the gender differentiated consequences of attacks on

civilians and civilian objects and deliver justice for survivors.

8. The Commission considers the term ‘gender-based violence’which includes

sexual and reproductive violence, to be a broad term for violence directed towards or

disproportionately affecting someone because of their gender or sex. The term ‘sexual

violence’ covers a range of physical and non-physical acts of a sexual nature against

a person or causing a person to engage in such an act, by force or by threat of force or

coercion. ‘Reproductive violence’ is a distinct form of gender-based violence that

includes acts or omissions that cause harm by interfering with reproductive autonomy

and rights, or violence directed at people because of their actual or perceived

reproductive capacity.4

9. The Commission has considered acts of sexual violence within the context in

which they were carried out, such as coercing a victim to undress in a context of

religious and cultural dress codes, particularly for Muslim women and girls in relation

to the removal of the veil.5

10. The Commission notes that survivors of sexual violence are frequently hesitant

to come forward due to the risk of stigma and re-traumatization for themselves and

their family members. The Commission considers that inflammatory language,

misinformation and disbelief surrounding sexual violence committed on and since 7

October 2023 risk exacerbating these challenges and further silencing victims. At the

same time, the exploitation of sexual violence in conflict for political expediency risks

removing attention from the experience and needs of the survivors, as well as fuelling

long-standing animosity and dehumanization.

II. Applicable Law

11. The Commission reiterates that the Occupied Palestinian Territory, including East

Jerusalem and Gaza, and the occupied Syrian Golan are currently under belligerent

occupation by Israel, to which international humanitarian law applies concurrently with

international human rights law.

6 The Commission finds that Gaza remains under Israeli

occupation by, inter alia, Israel’s control over the airspace and territorial waters of

Gaza, as well as the land crossings at the borders, and that Israel re-established its

military presence and control inside the Gaza Strip as of October 2023.

7 This has been

affirmed by the International Court of Justice in July 2024.8 Israel is therefore bound

by the international humanitarian law obligations of an occupying power set out in the

Fourth Geneva Convention and customary international law, including the 1907 Hague

Regulations.

4 https://www.unwomen.org/en/digital-library/publications/2024/09/research-paper-documenting-

reproductive-violence-unveiling-opportunities-challenges-and-legal-pathways-for-un-investigative-

mechanisms, page 7.

5 The Policy on Gender-based Crimes by the Office of the Prosecutor at the International Criminal

Court emphasizes the need to contextualize crimes and understands the survivor’s point of view,

stating that that forced removal of a veil may be experienced as “forced nudity” and may qualify as a

form of sexual violence. https://www.icc-cpi.int/sites/default/files/2023-12/2023-policy-gender-en-

web.pdf, para 62.

6 A/77/328, para. 7; A/HRC/50/21, paras.16,20; https://www.icj-cij.org/public/files/case-

related/131/131-20040709-ADV-01-00-EN.pdfpara. 106.

7 Ibid, para. 93.

8 International Court of Justice, Legal consequences arising from the policies and practices of Israel in

the Occupied Palestinian Territory, including East Jerusalem, Advisory Opinion (19 July 2024),

paras. 78, 92-94. https://www.icj-cij.org/sites/default/files/case-related/186/186-20240719-adv-01-

00-en.pdf. The International Court of Justice stated that for the purpose of determining whether a

territory is occupied under international law, “the decisive criterion is not whether the occupying

Power retains its physical military presence in the territory at all times but rather whether its authority

‘has been established and can be exercised’” (at para. 92, citing article 42 of the Hague Regulations).

4A/HRC/58/CRP.6

12. At the outset, the Commission notes that the laws governing international

armed conflict apply to the situation of occupation.9 During an international armed

conflict, international humanitarian law allows for the internment of prisoners of war

(combatants) and in limited circumstances, civilians.10 The Fourth Geneva Convention

provides that a civilian may be detained if “the security of the detaining power makes

it absolutely necessary”.11 The standard for civilian internment is very high, an

occupying State may intern civilians only if the detention is absolutely necessary or

imperative for security reasons. If a State interns a large number of protected persons

at once, the State must establish the grounds for internment for each individual person

who has been interned. Thus, civilian internment shall be exceptional, limited and

subject to strict conditions applicable on an individual basis. Protected persons shall

be protected in all circumstances, including during internment. This protection

includes respect for their person, honour, and family rights. They shall be “humanely

treated, and shall be protected especially against all acts of violence or threats thereof

and against insults”.12 In particular, women shall be “especially protected against any

attack on their honour, in particular against rape, enforced prostitution, or any form of

indecent assault.”13

13. During detention, protected persons shall be afforded rights under international

humanitarian law. Notably, a State or armed group that detains protected persons is

obliged to provide for the maintenance of such persons and the medical attention they

require.14 Furthermore, the detaining entity shall “take all necessary and possible

measures” to ensure that detainees are accommodated in buildings or quarters that

would provide “every possible safeguard as regards hygiene and health, and provide

efficient protection against the rigours of the climate and the effects of the war”.

Where this is impossible, the detainees shall be moved to a more suitable location as

soon as the circumstances permit. Furthermore, women internees should be held

separate from men unless they are accommodated with their family members.15

14. Body searches are not unlawful in general, but such searches, including strip

searches, must be conducted in accordance with international human rights law, and

within the context of an occupation, international humanitarian law. In relation to

searches during detention, the Fourth Geneva Convention provides that “[a] woman

internee shall not be searched except by a woman.”16 Furthermore, the Commission

refers to the guidelines of the UN Standard Minimum Rules for the Treatment of

Prisoners (“Nelson Mandela Rules”), which provides that searches shall be conducted

based on the principles of legality, necessity and proportionality;17 as such, they cannot

be used to “harass, intimidate or unnecessarily intrude upon a prisoner’s privacy”.18

In particular, strip searches should only be undertaken where they are “absolutely

necessary.”19

15. The Commission reiterates that the applicability of international humanitarian

law does not replace Israel’s existing obligations under international human rights law.

These regimes are mutually reinforcing protection against gender-based crimes,

9 GCIV, art. 2.

10 11 See GCIV, arts. 27, 78.

GCIV, art. 42; ICTY, Prosecutor v. Dario Kordić et al., IT-95-14/2-A, Judgement, 17 December

2004, para. 70; ICTY, Prosecutor v. Zejnil Delalić et al. (Čelebići), IT-96-21-A, Judgement (Appeals

Chamber), 20 February 2001, para. 320; ICRC, Opinion Paper, Internment in Armed Conflict: Basic

Rules and Challenges, November 2014, p.4, available at

https://www.icrc.org/sites/default/files/document/file_list/security-detention-position-paper-icrc-11-

2014_0.pdf.

12 GCIV, art. 27.

13 GCIV, art. 27.

14 GCIV, art. 81.

15 ICRC Customary International Humanitarian Law, Volume I: Rules, rule 119; GCIV, art. 76; API,

art. 75; APII, art. 5(2)(a).

16 GCIV, art. 97.

17 Nelson Mandela Rules, rule 50.

18 Nelson Mandela Rules, rule 51.

19 Nelson Mandela Rules, rule 52(1).

5A/HRC/58/CRP.6

discrimination and persecution. International criminal law, as set forth in the Rome

Statute, codifies the international crimes of genocide, crimes against humanity, war

crimes and the crime of aggression.

16. Customary international law recognises the specific protection, health and

assistance needs of women and girls. Special protection is granted to pregnant women,

mothers of young children and lactating women. States are required to take

exceptional care with regard to the provision of food, clothing, medical assistance,

evacuation and transportation. According to international humanitarian law, pregnant

women must be provided sexual and reproductive healthcare services.

17. The Convention on the Elimination of All Forms of Discrimination against

Women (CEDAW) prohibits sexual, reproductive and other gender-based violence

against women and girls as a form of discrimination.

20 The United Nations Security

Council has reiterated the need for all parties to armed conflicts to take special

measures to protect women and girls from gender-based violence in situations of

armed conflict.21

18. Women and girls enjoy special protection because they continue to hold an

inferior place in the gender hierarchy and suffer from discrimination that initiates and

sustains violence. This places women and girls at an increased risk of not being able

to enjoy their human rights. It is also crucial to recognise that abuse of power, which

remains at the centre of gender inequity, also results in men and boys experiencing

specific vulnerabilities to sexual and reproductive violence, particularly in captivity

as a means of humiliation.

19. Crimes related to sexual, reproductive and gender-based violence have been

recognised as among the gravest of crimes under the Rome Statute. Investigating and

prosecuting such crimes is one of the key priorities for the Commission.22 In its first

report to the Human Rights Council in May 2022 (A/HRC/50/21, para.13), the

Commission stated that its mandate requires it to take full account of gender-based

discrimination, as well as intersecting forms of discrimination, as both a driver and a

root cause of conflict.

20. All crimes under the Rome Statute may potentially involve gendered elements

in their intent, commission or execution, as well as result in gender-specific harms.

Persecution as a crime against humanity is “the intentional and severe deprivation of

fundamental rights contrary to international law by reason of the identity of the group

or collectivity”.23 Gender persecution therefore includes conduct committed against

both men and women who are targeted separately or differently based on their gender.

Discriminatory intent may be proved by the disproportionate use of persecutory

conduct against one group based on gender. It may also be exhibited by the use of the

same persecutory conduct committed against multiple groups but targeted separately

based on gender.24

20 United Nations Committee on the Elimination of Discrimination against Women, “General

recommendation No. 30 on women in conflict prevention, conflict and post-conflict situations”

(CEDAW/C/GC/30), para. 34; “General recommendation No. 35 on gender-based violence against

women, updating general recommendation No. 19” (CEDAW/C/GC/35), para. 21.

UN Security Council Resolution 1325 (2011).

21 22 International Criminal Court, Policy on gender-based-crimes; crimes involving sexual, reproductive

and other gender-based violence, December 2023, para 100, and UNSC Resolution 2467 (2019), para.

15.

23 Rome Statute, art. 7(2)(g).

24 https://www.icc-cpi.int/sites/default/files/2022-12/2022-12-07-Policy-on-the-Crime-of-Gender-

Persecution.pdf, para. 50.

6A/HRC/58/CRP.6

III. Female casualties and the disproportionate effect of heavy

explosives

This is a war against women. Thousands of women have been killed and

hundreds of thousands are living in extremely precarious conditions. The

number of women and girls who have died from complications related to

pregnancy and childbirth remains unknown.

Obstetrician in Gaza 25

21. The Israeli attacks in Gaza are characterised by an extremely high civilian

casualty ratio in comparison with other armed conflicts in the last decades. As of

January 2025, 15 months into the attacks, over 46,000 persons have been killed by

Israeli forces in Gaza.

26 Some 24,000 out of the 40,717 who have been identified are

women, children and older persons, making up almost 59 percent of the identified

fatalities. Another 11,000 persons are missing under the rubble and presumed dead.27

Air and artillery strikes account for the majority of casualties.

22. While the estimated number of combatants killed by the ISF varies, there is no

doubt that civilians comprise the vast majority of the persons killed since the Israeli

attacks began. According to a United States intelligence assessment from May 2024,

Palestinian armed groups have lost 30 to 35 percent of their fighters in Gaza since

October 2023.28 The Commission therefore estimates the death toll of Hamas and other

armed groups as between 6,000 and 14,000, given an estimated strength of about

20,000 to 40,000 militants prior to October 2023.

29 One report estimated that 8,500

militants were killed.

30 The ISF claimed in October 2024 that it had killed about 17,000

Hamas operatives and members of other armed groups.31 Given that the number of

adult male fatalities since 7 October 2023 has been around 16,735,

32 this would mean

that the ISF considers all adult male Palestinians in Gaza to be members of armed

groups and so legitimate targets.

23. Among those confirmed as killed are some 7,216 women, making up around

18 percent of all persons killed in Gaza since 7 October 2023.

33 Reportedly, at least

1,213 women were killed in the month of October 2023, which makes it the most lethal

month for Palestinian women in Gaza ever recorded, according to some experts.

34 The

Commission notes that, while taking into account the rate of women killed is not a

substitute for confirming civilian status, women are more likely to experience conflict

as civilians than combatants. These numbers therefore indicate a high number of

female civilian casualties. Children make up almost 33 percent of the fatalities35 and,

according to data presented by the Ministry of Health in September 2024, some 15

percent of the persons killed are girls.36 Over 100,000 persons have been injured since

7 October; however, the disaggregated data is not available.37 In total, some 33 percent

of all persons killed in Gaza since October 2023 were female.

Quotes from witnesses and victims that have been included in the report are either direct quotes or

have been paraphrased.

26 https://www.ochaopt.org/content/reported-impact-snapshot-gaza-strip-17-december-2024

27 https://www.ochaopt.org/content/reported-impact-snapshot-gaza-strip-14-january-2025

28 https://www.washingtoninstitute.org/policy-analysis/hamas-weakened-prolonged-guerrilla-conflict-

looms)

29 https://www.cia.gov/the-world-factbook/references/terrorist-organizations/)

30 https://acleddata.com/2024/10/06/after-a-year-of-war-hamas-is-militarily-weakened-but-far-from-

eliminated.

25 31 https://www.idf.il/223776.

32 https://www.ochaopt.org/content/reported-impact-snapshot-gaza-strip-17-december-2024

33 https://www.ochaopt.org/content/reported-impact-snapshot-gaza-strip-17-december-2024

34 https://gaza-patterns-harm.airwars.org.

35 https://www.ochaopt.org/content/reported-impact-snapshot-gaza-strip-17-december-2024.

36 https://t.me/MOHMediaGaza/5823r.

37 https://t.me/MOHMediaGaza/6217 t.

7A/HRC/58/CRP.6

24. The proportion of female fatalities in the period since October 2023 is more

than double that in the 2008 conflict. In 2008-2009, female fatalities made up 15

percent of the conflict-related fatalities (eight percent women and seven percent girls)

and 22 percent of fatalities in 2014 (13 percent women and eight percent girls).38 This

upward trend in female fatalities was already identified by the United Nations

Independent Commission of Inquiry on the 2014 Gaza Conflict, emphasizing that

attacks on residential buildings rendered women particularly vulnerable to death and

injury.39

25. This upward trend is seemingly due to several factors, primary among them the

ISF’s increased use of heavy air bombardment since 7 October 2023. Research

conducted by the International Committee of the Red Cross indicates that the risk to

women and children posed by heavy explosive weapons with wide area effects is

distinctive and exacerbated by the exposure to constant movement through evacuation

orders and overcrowded living quarters which were also targeted.40 Previous

investigative mechanisms of the Human Rights Council have also noted the gendered

impact of heavy explosive weapons in populated areas, where, due to socially

prescribed gender roles, women are responsible for the home environment and care of

family members.41

26. The Commission notes that this trend may also be due to an expansion of the

ISF’s targeting criteria to target many more private homes and residential buildings

with the stated aim of killing militants even in small numbers, inevitably resulting in

high numbers of civilian casualties among family members, neighbours and

communities at large. In practice this means, for example, the inclusion of more targets

that are not purely military in the ISF’s ‘target bank’ and the broader authorization to

carry out attacks against private homes of Hamas officials and members when it is

known that family members are present or with the knowledge that nearby civilians

will likely be harmed. 42

27. The Commission documented several ISF statements that may be interpreted

as de facto awarding Israeli combatants blanket permission to target civilian locations

in the Gaza Strip.43 In one example, on 25 December 2023, the ISF issued a

clarification on its targeting approach in the Gaza Strip, stating: “Whereas in past

operations or wars, Israel has been more selective or “accurate” with regards to the

exact types of Hamas targets struck, given that Israel’s overall objective was limited

to diminishing Hamas’s capabilities, Israel is now focused on dismantling Hamas’s

capabilities altogether, i.e. causing “maximum damage” to Hamas’ military

capabilities in their entirety.”44 The United Nations Fact Finding Mission investigating

the offensive on Gaza in 2008-2009 also reported on similar strategies.

45

28. The result of the Israeli method of warfare of intentionally destroying and

causing suffering to the civilian population has been an increased impact on women

38 For comparative data see https://statistics.btselem.org/en/stats/during-cast-lead/by-date-of-

incident/pal-by-israel-sec/gaza-strip?section=overall&tab=overview, and

https://statistics.btselem.org/en/stats/since-cast-lead/by-date-of-incident/pal-by-israel-sec/gaza-

strip?operationSensor=%5B%22protective-edge%22%5D&section=overall&tab=overview. See also

A/HRC/12/48 and A/HRC/29/52, and Statement on Gaza by UN Women Executive Director Sima

Bahous | UN Women – Headquarters

39 A/HRC/29/52, para 37

40 https://www.icrc.org/en/document/civilians-protected-against-explosive-weapons%20;

https://www.icrc.org/en/download/file/229018/ewipa_explosive_weapons_with_wide_area_effect_fin

al.pdf.

41 A/HRC/29/CRP.4, para. 527. See also Gender and International Criminal Law, Oxford University

Press, 2022, p.376.

42 A/HRC/56/CRP.4, paras 153-172.

43 A/HRC/56/CRP.4, paras 153-172.

44 https://www.idf.il/en/mini-sites/hamas-israel-war-24/war-on-hamas-2023-resources/idfpress-release-

clarification/.

45 See the ‘Dahiya doctrine’, A/HRC/12/48.

8A/HRC/58/CRP.6

and children.

46 Entire families in Gaza have been killed together in their homes in

unprecedented numbers; experts have found that, during the first month of the war,

more than nine out of ten women and children killed were in residential buildings, and

95 percent of women were killed together with at least one child.47 A lactation

consultant in Gaza told the Commission of a new mother who was killed with her

twins in August 2024: “One of my patients had just given birth to twins when her

apartment was attacked. The attack happened while the father was at a local

government office to register the birth. The woman and her newborns were killed

instantly in the attack. The grief following her death was amplified by the fact that

there was no militant in sight.” The Commission documented in its report to the

Human Rights Council in June 2024 several incidents where women and girls were

killed during airstrikes on residential areas.

48 This pattern is reported to have continued

to date.

49

IV. Israel’s targeting of women and girls

I saw a pregnant woman who was shot and killed as she was approaching the

hospital. She was left there bleeding. Nobody managed to rescue her as the

hospital was under siege by the Israeli forces. She was found in a decomposed

state about 20 days later.

A witness from al-Awda hospital in Gaza

29. The Commission verified cases of deliberate targeting and killing of civilian

women and girls by members of the ISF in Gaza. On 12 November 2023, Hala Abd

Al-Ati, an older woman, was shot and killed in the Al-Rimal neighbourhood of Gaza

City as she attempted to evacuate with her family. In a video viewed and verified by

the Commission, Al-Ati is seen holding the hand of her young grandson, who is

waving a white flag. The group is walking on the road through a built-up area and

reaches an intersection. Her family members can be seen following a few metres

behind when a gunshot is heard, and she falls to the ground. Evidence reviewed by the

Commission indicates that Ms Al-Ati was shot by a sniper despite not posing any

threat. CNN’s investigation confirmed the presence of the ISF to the west and south

of the street intersection where the incident occurred.50 According to the ISF, the

Givati Brigade and the 162nd Division were operating in the Al-Rimal and Al-Shati

neighbourhoods at the time of the incident.51

30. On 16 December 2023 at around noon, Nahida and Samar Anton, a mother and

her adult daughter, were shot and killed by an ISF sniper at the Holy Family Parish, a

Catholic church in Gaza City. A witness interviewed by the Commission stated that

the two women were shot while on their way to the bathroom, situated in another

building that is part of the same compound. According to the witness, Israeli soldiers

were deployed in the street behind the church complex and shouted in Arabic that it

was forbidden to move outside. The two women left the building to go to the bathroom

inside the church complex when they were shot.

31. According to the Latin Patriarchate of Jerusalem, seven other people were shot

and wounded in the same incident, when they ran to the courtyard to help the women.

The Latin Patriarchate stated that there were no militants inside the Parish at the time

of the shooting and no warning was given prior to the attack. Furthermore, the list of

46 See A/HRC/56/26, and A/HRC/56/CRP.4.

47 https://gaza-patterns-harm.airwars.org.

48 See A/HRC/56/CRP.4.

49 https://gaza-patterns-harm.airwars.org.

50 https://edition.cnn.com/2024/01/26/middleeast/hala-khreis-white-flag-shooting-gaza-cmd-

intl/index.html;

51 [1] November 9, 2023 Operations in Hamas' Military Quarter in Gaza City, Over 50 Terrorists

Eliminated | IDF; [2] ap-hamas-israel-war-november-12th-2023-day-37/srael-war-november-12th-

2023-day-37/.

9A/HRC/58/CRP.6

coordinates had been forwarded to the Israeli military prior to the incident who

responded that they could not guarantee the safety of civilians inside the buildings.

The ISF denied intentionally targeting the two women, alleging that they were

responding to a threat identified in the area of the church.52 However, a spokesperson

from the Israeli Prime Minister’s office asserted that “there was no fighting in the

Rimal neighbourhood on Saturday where this Catholic church was located”, thereby

contradicting the ISF’s statement that it was operating there and responding to a

threat.

53 The Commission did not find any evidence indicating that the women or

anyone in the church premises posed a threat to ISF soldiers. The Commission did not

find any evidence of crossfire at the time the women were shot. It concludes that the

women were shot by an ISF sniper, who must have been able to identify the moving

persons as women. According to the ISF, the 401st Brigade of the 162nd Division, along

with forces of the Shaldag Unit, Shayetet 13 and Yahalom were operating in Gaza city

at the time of the incident.

54

32. The Commission documented a case of a pregnant woman who was killed by

an ISF sniper outside the al-Awda hospital during the siege of the hospital in December

2023. Witnesses told the Commission that the pregnant woman was shot close to the

hospital building, as she was walking towards the hospital. The hospital area was occupied

by Israeli forces at the time and, and as a result, people were afraid to offer the woman aid.

According to a witness, no one could reach her due to the presence of ISF and she died

due to her injuries. According to some sources, her body was left there to decompose.

The Commission received additional information about another woman who was shot in

front of her son outside the same hospital, but it could not verify the information.

33. The Commission investigated the killing of a woman and four girls near the

Faris Gas Station in the Tel al Hawa neighborhood of Gaza City on 29 January 2024.

In the incident, the parents named Bashar Hamada Hamouda and Enaam Mohammad

Hamada were killed while driving a car with five children (four girls and one boy)

including their daughter 15-year-old Layan Hamada and her 5.5-year-old cousin Hind

Rajab. The Commission established that the family’s car was targeted in the early

morning hours by shots from guns likely mounted on tanks, killing Layan’s parents

and three other siblings, leaving Layan and Hind injured. Layan was alive at least until

14:45 when she answered a call from Palestinian Red Crescent Society (PRCS).

During this call with PRCS, she informed that she and Hind were injured and that

there was a tank nearby. Layan was likely killed at around this time, as shots were

heard on the call and the line was cut. Hind remained alive until at least 19:00 that

day.

34. The ambulance dispatched to their location at around 17:40 carried two

paramedics, Yousef Zeino and Ahmed al Madhoun, after its route had been cleared and

coordinated with the ISF through the Ministry of Health in Gaza and third parties. The

ambulance was hit by a tank shell at around 18:00, at a distance of some 50 meters

from the family’s car. The presence of the ISF in the area prevented access to reach

and retrieve the victims. As a result, the family members’ bodies could not be retrieved

from their damaged, bullet-ridden car until 12 days after the incident. The ambulance

was found destroyed nearby, with human remains inside. The Commission finds that

the targeting by the ISF was deliberate and that the ISF should have been able to

determine that the persons in the vehicle did not pose a threat.

35. The cases above are illustrative examples of women and girls being targeted

and victimized following the ISF’s expansion of its targeting criteria and in the

absence of discernible attempts by the ISF to distinguish between combatants and

civilians.

52 https://www.haaretz.co.il/news/politics/2023-12-18/ty-article/0000018c-7d95-d301-a3ac-

ffd594360000.

53 https://www.washingtonpost.com/world/2023/12/16/women-killed-at-holy-family-parish-gaza-israel/.

54 [1] https://www.idf.il/en/mini-sites/idf-press-releases-israel-at-war/december-23-pr/tunnel-network-

used-by-hamas-senior-leadership-in-gaza-s-elite-quarter-revealed/.

10V. A. A/HRC/58/CRP.6

36. The Commission reported to the Human Rights Council in its June 2024 report

several statements, including by Israeli officials and members of the Knesset, that may

be perceived as calling for the annihilation of Gaza and calling on Israeli forces not to

distinguish between militants and civilians.55 Statements documented by the

Commission asserted that everyone in Gaza should be considered responsible for the

attack on 7 October 2023. Palestinians in Gaza are considered complicit, despite age,

gender or civilian status, and should be exterminated.

37. Palestinian women have also been a specific target of such incitement. Former

head of the National Security Council, Major General Giora Eiland, has made

statements to media that emphasize the need to treat Palestinians in Gaza collectively,

particularly referring to Palestinian women and the need to cut humanitarian aid;

“After all, who are Gaza’s elderly women – the same mothers and grandmothers of

Hamas fighters who committed the horrific crimes on 7 October. In this situation, how

can you even talk about humanitarian considerations, especially when you still have

abductees whose situation God knows.”56

38. In another example, Eliyahu Yosian a commentator from the Misgav Institute

for National Security, in an interview with Yinon Magal, discussed the situation in the

Gaza Strip. The interview was broadcast on channel 14, Israel’s right-wing

commercial television channel, which has provided a consistent platform for

commentators, journalists and army personnel to make comments inciting violence

against Palestinians. In the interview, Yosian said Israel should level the ground in

Gaza, kill as many as possible and spare no one, particularly targeting women: “The

woman is an enemy, the baby is an enemy, and the pregnant woman is an enemy.”57

The clip, posted by channel 14 news, had 1.6 million views as of 3 January 2024.58

Israel’s destruction of Palestinians through reproductive

violence and harms

Direct attacks on sexual and reproductive health care facilities

The measures imposed by Israel, coupled with repeated bombardment since

October 2023, will have long-term effects on Gazan women’s fertility. We do

not know the extent of these women’s trauma or the extent of the impact on their

unborn babies, nor the long-term effect on the Palestinian people.

Director at health agency in Gaza

39. Direct attacks on healthcare facilities offering sexual and reproductive

healthcare services have impacted about 540,000 women and girls of reproductive age

in Gaza.59

40. In April 2024, reportedly only two of the 12 partially functioning hospitals

previously offering sexual and reproductive healthcare were able to actually provide

such services. Direct attacks against the main maternity wards in Gaza, in al-Shifa

Hospital and al-Nasser Hospital, rendered these wards non-functional. Facilities

specifically designated to provide sexual and reproductive healthcare were directly

targeted or forced to cease operations, including al-Emirati Maternity Hospital, al-

55 See A/HRC/56/CRP.4.

56 Maj. Gen. (Res.) Giora Eiland: No Humanitarian Aid to the Enemy | Channel 7;

https://www.globes.co.il/news/article.aspx?did=1001462900.

57 https://x.com/MiddleEastEye/status/1741069437518680399; Israeli analyst Eliyahu Yossian says

Israel should level the ground in Gaza, kill as many as possible & spare no one. Over 21,500

Palestinians in Gaza have been killed, including 8,500 children.

58 See ICTR, Prosecutor v. Ferdinand Nahimana et al., ICTR-99-52-A, Judgement (Appeals Chamber),

28 November 2007, paras. 755-758; ICTR, Prosecutor v. Ferdinand Nahimana et al., ICTR-99-52-T,

Judgement and Sentence, 3 December 2003, paras. 481-488.

59 https://www.usaforunfpa.org/unfpa-statement-on-the-crisis-in-gaza/.

11A/HRC/58/CRP.6

Awda Hospital, al-Mahdi Maternity clinic and Sahaba Hospital, which are the primary

maternal health facilities in the south and north of Gaza. In parallel, several maternity

wards in other hospitals were forced to close, including al-Aqsa Hospital in January

2024. The situation is still dire. As of January 2025, emergency obstetric and newborn

care was available at seven out of 18 partially functional hospitals across Gaza

according to OCHA, as well as four out of 11 field hospitals, and a community health

centre.60

41. Al-Basma IVF Centre, Gaza’s largest fertility clinic, was shelled in December

2023, reportedly destroying around 4,000 embryos, as well as 1,000 sperm samples

and unfertilized eggs. According to reports, al-Basma IVF Centre served 2,000 to

3,000 patients each month, carrying out approximately 70 to 100 IVF procedures a

month. The siege on Gaza and the resulting lack of supplies of liquid nitrogen, which

is used to keep storage tanks cold, presented considerable challenges to the operation

of the clinic and the preservation of reproductive material during the first months of

the war. The stored reproductive material was lost in its entirety when the genetic bank

was attacked in early December 2023. During the attack, the embryology laboratory

was directly hit, and all the reproductive material stored in the laboratory were

destroyed.

42. The Commission has determined through visual analysis of pictures from the

scene that the extensive damage to the building’s exterior and interior was caused by

a large calibre projectile, most probably a shell fired from an ISF tank. Satellite

imagery indicates that the area around the clinic was extensively damaged due to the

hostilities. The Centre was a standalone building., clearly marked with the name of

the clinic. In a statement given to American ABC News, a spokesperson for the ISF

said that the ISF was not aware of the specific strike. The ISF also stated that it takes

extensive measures to mitigate civilian harm and in handling objects that require

special protection and that it did not deliberately target civilian infrastructure,

including IVF clinics. The Commission did not find any credible information

indicating that the building was used for military purposes. The Commission is not

aware of any assisted reproductive services operational and available in Gaza as of

January 2025.

43. The Commission also investigated attacks on al-Awda Hospital, the main

reproductive healthcare provider in northern Gaza, which was targeted repeatedly by the

ISF from November 2023 to January 2024 and again in May 2024. The hospital was

attacked despite Israeli authorities being provided with the GPS coordinates by Médecins

Sans Frontières (MSF) who informed all parties that it was a functioning hospital.61 Three

doctors were killed in a strike on 21 November 2023, including two MSF doctors. The

hospital was under siege in December 2023, with some 240 people trapped inside facing

severe shortage of food, water and medicine. During the siege, all males over 15 were

ordered to exit the hospital wearing only underwear and several medical staff, including

the hospital director, were arrested. Several persons, including medical staff and a

pregnant woman, were reportedly killed by snipers.

44. Until late February 2024, al-Awda Hospital, containing one of the only functioning

maternity wards in North Gaza, was partially operational, receiving maternity patients well

beyond its capacity. Reportedly, it provided care to 15,577 maternity patients from 7

October to 23 December 2023 with 75 beds. On 27 February 2024, the hospital

administration announced that it was partially ceasing operations due to lack of fuel,

electricity and medical supplies, with dire consequences for healthcare in the north, in

particular for maternity patients.

45. Reportedly, the roads leading to the hospital had been destroyed, with doctors

stating that some pregnant women had to walk for up to four kilometres to reach the

hospital. The Commission received information that the quality of care at al-Awda had

deteriorated due to the siege and that faulty or damaged equipment, including

60 https://www.ochaopt.org/content/humanitarian-situation-update-255-gaza-strip.

61 https://www.doctorswithoutborders.org/latest/gaza-msf-doctors-killed-strike-al-awda-hospital;

12A/HRC/58/CRP.6

sterilisation devices and incubators, could not be repaired due to the lack of spare

parts.

46. Furthermore, Israeli attacks on medical facilities have led to the injury and

death of child patients, including girls, and have had devastating consequences for

paediatric and neonatal care in Gaza hospitals, creating a large, unmet need for

complex surgical and medical care for children, including premature babies.

B. Blocking access and availability of reproductive health care

Giving birth in Gaza is like giving birth in the Middle Ages. There is no access

to neonatal, prenatal or post-partum care. Basic equipment for childbirth, such

as forceps, is not available, nor are crucial drugs such as hypertension

medication to treat common and serious conditions such as preeclampsia. As a

result, maternal morbidity, stillbirths, and miscarriages have increased.

Obstetrician in Gaza

47. The Commission documented extremely unsafe conditions for women giving

birth in Gazan hospitals, including lack of specialized personnel, medication and

equipment. Medical professionals told the Commission that they faced severe

challenges in managing patients’ pain and preventing infections as hospitals often

lacked adequate supplies, including epidurals, hypertension medication, anesthesia,

analgesia, anti-D immunoglobulin and antibiotics. An emergency specialist who

operated in Nasser Hospital in January 2024 described significant challenges in

diagnosing and treating pregnant women given the lack of reliable laboratory testing

or equipment, leading to avoidable complications. Obstetricians stated that Gazan

women had received very little obstetric care and a number of them were suffering

from vaginal infections, which if untreated could lead to premature births,

miscarriages or infertility. Medical personnel described receiving maternity patients

suffering from malnutrition and dehydration, as well as different forms of infections

and anemia.

48. Women described delivering their babies in extremely precarious conditions in

hospitals impacted by the continuing hostilities, amid lack of specialized personnel,

beds, pain medication and adequate facilities. Reportedly, the lack of pain relief

medication particularly impacted women who had undergone Cesarean Sections. One

woman told the Commission of her experience giving birth by Cesarean Section at al-

Emirati Maternity Hospital in Rafah. The woman had to walk for 30 minutes before

finding a car that could take her to the hospital where she gave birth. The woman stated

that the hospital was overcrowded. After her Cesarean Sections she had to share a bed

with another woman and was discharged the following day.

49. Medical personnel told the Commission about increases in maternal morbidity

and neonatal and intrapartum fetal death which was more likely due to the extremely

difficult conditions, including the lack of space, medication and equipment. The

Commission interviewed an obstetrician who spoke about deaths of pregnant patients

he had treated, whom he referred to as “indirect victims of war”. Several of these

deaths were due to the lack of adequate medication and treatment. He also highlighted

that many of his pre and post-natal patients were malnourished or weakened by

diseases and infections. In one case, a pregnant woman in her early 30s died in al-

Emirati Hospital in Rafah due to an infection (septicemia) following a complicated

Cesarean Sections. The obstetrician also spoke about another pregnant woman he

treated at the European Hospital; the woman, who was diabetic, died due to lack of

adequate medication and treatment.

50. According to the WHO, equipment and 24 types of medication needed for

prenatal, delivery and postnatal care were in short supply and urgently needed as of

December 2024.

51. Women have increasingly resorted to unsafe deliveries at home or in shelters,

with little or no medical support, increasing the risk of complications resulting in life-

13A/HRC/58/CRP.6

long injuries and death. The Commission received reports of women being forced to

deliver at home with inadequate medical assistance as they were not able to reach a

hospital or a medical clinic due to the security situation or the lack of transportation.

One woman told the Commission about the obstacles she faced in accessing

reproductive health care in Khan Younis at the beginning of the war when she was

pregnant. She and her husband had to prepare for a home delivery by watching videos

on the internet: “My husband had been watching online videos to learn how to deliver

a baby, preparing for anything. He was so concerned for my safety that he even

considered leaving me at someone else’s house to ensure that I would be cared for.”

52. The Commission received reports from medical personnel about pregnant

women delivering in extremely precarious conditions while they were living in

shelters with very little support, equipment or medical tools and no access to hospitals.

A medical practitioner explained that women would arrive at hospitals requesting the

hospital’s medical staff to produce birth certificates for their newborns delivered in

tents in IDP camps.

53. Disruptions to electricity and telecommunication services have further

increased the risks for pregnant women and newborns. One doctor told the

Commission that the lack of telecommunication resulted in the lack of coordination

between hospitals and ambulances, directly impacting women’s and girls’ access to

maternity care. In addition, hotlines for home deliveries were unreachable. The

continuing siege and hostilities also posed barriers for the distribution of “safe home

delivery kits” to pregnant women.

54. A sharp increase in emergency admissions has resulted in the de-prioritization

of reproductive healthcare at the few remaining functional facilities. In the context of

tens of thousands of war injuries, obstetrics and gynaecology were not the main

priority and only the most severe cases received what is considered basic care. A

paediatrician interviewed by the Commission gave an example including women who

had had Cesarean Sections. At al Nasser hospital they were discharged less than 24

hours after the procedure, often without receiving follow up postpartum care. Prior to

the offensive, these women would have stayed in the hospital for 24 to 48 hours, or

longer if there were complications, in order to receive adequate health care. Women

and girls in some areas had no access at all to maternal healthcare.

55. According to medical personal interviewed by the Commission, pre-natal care

was de-prioritized and no longer available. Postpartum mothers and their newborns

were also not given adequate time to recover after delivery. Women were discharged

to make space for new patients just a few hours after giving birth, while they were still

mentally and physically fragile. Additionally, post-natal care was not available,

impacting some 60,000 maternity patients who have not been adequately monitored

and cared-for. The Commission spoke to a midwife who said that women have to walk

for hours to reach healthcare facilities where the dressing of their Caesarean Section

wound could be changed, and that they lacked pads to manage the bleeding after

childbirth. The lack of pads forced women to use cloth or the same pad for a long

period of time, causing infections and other complications.

56. Since 7 October Israel has suspended issuing permits to seek medical treatment

outside Gaza and has only exceptionally allowed medical evacuations. This change

has resulted in a drastic reduction in the number of patients who can receive treatment

outside of Gaza. For comparison, in 2022, Israeli authorities approved about 13,500

patient permit applications to seek medical treatment outside Gaza.

62 After 7 October

2023, Israel only approved the medical evacuation of 4,947 patients until the closing

of the Rafah crossing on 7 May 2024.

63 The number of medical evacuations further

dropped since then, to 458 patients between 8 May 2024 and 15 January 2025.64

62 https://www.emro.who.int/images/stories/palestine/Gaza-Health-Access-2022.pdf?ua=1.

63 https://www.emro.who.int/images/stories/Medevac_15Jan25.pdf?ua=1.

64 https://www.emro.who.int/images/stories/Medevac_15Jan25.pdf?ua=1.

14A/HRC/58/CRP.6

57. Consequently, patients have suffered physically and mentally, and some have

died owing to lack of adequate cancer treatment.65 This includes patients with

gynaecological cancer such as ovarian, cervix and breast cancer. The Commission

spoke to a doctor who described treating a patient with vulva cancer in December

2024. The patient’s tumour had been growing for eight months while she had waited

to be approved travel outside of Gaza for radio-chemotherapy. As no non-invasive

treatment was available in Gaza, the doctor had to undertake surgery. Radio-

chemotherapy was needed to shrink the tumour. According to the doctor, the physical

and mental suffering for the patient was immense.

58. The hostilities in Gaza have had a detrimental psychological impact on

pregnant, postpartum and lactating women due to direct exposure to armed conflict,

displacement, famine and substandard healthcare. Obstetric emergencies and

premature births have reportedly surged due to the exposure to stress and trauma, and

an increase of up to 300 percent in miscarriages has been reported since 7 October

2023. Experts told the Commission that the long-term psychological and physical

impact of such precarious conditions for women, newborns and families remains

unknown.

C. Starvation and reproductive harms

It was a lot for me, it was a lot for women. It’s more than a human can bear.

New mother in Gaza

59. The Commission found in its 2024 report to the Human Rights Council that the

Israeli authorities were using starvation as a method of war.66 Furthermore, starvation

and famine have had a severely detrimental impact on women and girls, in particular

pregnant and post-partum women. Pregnant and lactating women have faced specific

risks to their own health and to the health of their newborns due to starvation. As early

as November 2023, thousands of displaced women and newborns residing in

the United Nations Relief and Works Agency for Palestine Refugees in the Near East

(UNRWA) facilities reportedly required medical care due to increasing malnutrition,

dehydration and water-borne disease.

60. The UN repeatedly warned about risks for women suffering from famine and

starvation. In November 2023, the World Health Organization (WHO) warned that, as

access to food and water worsened, the risk of death would increase for both mothers

and babies.68 In mid-December, United Nations Population Fund (UNFPA) stated that

pregnant women were starving.69 In January 2024, United Nations Children’s Fund

(UNICEF) raised concerns about the nutrition of over 155,000 pregnant women and

lactating mothers, given their specific nutrition needs and vulnerability.70 Reportedly,

the essential dietary diversity for pregnant and lactating women was severely

compromised, with most of them consuming only two types of food a day.71

61. According to Food and Agriculture Organization of the United Nations (FAO)

guidance the minimum dietary diversity for women, women and girls should eat food

67

65 https://www.emro.who.int/images/stories/Medevac_4Dec.pdf?ua=1.

66 A/HRC/56/CRP.4.

67 https://www.unrwa.org/newsroom/official-statements/women-and-newborns-bearing-brunt-conflict-

gaza-un-agencies-warn.

68 https://www.who.int/news/item/03-11-2023-women-and-newborns-bearing-the-brunt-of-the-conflict-

in-gaza-un-agencies-warn.

69 https://www.instagram.com/unfpa/p/C0z3Qj4v_Nv/.

70 https://www.unicef.org/press-releases/intensifying-conflict-malnutrition-and-disease-gaza-strip-

creates-deadly-cycle.

71 https://www.unicef.org/press-releases/intensifying-conflict-malnutrition-and-disease-gaza-strip-

creates-deadly-cycle.

15A/HRC/58/CRP.6

from five different food groups a day.72 Furthermore, pregnancy and lactation raise the

requirements for the quality of nutrients, as well as the energy requirements. The

consequences of malnutrition before and during pregnancy and lactation could include

anaemia, pre-eclampsia, haemorrhage, maternal death, newborn death and premature

birth.73 Lack of nutrients for children hinders their bodies and brains to grow and

develop well.

62. In February 2024, the Global Nutrition Cluster reported that dietary diversity

for pregnant and lactating women in North Gaza, Deir al Balah, Khan Younis and

Rafah was “extremely critical”.74 The situation remained dire for pregnant and

lactating women according to the Integrated Food Security Phase Classification (IPC)

reports published in June 2024,

75 compromising infant survival, growth and

development. UN Women reported in June 2024 that, among households with lactating

mothers, 55 percent reported health conditions impeding their ability to breastfeed and

99 percent reported difficulties developing enough breastmilk.76

63. More than 15 months after the attacks in Gaza began, the situation is more dire

than ever. According to UNFPA reports issued in October 2024, 42,000 pregnant

women faced crisis levels of hunger (IPC 3) and over 3,000 pregnant women faced

catastrophic levels of food insecurity (IPC5), numbers that reportedly were expected

to surge during winter.

77 According to an IPC analysis published in October 2024, an

estimated 60,000 cases of acute malnutrition were reported among young children

aged six to 59 months, and 16,500 pregnant and lactating women were reported to be

in need of treatment for acute malnutrition.78 According to reports by OCHA in

December 2024, 96 percent of children aged six to 23 months and women were not

meeting their nutrient requirements due to the lack of minimum diet diversity.79

64. An obstetrician interviewed by the Commission noted the difficult conditions

facing women and girls due to effects of starvation, stating that many pre- and post-

natal patients were malnourished or weakened by diseases and infections. The

Commission also spoke to women who had faced famine and starvation while pregnant

or lactating. They noted the lack of access to food and clean drinking water, combined

with multiple displacements and grieving the loss of family members. These ailments

compounded their feeling of anxiety and stress, impacting them and their babies. The

impact of stress and the lack of food and water on lactation was confirmed by several

medical professionals.

65. Often, these difficulties were compounded by the experience of displacement.

One woman, who had been seven months pregnant when she was displaced from Gaza

City to Rafah in November 2023, told the Commission that she had had to walk for 14

hours straight, carrying her belongings, with very little food and water, despite being

advanced in her pregnancy. She also told the Commission that she had been unable to

access adequate and sufficient food after the birth of her baby because of the scarcity

of food and the high prices, leaving her to eat conserves and “labna” (thick yogurt).

The Commission spoke with one woman who had been eight months pregnant while

staying with her family in a tent outside a hospital near Khan Younis in November

72

https://www.unicef.org/media/114561/file/Maternal%20Nutrition%20Programming%20Guidance.pdf

; https://openknowledge.fao.org/server/api/core/bitstreams/c949ea1a-bd5d-4788-87fa-

2917f1a2ecdf/content.

73 https://www.unicef.org/media/114561/file/Maternal%20Nutrition%20Programming%20Guidance.pdf

74 https://www.nutritioncluster.net/news/nutrition-vulnerability-and-situation-analysis-gaza.

75

https://www.ipcinfo.org/fileadmin/user_upload/ipcinfo/docs/IPC_Famine_Review_Committee_Repor

t_Gaza_June2024.pdf).

76 https://www.un.org/unispal/document/at-least-557000-women-in-gaza-unwomen-270624/

77 https://www.un.org/unispal/document/unfpa-sitrep-

01nov2024/#:~:text=Situation%20Overview%3A,including%20over%2043%2C000%20pregnant%2

0women).

78 IPC_Gaza_Strip_Acute_Food_Insecurity_Malnutrition_Sep2024_Apr2025_Special_Snapshot.pdf.

79 https://www.ochaopt.org/content/reported-impact-snapshot-gaza-strip-17-december-2024.

16A/HRC/58/CRP.6

2023. She told the Commission that there had been no flour to make bread, no milk or

eggs, and they had eaten only canned tuna. She believes that the lack of proper

nutrition and her psychological state caused complications during her pregnancy.

66. Several women told the Commission that they had been unable to continue

producing breastmilk due to the lack of food and the psychological effect of the

military operations and siege. This was also confirmed by medical professionals. A

lactating woman who had been staying in a school in Rafah, told the Commission that

her body had been unable to produce milk due to the stress she had been subjected to

since Israeli attacks began, as well as the lack of access to fresh food leading to

substantial weight loss. Another woman said that she no longer produced breastmilk

due to stress and anxiety brought on by the hostilities.

67. The Commission notes that this is particularly concerning given the lack of

formula milk and lack of clean water needed to prepare the formula. Indeed, since 7

October 2023, an increased number of infants have had to rely on formula milk for

survival. The Commission notes the Global Nutrition Cluster’s report that the “scarcity

of clean drinking water required for safely preparing formula milk will increase young

children’s risk of infection and subsequently malnutrition”.80 In December 2023,

UNICEF stated that 130,000 children under the age of two were not receiving “critical

life-saving breastfeeding and age-appropriate complementary feeding”.81

68. The Commission interviewed a displaced woman with breast cancer who had

to postpone her Cesarean Section until 12 days after her due date because of the lack

of anesthesia at Al-Awda Hospital in Nuseirat. The morning after her Cesarean

Section, she was asked to leave the hospital due to the lack of beds. She described

going back to the shelter, where she was living in very bad conditions, feeling dizzy

and fatigued. She told the Commission: “Prior to the birth I was thinking how I am

going to afford prenatal care and the delivery itself. The same for the formula for the

child as I cannot breastfeed him due to cancer.”

D. Menstrual and reproductive health concerns

There is no dignity for mothers in Gaza. There is no dignity in giving birth

without pain relief, bleeding for weeks after giving birth without access to pads

and clean water or to breastfeed your child in an overcrowded shelter where

you share a room with male strangers.

Paediatrician in Gaza

69. The Commission documented the specific needs of women in relation to

menstrual and reproductive health after interviewing several women who spoke about

unsanitary conditions due to the overcrowding and the lack of water.

70. Women and girls, particularly in female-led households, have faced significant

challenges accessing safe water and sanitation facilities, especially when these

supplies and facilities were situated far from their place of displacement. The

Commission received reports that women and girls tried to minimise their need to go

to the toilet, for example by avoiding to eat and drink, mainly due to unhygienic

conditions, having to use the toilet in close quarters with men or because the only

viable option was to go to a toilet outside far from where they stayed.

71. Women who are pregnant or lactating have particular needs and face particular

risks to their health in unsanitary conditions, including an increased need to use the

toilet. One woman who was pregnant during her displacement, who had been living in

a tent near Khan Younis, told the Commission that accessing toilets, especially at

night, had been particularly difficult.

80 https://www.nutritioncluster.net/news/nutrition-vulnerability-and-situation-analysis-gaza.

81 https://palestine.un.org/en/256251-%E2%80%98ten-weeks-hell%E2%80%99-children-gaza-unicef.

17A/HRC/58/CRP.6

72. Limited access to water to maintain personal hygiene and wash clothes has led

to the spread of diseases among displaced people, as well as vaginal and urinary tract

infections for women and girls. According to a report issued by UN Women in

September 2024, urinary tract infections impacted more than 90 percent of women

they interviewed.82 A midwife interviewed by the Commission explained that vaginal

and urinary tract infections had become widespread due to the bad sanitary conditions,

including the lack of access to water and clean underwear, and the need for women to

queue for hours to go to the bathroom. Another difficulty that the lack of hygiene

caused was infections in the breasts of lactating mothers (mastitis).

73. The Commission interviewed a woman staying in Al Shifa Hospital who

suffered from infections because of the lack of access to water to clean herself. She

said that there was garbage spread everywhere inside the hospital, as it was not safe

to take the garbage outside. Another woman interviewed by the Commission stated

that not being able to shower caused her to have multiple vaginal infections. She and

her family members had no means or opportunity to wash their underwear. One woman

told the Commission: “We put up a tent outside the European Hospital and we stayed

there, without food and water. I had to walk far to get water and wash our laundry. I

had to stay 17 days without showering, and I slept on the ground which was very dirty.

I was pregnant and had to use the bathroom inside the hospital a lot, but I tried not to

because it was crowded, dirty and difficult to get to. I had several vaginal infections

as a result.”

74. Displaced women reported to the Commission that their menstrual cycles

became a source of stress. Lack of access to water and sanitation, combined with the

lack of menstruation supplies and facilities to dispose of them, also affect the sense of

dignity and physical and psychological well-being of women and girls. The

Commission received information concerning women and girls resorting to home-

made, makeshift alternatives for sanitary pads, which also put them at risk of

reproductive and urinary tract infections, which could result in infertility, birth

complications and increased risk of sexually transmitted infections. A medical

professional told the Commission that the issue of infections, when occurring in bad

hygienic conditions and without access to antibiotics, vaginal and urinary infections

are both painful and serious. External infections might develop to internal infections,

and without proper medical care, this might lead to miscarriage, loss of fertility and

in worse case, death.

75. A midwife interviewed by the Commission explained that the lack of menstrual

products was a major concern for women and that organisations were unable to meet

the growing demand. “Can you imagine, only 30 packages! We did not know to whom

to give them and whom to prioritize, and how to give justice to these women.” The

midwife also explained that women who had given birth also required pads and that

the use of unhygienic options was causing serious infections. A woman described to

the Commission that, after giving birth in May 2024, she had to wear the same pad for

two days as there were so few available.

76. The Commission interviewed a woman who had been staying in a shelter in

Rafah. She stated that her father had bought her pads as they had had some money.

She commented that she could not even imagine the situation of those who could not

afford to buy them. Another woman told the Commission about the difficulties to

acquire menstrual pads; “We cannot afford pads. If we have money, the priority is to

bring food for the family to survive rather getting pads for something that is temporary.

We have to balance our priorities, and unfortunately managing menstruation is not one

of them.”

77. Another woman reported that, due to the lack of menstrual pads, she had to use

children’s nappies on one occasion or a piece of cloth. The Commission is aware of

other similar reports, including women who had no choice but to use dirty clothes

82 https://www.unwomen.org/sites/default/files/2024-09/gender-alert-gaza-a-war-on-womens-health-

en.pdf.

18A/HRC/58/CRP.6

when menstruating. Without water or privacy, they had no way to wash themselves or

their underwear.

VI. Israel’s systematic use of sexual and gender-based violence

A. Masculinity, nationalism and militarization

Shall he make our sister into a whore? 9208 brings the honour back to the

people of Israel.

Graffiti by Israeli soldiers in Beit Lahia in Gaza (see para. 77)

78. Women’s bodies and sexuality are often perceived as linked with the dignity of

the nation and other negative gender sterotyping, such as the collective’s honour and

emasculation. Several experts have noted that allegations of sexual violence against

Israeli women on 7 October 2023 have resulted in attempts to rebuild Israeli national

masculinity through aggression and in retaliation for the attacks carried out by the

military wing of Hamas and other Palestinian armed groups.

79. Israeli officials have used sexual violence committed on Israeli women on 7

October to mobilize support for the ISF military operations in the Gaza Strip and

continue the war, referring to Hamas as “a rapist regime” that has weaponized sexual

violence as a means of terrorizing the Israeli population while “the international

community remains silent”

. This message has been amplified and circulated by the

ISF in videos of detained Palestinian males allegedly confessing to acts of rape and

other forms of sexual violence during the 7 October attacks (see section Sexual,

reproductive and other gender-based violence in detention, para. 123).

80. The Commission’s investigation shows that members of the ISF have been

impacted by such messages. During the mistreatment of Palestinians in detention,

some members of the ISF referenced the crimes committed on 7 October in Israel. In

one illustrative example, the Commission examined a photo taken following the

ground invasion in Gaza that depicts an Israeli soldier standing next to a wall in Beit

Hanoun, Gaza, which displays graffiti in Hebrew reading "Shall he make our sister

into a whore?". The graffiti refers to the story of Dinah in the biblical book of Genesis,

who was abducted and raped. On learning about her rape, her brothers reacted strongly

by engaging in a mass killing of all the men of the city. The story is commonly

interpreted to indicate that injury by others to a woman's body should be seen within

the context of male honour and revenge, her body and mind belonging not only to the

woman but also to the male-controlled collective. Hence, sexual violence committed

against Israeli women is seen as an affront against the male-dominated collective,

implying that it calls for a similar revenge to the one sought for Dinah. Next to this

question about Dinah, the following text was written: “9208 brings the honour back to

the people of Israel.” This additional text further emphasizes that some members of

the ISF believe that the assault on Israeli women harmed a collective honour that must

be avenged. The numbers 9208 refer to the 9208th Infantry Battalion of 12th Infantry

Brigade of 252nd Division, which was the lead ISF division operating in the northern

Gaza Strip from the direction of Beit Hanoun on 27 October 2023.

81. These examples should also be considered against the broader context of the

sharp increase in sexual violence against Palestinian women and men described below,

seemingly fueled by similar desire to retaliate. The Commission documented multiple

incidents corroborated through victim and witness statements and verified photos and

video footage. Sexual and gender-based violence is by no means a new element of the

Israeli occupation. The Commission has reported on such issues before.83 However,

the Commission notes that Israeli soldiers’ aggression and violence increasingly

includes sexual acts intended to “feminize” or shame, not only the victim but the

Palestinian community as a whole, and an increasing trend to photograph or film these

83 A/HRC/50/21.

19A/HRC/58/CRP.6

acts. Such acts have a clear link with entrenched gender stereotypes that continue to

be intentionally used in attempts to break the sense of community and harm social

cohesion, whether the victim is male or female. Previous reports by accountability

mechanisms established by the Human Rights Council to investigate violations in the

Occupied Palestinian Territory did not document a similar pattern of sexual and

gender-based violence.84

B. Sexual harassment and public shaming of Palestinian women

You sons of bitches, we came here to fuck you, you and your mothers, you

bitches. You ugly Arab we will burn you alive you dogs.

Writings left by members of the ISF in a women’s shelter in Gaza

82. Since the start of the hostilities, Palestinian women in the Occupied Palestinian

Territory have been increasingly subjected to online harassment and smear campaigns

by Israeli officials and soldiers, including by doxing, a practice in which private

information about a person is shared online by others, with the intention to humiliate

and isolate the victim. The Commission observes that such incidents of abuse have

direct or implicit links to the events of 7 October 2023, impacting Palestinian society

as a whole.

83. The Commission documented several videos and photos, recorded by Israeli

soldiers and posted online, depicting them searching homes in the Gaza Strip,

deliberately humiliating and mocking Palestinian women based on their gender and

ethnicity. The videos and photos, most of which were originally published in ISF

soldiers’ private Instagram or X accounts, were later widely reposted on social media.

In one case, a video shows a soldier filming himself while going through underwear

and other private belongings in a house in the Gaza Strip, directing gendered and

sexualized insults to Palestinian women, stating: “I've always said Arabs [female

pronouns used] are the biggest sluts out there … There you go, here are the sets [of

lingerie] here, inside, another new one in the package, they haven’t opened it yet, look

at these sets, who wants elastic bodysuits?”

84. In a second video, an ISF soldier is filming himself describing how when

searching the premises for weapons, the soldiers had found money and lingerie: “Two

or three drawers stuffed with the most exotic lingerie that you can imagine, just piles,

loads of it, in every single house. Unbelievable. These naughty naughty Gazans.” In a

third case, an ISF soldier published a photo on a dating application depicting himself

posing in front of a collection of Palestinian women’s underwear. The Commission

found that many of the original videos and photos had been removed from the public

domain, and the social media accounts of these Israeli soldiers had been either closed

or set to private.

85. The Commission notes that the videos and photos show a clear gender and

racial bias by the perpetrators, who intentionally target Palestinian women and attempt

to humiliate and degrade them publicly. Moreover, from the perspective of Palestinian

culture, publication of these images is potentially extremely harmful, carrying serious

implications for the women whose private possessions are publicly exposed.

86. The Commission also documented a deliberate attack in mid-November 2023

on a women’s rights centre working with survivors of gender-based violence in Gaza

City. The attack against the centre appeared to have a clear gendered dimension, with

soldiers leaving gendered and sexualised insults directed against the Palestinian

women in graffiti in Hebrew on the walls of the centre, for example: “You sons of

bitches, we came here to fuck you, you and your mothers, you bitches” and “The dirty

pussies of your prostitutes, you ugly Arab you ugly, you sons of bitches, we will burn

you alive you dogs”.

84 See https://www.ohchr.org/en/hr-bodies/hrc/list-hrc-mandat.

20A/HRC/58/CRP.6

87. Based on photographic evidence, the Commission assessed that the fifth floor

of the building, which sheltered abused women and families, was directly targeted and

completely destroyed. The rest of the five-floor building remained intact. The

Commission found the damage to be consistent with firing from a tank, based on the

height of the building, the size of the shell’s point of penetration on the wall and the

level of destruction to concrete and metals from the munition’s explosion within the

building.

88. The Commission was informed that, at the time of the attack, the centre’s

building and the surrounding area were deserted due to the ISF operations. The women

taking shelter had evacuated the premises prior to the ground operations and therefore

no casualties were reported from the attack. No warning was reportedly issued by the

ISF prior to the attack. Photos reviewed by the Commission indicate that the soldiers

broke the door to enter the building, most likely after the tank shelling. The

Commission did not find any military justification for the ISF firing tank shells at this

centre.

89. The centre, which was one of two shelters for women and girls in Gaza, is now

in need of reconstruction and is no longer operational. The Commission spoke to a

women human rights defender working on the protection of abused women, who stated

that the closure of the centre had a negative impact on the women who could no longer

seek refuge there. She said that the women who usually seek protection at the shelter

felt a double threat, both from their own families and from the ISF. She thought that

there is no place for them to seek protection against their abusers. The Commission

notes that this is particularly concerning in times when international organisations

report an increase in gender-based violence in Gaza, particularly intimate partner

violence.

90. Between 7 October and December 2023, Israel’s National Security Minister,

Itamar Ben-Gvir, posted on his X account pictures of six Palestinian women who were

detained in Israel and the West Bank. The captions to the photos asserted that the

women had links with terrorism, mostly referencing crimes such as incitement and

hate speech linked to the events of 7 October 2023. The captions added by the Minister

included the following statements: “We started talking to them in a language they

understand”, and “This is a clear message to all those inciting keyboard-heroes - the

Israel Police will reach each and every one of you. Don't test us.” In three cases the

women’s names were included in the caption together with their pictures. While the

Commission documented similar photos of male detainees on the Minister’s social

media account, the men’s names were not disclosed and their faces were often blurred,

preserving their anonymity.

91. Four of the women were coerced to sit in front of an Israeli flag and in four

cases their hands were restrained with handcuffs or tied with plastic restraints. In all

cases, the women’s faces were visible, except in one case where the upper body of a

woman is seen from the back, with her hands tied behind her back with plastic

restraints, while she is sitting on a chair in what seems to be her home. In one of the

photos, a young women human rights defender was photographed in her bedroom with

her hands tied behind her back with plastic restraints. She looks confused, dazed and

scared and a soldier can be seen holding her shoulders and pushing her to sit on the

bed. The same woman later recounted the violent and humiliating circumstances

surrounding this incident, including physical and verbal assault.

92. Female detainees also reported having been photographed without their consent

and in degrading circumstances, including in their underwear in front of male soldiers.

In one case, a detainee was subjected to repeated and invasive strip-searches following

her arrest at a police station in northern Israel. She was beaten, verbally abused,

dragged by her hair and photographed in front of an Israeli flag without her consent.

The photos were posted online.

21A/HRC/58/CRP.6

C. Filming and photographing acts of sexual violence against men and

boys during arrest

Together with 50 other detainees, we were ordered to walk, barefoot and in

underwear, to the end of the road […] One female soldier instructed two boys

to dance while in their underwear. She recorded a video of them, and they all

laughed.

Man detained in December, Beit Lahia, Gaza

93. Since 7 October 2023, hundreds of Palestinian men and boys have been

photographed and filmed in humiliating and degrading circumstances while subjected

to acts of a sexual nature, including forced public nudity and stripping, full or partial.

The Commission documented more than ten such incidents since October 2023,

including around 20 pictures and videos. The men and boys were photographed fully

or partially undressed or wearing only undergarments, forced into subordinate

positions (such as being tied to a chair, kneeling on the ground or lying on the ground

blindfolded and tied) and in some cases subjected to physical abuse. The Commission

also documented digital footage of Palestinians who had been captured by Israeli

soldiers, where they are stripped naked and, in some cases, physically assaulted by

soldiers. The Commission documented two cases of photographing and filming sexual

violence against Palestinians by civilians (see section Sexual and gender-based

violence by settlers and other civilians, paras. 128-137).

94. Four of these incidents involved photographing of men detained during mass

arrests. Three incidents took place on 7 to 9 December 2023 in Beit Lahia (including

at Market Street and the UNRWA affiliated Khalifa bin Zayed primary school) and

one took place in the Yarmouk stadium in Gaza City on 24 December 2023. Photos

and videos of these mass arrests appeared on social media, depicting men and boys

detained in large groups in their undergarments in open air. Some photos showed men

forced to sit on their knees next to each other in rows, hands tied behind their back

and blindfolded. Most of the footage was first published in Israeli Telegram groups

and later disseminated on X. The ISF spokesman Daniel Hagari stated that the

circulated photos did not originate from the ISF spokesman’s office. The

Commission’s analysis of the videos and photos indicates that most were taken by ISF

soldiers. This is based on the proximity of the images to the soldiers, captions

accompanying the footage, the military uniform of the cameraman appearing in some

of the frames and the proximity to the photographed subject. These incidents of forced

public nudity were also corroborated by testimonies provided to the Commission (see

section on Sexual violence during ground operations including at checkpoints and

evacuations, paras. 105 and 107).

95. One victim described to the Commission his experience of being detained and

photographed in this manner, during the evacuation of Beit Lahia in early December

2023. The victim stated that he was in his home when soldiers entered the area and

ordered people to evacuate. During the course of the evacuation, men and boys were

forced to undress in front of family members and ordered to kneel. The victim’s wife

and children witnessed his undressing before they left the area. The man expressed the

humiliation he felt being exposed like that in public. He and some 50 other men were

ordered to walk barefoot in their underwear to the end of the street, where they were

forced to kneel with about 250 other men and boys wearing only underwear. The

victim was transported on a military truck to an unknown location, where an ISF

soldier removed his blindfold and photographed him.

96. The Commission documented other cases of sexual abuse committed by

members of the ISF against boys. One witness described how a female Israeli soldier

in Gaza ordered two teenage boys who had been stripped to their underwear to dance

in front of other detainees and recorded a video of them while she was laughing. The

Commission also verified digital footage confirming that Palestinian boys were

detained and stripped down to their underwear along with adults in Yarmouk Stadium

in December 2023.

22A/HRC/58/CRP.6

97. On the first day of the mass arrests on 7 December 2023, the ISF official

spokesman Daniel Hagari stated that the ISF and the General Security Service had

arrested and interrogated hundreds of suspected terrorists. The ISF spokesperson

Jonathan Conricus told CNN that the men in the photos were “Hamas members and

suspect Hamas members” who were detained “without clothes in order to make sure

they’re not carrying explosives”. On 8 December 2023, in an interview with CNN,

Israeli government spokesperson Eylon Levy stated that the residents of the areas

subjected to the ISF operations were ordered to evacuate their neighbourhoods. “Let’s

remember that these are military-age men that were found in areas that civilians were

supposed to have evacuated over a month ago.

98. The Commission documented three particularly egregious cases of sexual and

gender-based violence during arrest and detention that were filmed and disseminated

online by soldiers. One case involved a video depicting severe mistreatment and abuse

of male detainees. The video was posted on X and Telegram by Israeli soldiers. The

Commission geolocated it to Hebron, in the West Bank, noting it was filmed on 31

October 2023. In the footage, six men are seen blindfolded, undressed and lying on

the ground. Two of the men are completely naked with their genitals exposed. The

Commission documented conflicting information regarding the reasons for the men’s

capture, with the ISF claiming they were Hamas militants and other sources stating

that they were workers from Gaza. One of the naked men appears to be unconscious

or lifeless, while the other is yelling in pain before being pushed to the ground. A

soldier is seen stepping on the face of one man who is wearing only trousers with his

hands and feet tied. The man is then pulled by his legs, while yelling in pain.

According to a media report, the ISF stated that the conduct of the soldiers was serious

and not in line with the army's orders and that the case was under investigation. The

Commission was unable to find any information regarding the outcome of the

investigation.

99. In the second case, on 24 December 2023, an Israeli reservist soldier posted

photos on his Instagram account, depicting an Israeli soldier standing in front of a

Palestinian man sitting on a chair with his hands tied behind his back with what

appears to be black plastic straps. The Palestinian man is undressed, wearing only

black boxer shorts, and has a five-centimetre cut on his right thigh that is bleeding,

and traces of blood are seen on his forehead and right arm. The Commission

geolocated the video and found that it was taken in the Rimal neighbourhood of Gaza

City during a ground incursion. The ISF reportedly made a statement that the man

depicted in the footage was not hurt and that he was interrogated briefly and then

released. The ISF also stated that the photos were taken and published contrary to the

ISF orders and values, and that the reservist’s service had been suspended.

100. In a third video, filmed at night, three completely naked, barefoot and

blindfolded Palestinian men are seen being forced onto a bus by ISF soldiers. An ISF

soldier is heard swearing at the detainees in Arabic and Hebrew, and making spitting

sounds, saying: “brother of a bitch”

, “son of a whore”, “you pig”

,

“your sister’s cunt” and

“you pimp”

. The Commission found that the video was likely filmed in Ofer prison in

the West Bank and showed the transfer of Palestinian detainees. The video was first

published on Israeli Telegram news channel D4747 on 13 November 2023 with the

description: “Documentation from the transfer of the terrorists who participated in the

October 7 massacre in Otef”. Shortly after, the video was posted with the description:

“The Nazi pigs of Nukhba are led naked straight to the Shin Bet basements”.

101. Other cases of misconduct of Israeli soldiers, including sexual and gender-

based violence, have been widely broadcast on X. Following 7 October 2023, soldiers

posted videos online of Palestinians being mistreated and humiliated while being

detained. In some cases, the victims were shown fully or partially undressed.

23A/HRC/58/CRP.6

D. Sexual violence during ground operations including at checkpoints and

evacuations

They ordered all of us, men and women, to take off our clothes and to continue

walking, ordering us to only look forward. I was walking naked between the

tanks, not even wearing underwear. An Israeli soldier spit in my face. I forced

myself not to react as I knew they would break every bone in my body if I did.

A man evacuating through Salah al-Din Street in Gaza

102. The Commission collected and preserved evidence, including testimonies,

photos and video footage, of sexual violence directed against Palestinian men by

members of the ISF during ground operations including at checkpoints and in the

course of evacuations in the Gaza Strip and in the West Bank, including forced public

nudity, forced stripping and sexual humiliation, abuse and harassment. This

information was corroborated by UN reports and reports by international and

Palestinian civil society organizations. While Palestinian men and boys have been

disproportionally affected and victimised in such circumstances, the Commission also

documented cases where women and girls were subjected to similar treatment.

103. The Israeli Government has stated that “Due to the militants' tactics of

concealing explosives and other weapons under civilian clothing and the need to

ensure they do not pose an immediate threat to the ground force, there may be a need

to search them, including by partial removal of clothing”.85 While strip-searches for

security justifications are not unlawful per se, in the situations and cases documented

by the Commission the motivation from the outset appeared to have been retribution

and a desire to humiliate, while in other cases, even if there was a security rationale,

the processes were not conducted according to the acceptable standards and in a

dignified manner. This is based on the fact that victims were mistreated during these

processes, including through physical and verbal abuse, photographing, and the

presence of male soldiers during searches of women, indicating that this was not done

for security reasons.

104. The Commission heard accounts from several male victims concerning

mistreatment while forced to strip, in part or in full, including being compelled to walk

barefoot for prolonged periods of time between checkpoints. The cases also included

physical and mental abuse while being undressed, as well as forced public nudity, in

some cases during very cold weather. Male victims described to the Commission how

such treatment undermined their sense of dignity and privacy and resulted in feeling

subordinated and humiliated.

105. One victim told the Commission how he, together with his family and other

displaced persons, was subjected to mistreatment, abuse and forced public nudity in

early November 2023 on Salah al-Din Street during evacuations. The victim described

a military presence along the street, with many tanks and soldiers, including snipers

positioned on buildings. The victim stated that women, men, girls and boys were all

told to undress at gunpoint at a makeshift checkpoint, create a ball with their clothes

and throw their clothes to the ISF personnel. They were told to hold their identity

documents high in the air and continue walking while undressed. The ISF said that

anyone who did not follow orders would be shot. The men were completely naked

while walking and the women were in their underwear. The victim was asked by a

soldier to step aside and was forced to remain naked during an interrogation by three

soldiers that lasted about 30 minutes. During the interrogation, he was slapped in his

face and received threats to his life.

106. The Commission also spoke to witnesses who described mistreatment and

forced public nudity by soldiers during the ISF operations in hospitals. One female

witness described how Israeli forces stormed al Shifa hospital in Gaza in mid-

November 2023 while she was seeking treatment for her son. She said that some 40

soldiers entered the hospital and searched the premises. All the men and teenage boys

85 https://spcommreports.ohchr.org/TMResultsBase/DownLoadFile?gId=38810

24A/HRC/58/CRP.6

were taken outside the hospital and told to undress to their underwear in front of

everyone. She also stated that one woman asked a soldier why they had laid siege to

the hospital, leaving them without food and water, and the soldier responded, “You

will die from hunger in the hospital if it is up to us. The Arabs can help you.”

107. Another witness described the mistreatment of men on 12 December 2023 when

the ISF entered the Nasr Medical Complex (the Nasr Hospital) in Gaza. Hundreds of

people, including the witness and his family, were taking shelter at the hospital at the

time. The men were told by the soldiers to undress to their underwear and to line up

next to each other, placing their hands on a wall. The soldiers checked their identity

documents and arrested some of them. The persons who were arrested were beaten

with the soldiers’ weapons before being taken away. The men were subjected to verbal

abuse during the process, the soldiers speaking to them in Arabic, calling them

“animals” and “cows”. The soldiers also mocked the men, using a microphone to

threaten and harass them, including “Where is your resistance now? Where is your

dog president?” The witness heard threats directed towards the group, such as “We

will shoot you like dogs”.

108. The Commission also met with witnesses and women human rights defenders

who witnessed and documented cases of gender-based violence against women during

the ISF ground operations in Gaza. These accounts include forced public stripping and

removal of veils in public, invasive and humiliating searches, threats and verbal and

physical abuse of those women who refused to undergo such searches. A woman

working with an organisation providing psychosocial support to women in the Gaza

Strip described to the Commission how this affected women’s psychological well-

being:

With regards to ISF orders to remove veils, the women’s choice is between

shame and abuse, possibly death. Being forced to remove your veil has a deep

psychological impact on women, the trauma compounded by loss and grief from a war

unlike anything they have seen before.” In some cases, male victims reported the

stripping of female relatives as a means to humiliate the men.

109. A male witness told the Commission about sexual abuse and harassment of

women that took place in Salah al-Din Street during evacuations, where members of

the ISF instructed women to undress. The witness saw several of his female relatives

being forced to undress, leaving them in their underwear with no veil to cover their

hair. He also saw several women being subjected to sexual harassment by the soldiers

while stripped, including a teenage girl aged around 17 years old. The soldiers mocked

and harassed the men for not being able to intervene in the forced stripping of women.

The witness also saw the mistreatment and arrest of a pregnant woman before she was

taken away by soldiers.

110. To corroborate this information, the Commission spoke to a women human

rights defender who had documented multiple accounts of women being subjected to

sexual violence and abuse, including when evacuating and stopped at a checkpoint on

Salah al-Din Street between 22 October and 28 December 2023. This included being

stripped down to their underwear and coerced to remove their veils in front of male

soldiers in public and subjected to male soldiers touching their bodies. In three cases,

women reported that they were insulted, threatened and beaten when they refused to

take off their clothes.

111. Similar reports of forced public stripping, removal of the veil and sexual abuse

and harassment were received from women’s rights organisations that had collected

testimonies from Palestinian women. In one case a woman reported that she was

filmed during a ground offensive in Gaza in front of male members of the community

who had been stripped naked as a means of humiliation. A soldier showed the woman

the video that was taken of her and threatened to disseminate it online so that her

community would shame and stigmatize her. The woman was reportedly beaten on her

stomach and, as she had just had a Caesarean Section, she suffered serious

complications. In another case, a woman in Gaza was reportedly interrogated by

several male soldiers in her home, beaten and groped. She was also threatened with

rape, one soldier threatening to check if she was still a virgin. In another case, a woman

in Gaza was reportedly forced to strip in front of male soldiers outside while

25A/HRC/58/CRP.6

E. 26

evacuating, and the lives of her children were threatened if she refused. The woman

reported to have cried out of humiliation.

112. The Commission also received information about sexual violence against girls,

or threats of sexual violence directed against girls. In one case, a 14-year-old girl was

reportedly searched and subjected to sexual violence when passing by the Bab Al

Zahera Police station on her way to a school. A soldier ordered her to stop and then

threw the content of her bag on the ground and dragged her to a location close by that

did not have cameras. Two soldiers reportedly touched her on her breasts, neck and

waist. When she asked for a female soldier to do the search, she was slapped by one

of the soldiers who also made sexual remarks and said “you are murderers”. A pregnant

woman who was detained by soldiers close to her house in Hebron was reportedly

threatened by the male soldiers with rape, and the threats were also directed at her

daughters aged three and four who were present at the time.

113. The Commission also received reports that when evacuating with young

children, women were searched, harassed and threatened by soldiers. In one case a

woman was evacuating through Salah al-Din Street with her three daughters in early

November 2023, when shots were fired in their direction. Her eight-year-old daughter

was almost hit by a shot fired at her feet. In another case, a woman who had evacuated

from a school reported that ISF soldiers at a checkpoint at Salah al-Din Street beat her

and threatened to kill her and shoot her children if she refused to follow orders. The

soldiers ordered her to go behind a hill and her children were made to continue walking

by themselves. The woman was strip-searched outside and ordered at gunpoint to

remove all her clothes, including her veil, in front of male soldiers. While she was

being searched, she heard gunshots and thought soldiers had killed her children. She

was kept at the checkpoint for a day and a half, not knowing where her children were

and whether they were dead or alive. Another woman, who was passing through the

Salah al-Din Street checkpoint, recounted how she and others were stopped by

soldiers. The men were forced to strip to their underwear, were blindfolded and had

their hands and feet tied. The soldiers ordered the women to remove their clothes.

When one woman refused, they threatened her, insulted her and beat her. She

undressed and took off her veil while she was crying.

114. The Commission also received reports from women’s rights organisations that

women were robbed by ISF soldiers while evacuating, their money and gold being

seized. Witnesses interviewed by the Commission provided similar information.

Sexual, reproductive and other gender-based violence in detention

I was lying on the floor, completely naked. The soldiers demanded that I kiss

the Israeli flag, but I refused so they beat me severely and kicked me on the

genitals. I vomited as a result. I was in pain and my testicles were swollen and

bruised from the beating. I lost consciousness for a short period of time and

woke up again to realize they were still beating me.

Male detainee in Negev prison in Israel

115. Between 7 October 2023 and July 2024, Israel arrested over 14,000 Palestinians

in Gaza and the West Bank, including East Jerusalem. According to human rights

organizations, by October 2024, over 420 Palestinian women had been arrested in the

West Bank, including East Jerusalem, by Israeli authorities, with around 100 women,

including two minors, still in Israeli custody. Many were not informed of the reasons

for their arrest. Released detainees reported being interrogated about their potential

involvement in the hostilities, including affiliation with Hamas, and the whereabouts

of Israeli hostages. Several female human rights defenders, journalists and politicians

from the West Bank were also arrested and detained under charges of “incitement to

terrorism”.

116. The Commission documented cases of sexual and gender-based violence

against male and female detainees in more than 10 military and Israel Prison ServiceA/HRC/58/CRP.6

facilities, in particular in Negev prison and Sde Teiman camp for male detainees and

Damon and Hasharon prisons for female detainees. Sexual violence was used as a

means of punishment and intimidation from the moment of arrest and throughout the

detention, including during interrogations and searches. Acts of sexual violence

documented by the Commission appear to have been motivated by extreme hatred

towards the Palestinian people and a desire to dehumanize and punish them. Sexual

and reproductive violence in detention has also been reported by the Office of the High

Commissioner for Human Rights, B’Tselem, Addameer, Amnesty and Healthcare

Workers Watch.86

117. The Commission found that forced nudity, with the aim of degrading and

humiliating victims in front of both soldiers and other detainees, was frequently used

against male detainees, including through repeated strip searches, interrogations of

detainees while they were naked, forcing detainees to perform certain movements

while naked or stripped and, in some cases, also filming them, subjecting detainees to

sexual slurs as they were transported naked, forcing naked detainees into a crowded

cell together, and forcing stripped and blindfolded detainees to crouch on the ground

with their hands tied behind their back. The Commission spoke with a man who was

interrogated naked inside a tank by ISF soldiers for more than thirty minutes. During

this time, he was questioned about his family members’ association with Palestinian

armed groups. He was subjected to death threats and was slapped twice during the

interrogation.

118. Male detainees reported that ISF personnel had beaten, kicked, pulled or

squeezed their genitals, often while they were naked. The Commission verified four

such cases. In some cases, ISF personnel used objects such as metal detectors and

batons to beat them while they were naked. One detainee who had been held in Negev

prison stated that, in November 2023, members of the Keter unit of the Israel Prison

Service had forced him to strip and then ordered him to kiss the Israeli flag. When he

refused, he was beaten and his genitals were kicked so severely that he vomited and

lost consciousness. Another detainee released from Megiddo prison told the

Commission: “I was kneeling with my head down and my hands tied behind my back.

They beat and kicked me everywhere on my body, including on my face and my

genitals. I thought I was going to die.” Similar accounts about violence targeting the

genital area have been reported by B’Tselem and Healthcare Workers Watch. 87

119. The Commission documented cases of rape and sexual assault of male

detainees, including the use of an electrical probe to cause burns to the anus, and the

insertion of objects, such as fingers, sticks, broomsticks and vegetables, into the anus

and rectum. One victim who had been detained in Sde Teiman told the Commission

about severe mistreatment, including being suspended from the ceiling so that only

the tips of his toes touched a chair and beaten with tools for hours. During the abuse,

a metal tool was inserted in his penis repeatedly until his penis started bleeding, and

he fainted. The victim told the Commission: “They took me into an interrogation room

and suspended me by my arms behind my back. My toes barely touched the floor. A

male guard inserted a metal stick in my penis on several occasions, about twenty times

in total. I started bleeding. The pain was excruciating but the humiliation was worse.”

120. In at least two cases documented by the Commission, victims needed medical

treatment and/or surgery due to the injuries caused by rape. In one case, a detained

Palestinian man was raped after he was transferred from Ofer prison to Sde Teiman

detention facility. According to an indictment submitted to an Israeli military court,

the man was physically abused by five soldiers, reservists in Unit 100, during a search

86 https://www.btselem.org/sites/default/files/publications/202408_welcome_to_hell_eng.pdf;

20240731-Thematic-report-Detention-context-Gaza-hostilities.pdf; Israel must end mass

incommunicado detention and torture of Palestinians from Gaza - Amnesty International and HWW-

report-_The-killing-detention-and-torture-of-HCWs-in-Gaza_October-72024_Final.pdf;

https://addameer.org/sites/default/files/publications/GF%20Submission.pdf.

87 https://www.btselem.org/sites/default/files/publications/202408_welcome_to_hell_eng.pdf; HWW-

report-_The-killing-detention-and-torture-of-HCWs-in-Gaza_October-72024_Final.pdf.

27A/HRC/58/CRP.6

at Sde Teiman prison. The men, including the commander of the team, kicked the

victim and hit him with a baton and tasered him in the head. A baton was also inserted

in his mouth and a dog was used to intimidate the victim during the assault. The assault

resulted in the fracture of several of the victim’s ribs and a punctured lung. The victim

was also stabbed in the rectum with a sharp object. The victim’s rectum was raptured

due to the assault, and he required surgery to the rectum. Following the assault, the

victim was required to use a stoma bag due to the gravity of the injuries. A video

filming the assailants were taken by a soldier.

121. The Commission received reports that Dr. Adnan al-Bursh, the head of the

orthopaedic department at al-Shifa Hospital in Gaza City, was subjected to sexual

violence in an Israeli prison prior to his death in Israeli custody. Al-Bursh was arrested

in December 2023 from al-Awda hospital during the ISF’s siege on the hospital. Al-

Bursh died at Ofer prison in April after four months in an Israeli prison allegedly due

to the mistreatment he endured during his captivity. A released detainee told the

Commission that he saw al-Bursh in Sde Teiman in December 2023 where he was

bruised and complained of chest pain. The Commission also received reports about a

witness in Ofer prison seeing al-Bursh just prior to his death. According to the witness,

al-Bursh had been assaulted and stripped naked on his lower body. Al-Bursh’s body

remains withheld by the Israeli authorities. To the Commission’s knowledge there has

not been an independent forensic autopsy on the body.

122. The Commission has determined that detainees were routinely subjected to

sexual abuse and harassment, and that threats of sexual assault and rape were directed

at detainees or their female family members. The Commission received information

about detainees being forced to undress and lie on top of each other while subjected

to verbal abuse and forced to curse their mothers. One detainee was subjected to an

attempted rape with a carrot in the anus in front of the other detainees. Another

detainee held in Sde Teiman reported that female soldiers had forced him and others

to make sounds like a sheep, curse the Hamas leadership and the prophet Muhammad,

and say “I am a whore”. Detainees were beaten if they did not comply. In another case,

a soldier took off his trousers and pressed his crotch to a detainee’s face, saying: “You

are my bitch. Suck my dick.

123. The Commission reviewed several videos where detainees were interrogated

by members of the ISF, while placed in an extremely vulnerable position, completely

subjugated, when confessing to witnessing or committing rape and other serious

crimes. The names and faces of the detainees were also exposed. The Commission

considers the distribution of such videos, purely for propaganda purposes, to be a

violation of due process and fair trial guarantees. In view of the apparent coercive

circumstances of the confessions appearing in the videos, the Commission does not

accept such confessions as proof of the crimes confessed.

124. Female detainees were also subjected to sexual assault and harassment in

military and Israel Prison Service facilities, as well as threats to their lives. The sexual

assault and harassment included kicking the women’s genitals, touching their breasts,

attempting to kiss them, and threats of rape. One female detainee interviewed by the

Commission said that a soldier threatened to gang rape her, kill her and burn her

children. The soldier asked her: “How do you want us to rape you? one by one or all

together?” The victim was also denied access to her lawyer once she had informed

him of the rape threat. In one case reported to the Commission, a woman was

threatened with sexual assault in front of her husband while detained in Hasharon

prison. One soldier reportedly unzipped his pants and threatened to make the woman

sit on his lap while another soldier commented on her breasts. The woman, who had

given birth two months prior to her detention, was reportedly spat in her face by the

soldiers and beaten repeatedly until she fainted.

125. Female detainees reported being subjected to repeated, prolonged and invasive

strip searches, both before and after interrogations. One woman was strip searched in

her cell every three hours during her four-day detention, the guards forcing her to

remove all her clothes even though she was menstruating. Women were forced to

remove all clothes, including the veil, in front of male and female soldiers. They were

28A/HRC/58/CRP.6

beaten and harassed while called “ugly” and subjected to sexual insults, such as

“bitch” and “whore”, directed at them. One victim described to the Commission the

humiliation she and her fellow detainees were subjected to: “They forced us to strip

and laughed at us during the search because some of us had clothes stained with

menstruation blood and some smelled because we had not been allowed to take

showers. They also laughed at one detainee who was overweight. We felt so insulted

and humiliated.” Amnesty International also reported on a violent strip search

involving a female detainee in Damon prison where guards reportedly used a huge

knife to rip off her clothes.

126. The Commission received reports from the Palestinian Authority and civil

society organisations about the rape of several female detainees but was not able to

verify the information. In three of the cases the rape reportedly involved the insertion

of foreign devices in the vagina or rectum of the detainees.

127. On 16 October 2023, the Minister of National Security Itamar Ben-Gvir

ordered significant additional restrictions in Israel Prison Service facilities.

88 Female

detainees were subjected to the same restrictions as men in Israel Prison Service

facilities and were affected in particular ways by insufficient and inadequate food and

water and unhygienic conditions. The Commission documented particular

reproductive harms in detention, including that pregnant women held in an Israel

Prison Service facility did not receive either sufficient or adequate food and were

denied medical care. Several women reported that they had not been allowed to use

toilets despite having requested access, or that they had been handcuffed for prolonged

periods of time and therefore required help from other detainees to use the toilets.

Female detainees had limited access to or were denied menstrual pads. Reportedly,

some women suffered from urinary tract infections as a result of the lack of hygiene

facilities.

VII. Sexual and gender-based violence by settlers and other

civilians

I will be happy to sit with you in jail someday. You know Sde Teiman? Rape for

the sake of God, as they say. You understand what I mean.

Threat by an Israeli settler to a Palestinian man

128. The Commission observed a surge in settler attacks on Palestinian communities

in the West Bank immediately after 7 October 2023 and continuing to date. Several

developments may have contributed to this, including the enlistment of thousands of

settlers in the ISF reserve duty, arming and mobilizing settlers for regular military

service in specialised battalions based in the West Bank, establishing and arming

additional quasi-military militias in settlements and easing gun licence regulations by

Minister of National Security, Itamar Ben Gvir.89 The increase in settler violence since

7 October 2023 has caused massive displacement of entire Palestinian communities

and the seizure of their lands.

129. The Commission received reports about an increasing number of settler attacks

involving sexual abuse and harassment, some involving collaboration between settlers

and the ISF. In one such case documented by the Commission, a group of around ten

to fifteen Israeli men arrived in a Bedouin village in the West Bank in civilian cars in

mid-October 2023. Some of the men were wearing full army uniforms, some were

wearing army uniforms and sport shoes, and some were wearing civilian clothes and

carrying rifles. The Commission assesses that the group was composed of settlers and

ISF members, some of whom may have been reserve forces. During their stay in the

village, the group attacked a total of three Palestinian men that day, two human rights

defenders, who had gone to the village to offer protection to the Bedouin community,

88 89 The Commission reported on these conditions to the General Assembly in October 2024, see

A/79/232.

A/HRC/56/CRP.4, paras 353 and 504.

29A/HRC/58/CRP.6

and later one other man. The Commission has obtained the names of two of the

attackers and identified them as settlers from nearby settlements.

130. During the early stages of the attack, the group held the two human rights

defenders for around nine hours in a sheep herding enclosure. The perpetrators also

seized the men’s car, money and mobile phones. At around noon, some 40 additional

settlers and ISF members joined the group, bringing with them another Palestinian

man from the Bedouin village and holding him captive as well. They then ordered the

three Palestinians to lay face down on the ground, beat them and threatened to kill

them, telling them that “there will be no Arabs left here” and that they would “send

the rest of the Arabs to Jordan”. On two occasions throughout the day, Israeli civil

authorities, including Israeli Administration officials and a police officer, came to the

scene but did not intervene and left shortly after.

131. The three captive Palestinian men were all subjected to physical and mental

abuse during their ordeal. One of the human rights defenders was beaten on his head

with a rifle, by a man wearing a military uniform, resulting in severe bleeding. When

the victim tried to lift his head and wipe the blood from his face, the perpetrator

stepped on his head and smeared dirt on his face. The uniformed man tore the victim’s

clothes with a knife, leaving him in his underwear. He then blindfolded him with a

piece of torn clothes. He put his foot on the victim’s head and pushed his face to the

ground several times, saying, “eat, eat”, as the ground had remnants of straw and sheep

food. The victim told the uniformed man that he had undergone heart surgery which

prompted the uniformed man to kick the victim in the chest, saying “die, die”. The

uniformed man then proceeded to jump on the victim’s back. When the victim asked

for water, the uniformed man said he will give him water and urinated on him. He then

placed a stick in the area of the victim’s anus, over his underwear, and attempted twice

to insert the stick into his rectum but the victim moved away to avoid it. According to

the victim, men in military uniforms beat the other human rights defender and

extinguished their cigarettes in four different places on his body.

132. The Commission reviewed a photo posted on a settler social media account,

showing the two human rights defenders stripped down to their underwear sitting on

the ground, with their hands tied behind their backs and blindfolded with a piece of

cloth. The man from the Bedouin village is lying on the ground, with his hands tied

behind his back. Other photos published by media outlets show severe bruises on the

back and arms of one of the human rights defenders as a result of the beating he was

133. subjected to. The victims required medical assistance following the attack.

Palestinians have reported about settlers in the West Bank attacking them and

threatening them with rape. The experience has had a profound impact on the

mental health and sense of security of the victims. One male victim told the

Commission that he would have preferred to be subjected to physical abuse than sexual

harassment. “It was a very difficult experience. I felt very angry but I knew that I

would be harmed if I responded so I chose to remain silent. I knew about Sde Teiman

and what they had done to Palestinian detainees there.”

134. A Palestinian man from the West Bank was threatened with rape by an Israeli

settler in early August 2024, when a group of masked settlers armed with clubs arrived

at the victim’s house and harassed his family, threatening to take over their house and

their land. Referring to the case of sexual assault that took place in Sde Teiman prison

against a Palestinian detainee (see section Impunity and accountability, paras. 154-

156), the settler told the victim: “You are my bitch” and “I will be happy to sit with

you in jail someday. You know Sde Teiman? Rape for the sake of God, as they say.

You understand what I mean." Residents and activists called the police but, according

to information received by the Commission, the police did not come to the site.

135. The Commission also received reports of sexual harassment by settlers

targeting Palestinian women. One case involved threats of rape by an ISF member and

a settler towards a Palestinian woman in April 2024. The woman was traveling back

to her house in the south of the Nablus governorate when she was stopped by a soldier

in the neighbourhood. The area was surrounded by settlers and the soldier told her she

30A/HRC/58/CRP.6

would be killed if she returned. As she was speaking to the soldier, the woman was hit

on her shoulder by a settler. The soldier did not intervene. The soldier grabbed and

shook her face, telling her to leave. Both the settler and the soldier threatened her with

rape, saying “we will fuck you” if you do not leave. The woman feared returning to

her home and has been restricted in her movements by her family members since the

incident.

136. The Commission also received information about settlers subjecting two 15-

year-old boys to physical assault and sexual violence in August 2024 in Bethlehem.

The boys were herding cattle when they were attacked by a group of settlers carrying

knives. The two boys were beaten, blindfolded and stripped by the settlers. One settler

also urinated on one of the boys. The boys were beaten severely during the attack, and

one sustained a fracture to his leg. The boys were taken to a nearby hospital for

treatment after the assault.

137. The Commission also documented cases of sexual violence directed at

Palestinian men by Israeli civilians in Israel. The Commission collected and verified

digital footage of civilian men desecrating the bodies of two Palestinian men in Israel

in the aftermath of the 7 October attack. A video and a photograph were published on

Telegram on 8 October 2023, showing the bodies of two dead Palestinian men who

had been stripped naked, their heads covered with a piece of fabric and what appear

to be military uniforms of Palestinian armed groups next to them. Two men in civilian

clothes are then seen urinating on the bodies of the men, one of them kicking one of

the bodies repeatedly in the stomach, and a third man kicking the body in the head.

One of the civilian men also poses in a photograph while standing on the heads of the

two men lying on the ground. The Commission geolocated the photo to a location in

Israel and notes that the civilian men speak in Hebrew while abusing the bodies,

encouraging each other to urinate on the bodies stating they are bodies of Hamas

militants, while also using gendered and sexualized insults, such as “slut” and

“prostitute”, as well as racist and possibly religious slurs referring to the bodies as

“Mohammed”.

VIII. Gendered impacts of displacement

The school was used as shelter, but it was not prepared for this purpose; for

example there were no electricity or generators and so women had to collect

wood and paper to burn as fuel for baking and drying clothes. I was pregnant at

the time and there was no way for me to reach the hospital. My husband watched

online videos to learn how to deliver a baby.

Displaced woman in Khan Younis

138. The ISF issued evacuation orders and movement instructions multiple times to

people in specific areas of the Gaza Strip since 7 October 2023. By the end of 2024,

86 percent of Gaza was under evacuation orders. The Commission found in practice

that evacuations were not feasible as people were attacked during the process and also

at the so called ‘safe zones’. No distinction or exception was made for pregnant

women, older women, maternity patients, women and girls with disabilities or others

who could not or would not evacuate for a variety of reasons. The ISF did not offer

assistance to those who were unable to evacuate, or those who faced difficulties while

evacuating.

139. The Commission spoke with several individuals, including women, who

described challenges during the evacuation processes including the absence of

transportation which resulted in them having to walk for many hours. Pregnant women

faced increased problems due to the lack of assistance, as did postpartum women and

those with young children. Often, ISF checkpoints made evacuations slower and more

cumbersome. Such checkpoints were established in order to screen evacuees, to detain

adult and teenage males and to search for Palestinian militants and Israeli hostages in

the evacuating crowds. The Commission also received reports about pregnant women

being arrested in such circumstances. Several persons recounted being attacked while

31A/HRC/58/CRP.6

evacuating and being subjected to sexual and gender-based violence (see section

Sexual violence during ground operations including checkpoints and evacuations,

paras 102-114).

140. The Commission notes the particular impact that displacement has had on

women mainly due to socially prescribed gender roles as those responsible to care for

and tend to family members. Women are the primary caregivers for children, family

members with disabilities or illness, and older family members who are unable to

evacuate, and as such are more likely to stay behind while others evacuate. Moreover,

the collapse in infrastructure, lack of basic necessities and crowded living spaces

increase caregiving responsibilities for women and girls when families are displaced,

and consequently, the usual number of hours spent on household activities increases

substantially. Women are also the main homemakers, and the multiple displacements

that most Palestinians in Gaza have experienced require women to re-establish the

semblance of a home wherever their family takes refuge, in many cases having to do

so ten or more times over the past 14 months.

141. As of January 2025, around 90 percent of the population in Gaza has been

internally displaced and this has severely impacted power dynamics and gender

relations. Unbearable living conditions and overcrowding have created stress and

anxiety, particularly for women and girls. OCHA reported in December 2024 an

average of 1.5 square meters per person in IDP shelters in Gaza (with the minimum

acceptable emergency indicator being 3.5 square meters per person according to

OCHA).90 Moreover, the loss of homes and family members, including those acting as

breadwinners, and community members lead to changes in family formation which

impact gender relations, roles and dynamics. UN Women has also emphasised that

women increasingly fear that these dynamics, coupled with the humanitarian crisis

and the lack of food, safe shelter, privacy and educational opportunities, will lead

families to resort to harmful coping mechanisms such as early marriage.91 Meanwhile,

gender-based violence, including intimate partner violence, remains a threat for many

women in Gaza. The risks have been exacerbated by restrictions on the survivors’

ability to move freely, lack of privacy, scarce resources and the collapse of pre-existing

response providers such as shelters and hotlines.

142. Women spoke to the Commission about the suffering caused by displacement

and being separated from their children with limited means of communication, with

children sometimes being very young when separated from their mothers. Many

women were also separated from their husband or widowed, leading to shifts in

household dynamics that forced them to step into roles traditionally filled by men,

such as being the principal income earner. One woman explained to the Commission

the challenges in this situation, including emphasising the uncertainty she felt in how

she would be able to provide for her four children by herself. “I am alone with the

children, and I am in a difficult position, not knowing how I will provide for them.

Our home is destroyed, and we are displaced. Everything has been taken from me.”

143. About 12,000 women have been made widows in Gaza since October 2023.

Widowed women lack protection in accessing rights to child custody and

guardianship, as well as control over inheritance from a deceased spouse. Women in

Gaza in female headed households are eligible for social safety nets but this assistance

is minimal or unavailable due to the ongoing hostilities. A widowed woman told the

Commission that she had been providing for her family since the death of her husband

in the 2009 escalation of hostilities in Gaza. She explained that, while she had received

assistance from the authorities, this assistance had stopped now due to the war and,

even when provided, it was difficult for her to manage the household finances: “My

husband died in the war of 2009. I raised my children alone and it was not easy. I was

solely responsible for feeding and clothing five children. I lost my son too in this war.

90 https://www.ochaopt.org/content/reported-impact-snapshot-gaza-strip-17-december-2024.

91 https://www.unwomen.org/sites/default/files/2024-

01/Gender%20Alert%20The%20Gendered%20Impact%20of%20the%20Crisis%20in%20Gaza.pdf.

32A/HRC/58/CRP.6

I am filled with grief, and I cry every day, thinking about the son I lost. I just wish I

could be in a safe place with my children.”

144. Protracted conflict and displacement result in gendered impacts due to the

exacerbation of pre-existing structural gender-discrimination. Women from Gaza have

told the Commission about controlling behaviors from male family members that

restricted their agency. One woman described how, when she and her family were

displaced, they had to share one room with several families, and her father required

her to remain covered due to the presence of other men and not to leave the building

where they were sheltering. Another woman told the Commission, “I worked as an

engineer before the war and used to have a lot of freedom. The war changed that, and

suddenly women had to stay inside. I had to ask my father and brothers to get me what

I needed, even pads when I had my period, which was so embarrassing. This had a

huge psychological effect on me.”

145. Throughout the conflict, women and girls have been forced to wear their veil

or their prayer cover constantly as the living spaces are shared with men outside the

immediate family. One woman told the Commission that, due to mixed gender spaces,

women had to wear their veil around the clock, day and night, and that this had become

a real concern for them. The woman told the Commission: “We had to be veiled 24

hours a day. We were 17 people in one room, including my male cousins, so my father

told me and my sister to make sure we were always covered. Also, we never knew if

we would need to leave the home suddenly due to an aerial strike. We were constantly

prepared to run.”

146. The Commission received information that women and teenage girls remain

covered 24 hours a day so that, if they are killed, they die covered. A woman working

with an organisation providing psychosocial support to women in Gaza stated that

women and girls stay covered at all times.

“Women in Gaza have lost everything. They

lost their family members, their homes, their schools. At least they want to be able to

control their bodies and keep their dignity in death.”

IX. Impunity and accountability

147. The Commission notes that, there have been no meaningful efforts by Israel to

hold the perpetrators accountable. The Commission has not seen any evidence that the

Israeli authorities have taken any effective measures to prevent or stop acts of sexual

violence or to identify and punish perpetrators, despite the abundance of witness and

digital evidence of Israeli soldiers committing crimes in Gaza. On 15 January 2025,

the Commission submitted a request for information to Israel about ongoing

investigations and accountability efforts in relation to cases related to sexual violence

in detention in Israel and incidents in Gaza carried out by members of the ISF since 7

October 2023, including incidents in paragraphs 95, 96, 97 and 133 among others.

However, Israel has not responded to the Commission’s request for information.

148. The Commission has spoken to witnesses and has reviewed social media posts,

including photos and videos taken by the soldiers themselves. These posts were widely

circulated online, and the soldiers often used their real names, which the Commission

has collected and stored. The Commission finds that there is a clear culture of impunity

within the ISF and soldiers believe that they will never be held accountable for the

crimes they have committed. This results in an implicit or tacit encouragement by the

top civilian and military leadership to the soldiers who commit these crimes.

149. The Commission is aware of media reports concerning ISF instructing soldiers

in February 2024 not to carry out acts of revenge and not to film revenge videos, in

response to the broader allegations of soldiers documenting their misconduct.

However, even if such reports are accurate, the Commission considers these measures

to be inadequate.

150. Rather than holding to account perpetrators who posted videos and photos of

their acts online, Israeli efforts focused on instructing soldiers not to publish photos

33A/HRC/58/CRP.6

and videos, and directing media outlets in Israel to blur soldiers' faces in photos and

videos, actions which can be considered part of shielding suspected perpetrators from

identification and investigation.

151. In the cases of photographing and filming mass arrests and forced public

stripping reviewed by the Commission, the ISF has not made any statement that

presents an acceptable reason for employing such a procedure (see section Filming

and photographing acts of sexual violence, paras. 94 and 97). While the ISF stated in

December 2023 that the actions were “not in line with IDF values, command and

disciplinary measures will be taken”,

92 this humiliating and degrading treatment has

continued systematically during the military operations in the Gaza Strip and affected

hundreds of men. The Commission documented similar patterns in October and

November 2024, confirming the continued practice by the ISF to photograph and

disseminate photos of Palestinians who have been forced to strip in public. The

incidents documented by the Commission occurred in northern Gaza, including at the

Kamal Adwan hospital.

152. The Commission refers particularly to two cases of sexual violence: the six

detainees subjected to severe mistreatment and abuse; and the transportation of naked

and blindfolded detainees (see section Filming and photographing acts of sexual

violence against men and boys during arrest, paras. 98 and 97100 These cases were

filmed by soldiers. The ISF has stated in at least one case that the conduct was serious

and under investigation. The Commission is unaware of any report being released as

a result of any investigation or of any serious action being taken to hold the

perpetrators accountable.

153. The systematic abuse, including sexual and gender-based violence in detention

documented by the Commission, is directly and causally linked to statements made by

Israeli officials, including the Minister of National Security, who is responsible for the

Israeli Prison Services (IPS), and other members of the Israeli Government,

legitimizing revenge and violence against Palestinians.93 The lack of accountability

for actions of individual ISF members, their military commanders, and their civilian

superiors and the increasing acceptance of violence against Palestinians have allowed

such conduct to continue uninterrupted and to become systematic and

institutionalized.

154. In an illustrative example of the culture of impunity, in July 2024 ten Israeli

soldiers were arrested in a rape case which caused life-threatening injuries to a

Palestinian detainee at the Sde Teiman detention facility. Five soldiers were released

without charge within a few days and five others were placed under house arrest. In

September 2024, a military court eased the conditions of their house arrest, removing

the requirement for them to be accompanied by a supervisor during their night-time

house arrest and allowing them to submit requests for release during the holidays.

155. Knesset members from the coalition, right-wing activists and soldiers

participated in demonstrations to protest the soldiers’ arrest, showing them support

and legitimizing their actions. They attacked the Sde Teiman camp, including soldiers

of the military police tasked with investigating the rape case, and occupied part of it.

According to a media report, reserve soldiers from Unit 100 who had allegedly

participated in the rape of the detainee attacked soldiers from the military police unit

who were investigating the incident, including through threatening them at gun-point,

beating and using pepper spray, and broke out some of their fellow unit members who

were detained in the base. They also attacked the military base in Beit Lyd where the

soldiers were transferred to. On 19 February 2025, five reserve soldiers belonging to

Unit 100 were indicted for severe physical assault by a group. The Commission

reviewed the indictment and noted the absence of a charge of sexual violence or rape,

despite providing a detailed description of the assault which includes insertion of an

object in the anus resulting in severe injuries to the rectum. The Commission notes

92 https://www.idf.il/160872; https://www.youtube.com/watch?v=vvmaAzEqztM&t=241s.

93 A/HRC/56/CRP.4, paras 26, 33-44.

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that by not indicting the accused with rape and sexual violence, the prosecutor has

downgraded the offense and this will inevitably result in a more lenient punishment,

if in fact convicted.

156. The Commission documented several statements from officials that were made

in support of the accused, in some cases legitimizing rape and other forms of sexual

violence against Palestinian detainees. Referring to the soldiers who were arrested in

Sde Teiman, the Israeli Minister of Finance, Bezalel Smotrich, stated that “IDF

soldiers deserve respect” and that they suffered “terrible injustice”,94 while the

Minister of Justice Yariv Levin reportedly said he was “shocked” that the soldiers were

arrested like “criminals”, which was “impossible to accept”.95 Minister of National

Security Itamar Ben-Gvir also reportedly stated that it was “shameful” for Israel to

arrest its “best heroes”96 and that the Military Advocate General should be the lawyer

of “our soldiers, not the Nukhba terrorists” and referring to the case as “vicious

persecution against ISF soldiers”.

97

157. Israeli President Isaac Herzog said in a statement that the morality of the ISF

was being tested and that he considered hatred against Palestinian terrorists to be

“understandable and justified”.98 When asked, during a discussion in the Knesset, if it

was legitimate to “insert a stick into a person’s rectum”, Hanoch Milwidsky, a member

of Knesset from the Likud Party, responded: “If he is a Nukhba [Hamas militant],

everything is legitimate to do. Everything.”99

158. The lack of effective measures to ensure accountability for rape and other forms

of sexual violence is evident both in cases where there have been strong public

reactions in Israel against attempts to hold the assailants accountable, such as the case

above, as well as in other cases where there is little public attention. The Commission

documented a case where a male detainee was raped repeatedly in an Israeli detention

facility. A complaint was filed with the Israeli prosecution but, more than six months

after the incident was reported, the Commission has received information that no

effective measures were taken by the Israeli authorities to investigate the allegations

or prosecute those involved despite the evidence.

159. The Commission also documented statements from public and media figures

that excused or encouraged the use of sexual violence against Palestinians in detention.

In an illustrative example, Israeli journalist Yehuda Schlesinger from the Israel Hayom

newspaper made a statement on Israeli channel 12 in August 2024 in relation to the

rape of Palestinian detainees, stating that it should be institutionalised by the Israeli

authorities to punish, exact revenge and deter Palestinians.

100 The journalist later

retracted his statement.

94 https://www.aljazeera.com/news/2024/8/9/everything-is-legitimate-israeli-leaders-defend-soldiers-

accused-of-rape ; https://x.com/bezalelsm/status/1817888474281709987?t=5BL7a-

mFWoqVnWhGdwKtXQ&s=19.

95 https://www.theguardian.com/world/article/2024/jul/29/israeli-inquest-into-alleged-abuse-of-

palestinian-detainees-sparks-far-right-fury; https://www.kan.org.il/content/kan-

news/defense/778494/https://x.com/HezkeiB/status/1817913592752091144.

96 https://www.aljazeera.com/news/2024/8/9/everything-is-legitimate-israeli-leaders-defend-soldiers-

accused-of-rape; https://www.kan.org.il/content/kan-news/defense/778467/.

97 https://x.com/itamarbengvir/status/1820170707931635825?t=RaLJD7T587J9r1QkR_XUrQ&s=19

98 https://x.com/Isaac_Herzog/status/1817924845780246832?mx=2;

https://www.theguardian.com/world/article/2024/jul/29/israeli-inquest-into-alleged-abuse-of-

palestinian-detainees-sparks-far-right-fury.

99 https://www.youtube.com/watch?v=gC_PmNReg9s;

https://www.youtube.com/shorts/wUhdh8NLe0s.

100 https://www.middleeasteye.net/live-blog/live-blog-update/israeli-journalist-calls-rape-against-

palestinian-be-institutionalised and

https://x.com/ireallyhateyou/status/1821121616094412908?ref_src=twsrc%5Etfw%7Ctwcamp%5Etw

eetembed%7Ctwterm%5E1821121616094412908%7Ctwgr%5E4ffd977f5935aa94031ebe902679ae4

04678c91e%7Ctwcon%5Es1_&ref_url=https%3A%2F%2Fwww.middleeasteye.net%2Flive-

blog%2Flive-blog-update%2Fisraeli-journalist-calls-rape-against-palestinian-be-institutionalised.

35A/HRC/58/CRP.6

160. The statements and actions by political and civic leaders and the lack of

effectiveness of the military judicial system send a clear message to ISF members that

they can continue committing such acts without fear of accountability. The same

applies to the civilian justice system. In this context, accountability through the

International Criminal Court and national courts of other countries, through their

domestic law or exercising universal jurisdiction, is essential if the rule of law is to be

upheld and victims are given justice.

161. The Commission also finds, more broadly, that the Israeli justice system does

not meet international standards of justice with respect to its application to

Palestinians. At present, it cannot ensure fair trial guarantees as it is inherently

discriminatory in its application of the law; domestic legislation continues to be used

to persecute Palestinians and exculpate perpetrators who violate the rights of

Palestinians. The Israeli justice system should not be relied upon to deal with

accountability for Israeli civilian and military personnel in relation to Palestinians. In

the absence of any meaningful action by the Israeli authorities, there can be no

argument that the principle of complementarity can be used to deny jurisdiction to the

International Criminal Court as it would require Israel to pursue a genuine

investigation into the same persons (Netanyahu and Gallant) and same conduct (war

crimes and crimes against humanity) as that of the International Criminal Court (ICC).

National courts in other countries may exercise jurisdiction under their domestic laws,

including under the principle of universal jurisdiction, to investigate and prosecute

perpetrators. The recommendations regarding accountability presented by the

Commission in this report are therefore directed towards international accountability

or other national efforts.

X. Analysis and legal findings

162. The Commission has set forth the applicable law in its previous reports,

including international human rights law, international humanitarian law and

international criminal law. The Commission notes that the Occupied Palestinian

Territory remains occupied by Israel, and international humanitarian law applies

concurrently with international human rights law. The Commission has consistently

stated that Israel, as the Occupying Power, has obligations under international

humanitarian law vis-à-vis protected persons and objects consistent with the law of

occupation.101 The Occupying Power must ensure that the population under occupation

has adequate food, shelter and medical supplies. In addition, it must take special care

to ensure the protection of protected persons such as women and children.

International humanitarian law requires that expectant women and women with young

babies or children be treated with particular care.

A. Extermination and wilful killing

163. In its report to the Human Rights Council in June 2024, the Commission found,

in relation to Israeli military operations in Gaza, that the chapeau elements for crimes

against humanity have been fulfilled and that underlying acts of murder and

extermination, as crimes against humanity, were committed by the Israeli

authorities.102 The Commission made such findings based on the direct attacks against

the civilian population, the indirect means by starvation as a method of warfare and

the acts depriving the civilian population of objects indispensable for their survival,

including medical care.

164. The Commission concludes on reasonable grounds that cases of women and

girls directly targeted by members of the ISF amount to violations of the right to life.

Furthermore, these acts constitute the crime against humanity of murder and the war

101 The law of occupation is derived primarily from article 42 of The Hague Regulations 1907 and the

Fourth Geneva Convention of 1949.

102 A/HRC/56/CRP.4, para. 458.

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crime of wilful killing. The Commission makes similar conclusions in the case of

attacks against health-care facilities that directly resulted in the deaths of civilian

women and girls, including pregnant women, who were receiving treatment or seeking

shelter, as well as those cases where actions by members of the ISF indirectly led to

deaths of civilians owing to the resulting lack of medical care, supplies and equipment.

165. The Commission concludes on reasonable grounds that, given the increasing

numbers of female fatalities in conflicts in Gaza over the past 20 years and the fact

that women are more likely to experience conflict as civilians rather than combatants,

the ISF could reasonably foresee high numbers of women and girls being killed and

injured in its military operations in Gaza since 7 October 2023 yet took no steps to

avoid and reduce these casualties. Women and girls are thus being particularly affected

by the intentional and disproportionate attacks directed at civilians and civilian

objects. The Commission concludes that the ISF knew that civilian women and

children were present in the areas it operated in, that the ISF intentionally directed its

attacks on civilian residential areas and civilian property with such knowledge and

that women and children were also targeted collectively on the basis that the ISF

considered the civilian population as a whole to be associated with Hamas and other

armed groups.

166. In relation to medical care, the Commission concludes that the conditions

imposed by the Israeli authorities on Gaza since 7 October, including the extensive

attacks and the total siege, impacting access to maternity and reproductive health care,

were not only inhumane, degrading and humiliating, but created unsafe conditions and

caused additional danger. Military attacks on facilities that provided maternity care

and the impact of the siege on access to medication and equipment, combined with

drastically reducing permits for patients to leave the territory for medical treatment,

resulted in the deaths of those in need of medical support including maternity patients

and newborns. The Commission finds that the ISF has intentionally inflicted these

conditions of life on the Palestinians in Gaza, in particular women, girls and young

children, and caused their deaths due to the lack of essential medical care. The

Commission concluded that such acts amount to the crime against humanity of

extermination.103

B. Violations and crimes related to sexual and reproductive rights and

personal autonomy

167. Attacks on healthcare are an intrinsic element of the broader assault on the

physical and demographic infrastructure of Gaza and the expansion of the occupation,

in violation of international humanitarian law and the Palestinian people’s right to self-

determination, as well as in stark contravention of the recent advisory opinion of the

International Court of Justice,

104 and the provisional measures orders issued by the

International Court of Justice in the case brought by South Africa against Israel under

the Genocide Convention.

105

168. The Commission finds that Israel has perpetrated a concerted policy to destroy

Gaza’s healthcare system in violation of international humanitarian law, including

health personnel and health infrastructure that provides sexual and reproductive

healthcare. The ISF failed to adhere to the principles of precaution, distinction and

proportionality, constituting the war crime of attacks against protected persons and

objects. The Commission notes that the intentional policy to destroy the healthcare

system not only resulted in thousands of deaths and injuries due to the direct attacks,

but it also has long-term consequence for the survival of the Palestinians in Gaza. This

103 A/HRC/56/CRP.4.

104 Legal Consequences arising from the Policies and Practices of Israel in the Occupied Palestinian

Territory, including East Jerusalem, International Court of Justice, 19 July 2024.

105 Orders of 26 January 2024, 28 March 2024, and 24 May 2024, International Court of Justice,

Application of the Convention on the Prevention and Punishment of the Crime of Genocide in the

Gaza Strip (South Africa v. Israel).

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is particularly true for women and girls who are not receiving adequate sexual and

reproductive health care, as this will take decades to restore after the violence ends,

thus impacting the ability of Palestinians as a protected group to procreate and survive.

169. The ISF’s destruction of healthcare infrastructure and facilities, including those

providing necessary maternal, sexual and reproductive health services, violates the

special protections under international humanitarian law provided to medical units and

personnel. Compounded by blocking the access and availability to sexual and

reproductive health care, including to necessary equipment and medication, this

violates the obligation to ensure sexual and reproductive health, particularly for

Palestinian women and girls, and the special protections afforded to them under

customary international law.

106 The Commission notes that Israel is specifically

obligated to ensure the free passage of all consignments of medical and hospital stores

and of essential foodstuffs, clothing and medical supplies intended for children under

15, expectant mothers, and maternity cases.107

170. Pregnancy, childbirth and post-partum recovery create specific

vulnerabilities for women and children. Women and girls face discrimination due to

characteristics related to their sex and gender in relation to the deprivation of the right

to health. This discrimination includes accessing sexual and reproductive health care

which is often deprioritised in times of conflict, gender specific harms related to

pregnancy and lactation, maintaining menstrual hygiene and dignity, and the

consequences of bearing the main responsibilities to care for young children in

unthinkable circumstances. The Commission concludes that Israel, as the Occupying

Power, has the legal obligation to ensure that the human rights of women and girls are

protected and fulfilled.

171. The Commission finds that the targeting and destruction of sexual and

reproductive health-care infrastructure constitutes reproductive violence and has had

a particularly harmful effect on pregnant, post-partum and lactating women, who

remain at high risk of death and injury. The targeting of reproductive health

infrastructure and the denial of access to reproductive health care is a violation of

women’s and girls’ reproductive rights and autonomy, and their right to life, health,

founding a family, human dignity, physical and mental integrity, freedom from torture

and other cruel, inhuman, or degrading treatment and the principle of non-

discrimination.

108

172. The intentional targeting of facilities crucial for the health and protection of

women, newborns and children violates the norm of customary international

humanitarian law that affords special protection to women and children in armed

conflicts.

109

173. In its report to the Human Rights Council in June 2024, the Commission found

that Israeli authorities, through the manner in which they have conducted their military

campaign in the Gaza Strip, committed the war crime of using starvation as a method

of warfare.110 The Commission found that starvation and famine have had a severely

detrimental impact on women and girls, in particular pregnant and post-partum

women, with adverse consequences for physical, reproductive, and mental health that

constitutes reproductive violence.

174. The conditions imposed by the ISF brought unimaginable misery, particularly

for pregnant women who suffered from a multitude of issues, including avoidable

106 ICRC Customary International Humanitarian Law, Volume I: Rules, rule 134; Fourth Geneva

Convention, art. 27; Additional Protocol I, art. 76(1); International Covenant on Economic, Social and

Cultural Rights (CESCR), Gen. Comment No. 22.

107 The Geneva Conventions of August 12, 1949, International Committee of the Red Cross, Geneva,

Article 23 - Consignment of medical supplies, food and clothing.

108 Convention on the Elimination of All Forms of Discrimination Against Women (CEDAW), art.2 and

12. CESCR art. 12.

109 Customary IHL - Rule 134. Women (icrc.org) and General recommendation 30, paras.52-54.

110 A/HRC/56/CRP.4.

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complications and no access to reproductive health services, and were forced to

undergo unsafe deliveries due to not reaching hospitals and painful deliveries without

access to adequate pain relief and medication. Post-partum patients also suffered

greatly from lack of access to adequate care. The Commission concludes that the

prolonged physical and mental suffering caused by reproductive harms to pregnant,

post-partum and lactating women amount to the crime against humanity of other

inhumane acts and the war crime of wilfully causing great suffering, or serious injury

to body or health. Such acts also constitute cruel, inhuman and degrading treatment in

cases where they result in severe physical or mental pain.

175. The Commission finds that the ISF intentionally attacked and destroyed the

Basma IVF clinic which was the main fertility centre in Gaza. The ISF destroyed all

of the reproductive material that was stored for the future conception of Palestinians.

The Commission did not find any evidence that this IVF clinic was a legitimate

military target at the time that it was attacked by the ISF. The Commission concludes

that the destruction of the Basma IVF clinic was a measure intended to prevent births

among Palestinians in Gaza, which is a genocidal act under the Rome Statute and

Genocide Convention. The Commission also concludes that this was done with the

intent to destroy the Palestinians in Gaza as a group, in whole or in part, and that this

is the only inference that could reasonably be drawn from the acts in question.

176. In addition, the Commission finds that the ISF intentionally and systematically

attacked and destroyed reproductive and maternal health facilities across Gaza,

including maternity hospitals and maternity wings of hospitals. The direct attacks on

reproductive and maternal health in Gaza resulted in killings and caused serious bodily

and mental harm to Palestinians. The intentional destruction of reproductive health

care, infrastructure and facilities that provide essential services for the population of

Gaza to survive and reproduce exhibits the intent to destroy the Palestinians in Gaza,

in whole or in part. The Commission concludes that this is the only inference that

could reasonably be drawn from the acts in question.

177. The Commission finds that the ISF controlled the entry, the content and the

amounts of humanitarian assistance allowed into Gaza and that the ISF deliberately

stopped humanitarian assistance which included items essential for pregnant women,

new mothers and newborns from reaching Gaza, both through direct attacks and

through the imposition of a total siege. When humanitarian assistance was allowed

into Gaza, it was sporadic and did not sufficiently meet the needs of the civilian

population. As such, the ISF inflicted conditions of life on pregnant, post-partum and

lactating women and their newborns and children in Gaza, resulting in the deprivation

of essential care, food, water, medicine and shelter, that were indispensable to their

survival.

178. The Commission concludes that the ISF caused serious bodily and mental harm

to members of this group, and deliberately inflicted conditions of life that were

calculated to bring about the physical destruction of Palestinians in Gaza as a group,

in whole or in part, which are categories of genocidal acts in the Rome Statute and the

Genocide Convention.

C. Sexual and gender-based violence

179. The Commission documented numerous incidents in which members of the ISF

systematically targeted and subjected Palestinians to sexual and gender-based violence

online and in person since 7 October 2023, including through forced public nudity,

forced public stripping, sexual harassment and sexualized torture and abuse.

180. Based on victims’ and witnesses’ testimonies and verified video footage and

photos, the Commission finds that sexual violence has been perpetrated throughout

the Gaza military operations since 7 October 2023 and in the West Bank: during

evacuation processes, prior to or during arrest, in civilian homes, health facilities and

shelters and in detention. Sexual acts were carried out by force, including while the

victim was subjected to violence, intimidation and other forms of duress, in inherently

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coercive circumstances due to the armed conflict and the presence of armed Israeli

soldiers.

181. Sexual and gender-based violence committed by the ISF against the civilian

population in Gaza since 7 October 2023 constitutes grave human rights violations.

These include the right to life, the right to be free from torture and other cruel, inhuman

and degrading treatment, the right to due process in criminal proceedings, including

the right to be considered innocent until proven guilty, the right to privacy, the right

to the highest attainable standard of physical and mental health, and the right to be

free from discrimination.

182. The Commission concludes that sexual and gender-based violence perpetrated

since 7 October has taken different forms when committed against male and female

members of the Palestinian community and has resulted in gender-specific harms. The

Commission particularly notes that the act of forcing women to strip to their

underwear and remove their veils in public and in front of the community has a

particular negative impact on women living in a society with strict religious and

cultural dress codes.

111 Forcing women to undress in public constitutes sexual violence

against women and is a form of discrimination prohibited by the Convention on the

Elimination of All Forms of Discrimination against Women, to which Israel is a State

Party, and a violation of human rights.112 The Commissions finds that these acts

constitute grave human rights violations by ISF soldiers.

183. Palestinian women were also particularly targeted in relation to sexual

harassment online and psychological violence, including gendered and sexualized

insults and graffiti on sites attacked in Gaza. Israeli soldiers filmed themselves

ransacking homes, including drawers filled with lingerie, to mock and humiliate

Palestinian women, referring to Arab women as ‘sluts’. The Commission concludes,

based on the circumstances and context of these acts, that gender-based violence

directed at Palestinian women was intended to humiliate and degrade the Palestinian

population as a whole. The Commission observes that such attacks represent an

attempt to dishonour the society as a whole by subjugating women to sexual violence.

This is an additional gendered dimension of these attacks and a symptom of the male-

controlled collective.

184. The Commission notes the existence of aggravating factors in the commission

of these gender-based crimes. First, the specific social and normative context in which

these acts have been committed includes strong cultural and religious sensitivities

linked to privacy, nudity and the significance of the veil, where stigma and social

exclusion can have deep repercussions at the individual and community level for the

victim, particularly for women and girls. Second, humiliating digital content

disseminated online, reaching a global audience, is extremely difficult to remove from

the internet and so the humiliation is indefinite and irremediable.

Sexual and gender-based violence during ground operations

185. Members of the ISF forced public stripping and nudity in many locations.

Palestinians were also made to watch members of their family and community strip in

public and walk completely or partially undressed while subjected to sexual

harassment.

186. Men and boys were subjected to sexual and gender-based violence during

ground operations that amounted to torture or inhuman and degrading treatment. Men

and boys were the primary target of: (i) forced public nudity while walking for

prolonged periods of time in front of the victim's family and community during

111 112 The ICC Gender Policy 2023 emphasizes the need to contextualize crimes and understands the

survivor’s point of view, stating that that forced removal of a veil may be experienced as “forced

nudity” and may qualify as a form of sexual violence. https://www.icc-cpi.int/sites/default/files/2023-

12/2023-policy-gender-en-web.pdf, para 62.

General Recommendation 30 of the Committee on the Elimination of Discrimination against Women,

para. 34.

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evacuations in the Gaza Strip; (ii) forced public stripping, including while blindfolded,

tied to a chair, kneeling and/or with their hands tied behind their back; (iii)

interrogations and/or physical and mental abuse while undressed; and/or (iv) forcing

or coercing a person to commit degrading acts while naked, such as dancing without

clothes while being filmed. Men and boys were particularly targeted in terms of being

filmed or photographed while being subjected to the above sexual acts and in other

degrading and humiliating circumstances These circumstances indicate that the

stripping of the victims was not done for security reasons.

187. Women and girls were subjected to gender-specific violence that amounted to

torture, cruel or inhuman treatment and outrages upon personal dignity, including (i)

being targeted by soldiers who recorded themselves ransacking homes in Gaza,

including emptying drawers filled with lingerie, while mocking and humiliating

women with gendered and sexualized insults; (ii) being forced to remove their clothes

and veil in public and/or walk in underwear for prolonged periods of time in front of

their family and community members during evacuations in the Gaza Strip; (iii) after

being forced to remove their clothes in public, being sexually harassed by soldiers in

front of their family and community; and (iv) being stripped and harassed while men

in their family and community were forced to watch.

188. The Commission notes the context of the coercive circumstances around these

acts, including threats and intimidation and other forms of duress, which was also

inherent due to the armed conflict and the presence of Israeli soldiers. Acts of a sexual

nature were committed by force, threat of force or coercion, causing great

psychological harm to victims,113 even where there was no element of physical

contact.114

189. In the cases documented by the Commission where soldiers ordered

Palestinians to strip, the Commission finds that, because of the way this was ordered,

the duration and the physical, sexual and verbal abuse that followed, these acts were

intended to humiliate and subjugate the victims and were not carried out for security

reasons. In most cases the processes were not conducted according to acceptable

standards that require such searches to be done in a dignified manner, including being

carried out by a person of the same sex and with respect to the person’s dignity and

privacy.

190. The Commission also highlights that forced witnessing of acts of a sexual

nature may cause witnesses severe mental suffering, which may amount to an outrage

upon personal dignity, inhuman or cruel treatment or torture. The Commission

concludes, in cases where persons were forced to witness forced nudity of their family

members, such acts were conducted to degrade, humiliate, punish and destabilize the

community as a whole. This caused severe mental suffering and amounted to the war

crime of inhuman treatment.

191. Based on the way in which such acts were committed, including with filming,

photographing and posting material online, in conjunction with the many cases with

similar methods observed in multiple locations, the Commission concludes on

reasonable grounds that forced public stripping and nudity and other types of abuse

by Israeli military personnel were either ordered or condoned. These acts were

intended to humiliate and degrade the victims and the Palestinian community at large,

by perpetuating gender stereotypes that create a sense of shame, subordination,

emasculation and inferiority. It is evident that such violence both is a part of and has

been enabled by the broader targeting and ill-treatment of Palestinians.

192. The Commission notes that many acts of sexual violence it documented

constitute conflict-related sexual violence in accordance with Security Council

113 ICC Policy Paper on Sexual and Gender-Based Crimes, 2014, p. 3. See also, International Criminal

Court, Office of the Prosecutor, Policy on Gender-based Crimes, December 2023, para. 44 and

footnote 79. See also ICL_Guidelines_LR_SGBV_EN_Final_02-1.pdf (un.org).

114 https://www.icc-cpi.int/sites/default/files/2023-12/2023-policy-gender-en-web.pdf, para 62. The

Hague Principles on Sexual Violence, pp. 45, 70-77.

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D. 42

resolution 1960 (2010) and international humanitarian law and international criminal

law and should be considered under this framework

Sexual and reproductive violence in detention

193. The Commission finds that members of the ISF subjected male and female

detainees to forced nudity and stripping during transfer, in detention facilities and

during interrogations or body searches, in a widespread and systematic manner. Taken

together with other acts of sexual violence committed for the purpose of humiliation

or degradation, such as being photographed fully or partially naked and subjected to

verbal and physical sexual abuse and threats of rape, these acts constitute the war

crimes of inhuman treatment and outrages upon personal dignity and the crime against

humanity of other inhumane acts. In some cases, such acts amount to the war crime

and crime against humanity of torture.

194. Male detainees were subjected to attacks targeting their sexual and

reproductive organs, including violence to their genitals, anus and rectum, and were

forced to perform humiliating and strenuous acts naked or stripped, as a form of

punishment or intimidation to extract information. Male detainees were subjected to

rape, which amounts to a war crime and a crime against humanity. Such acts of sexual

violence, causing severe physical and mental suffering, also amount to torture. The

Commission also notes that physical attacks on reproductive organs can have long

term effects on the victims’ sexuality and reproductive prospects.

195. Women were subjected to sexual violence in detention that amounts to the war

crimes of committing outrages upon personal dignity and inhuman treatment, and the

crime against humanity of other inhumane acts. In some cases, these acts amount to

the war crime and crime against humanity of torture. Female detainees, including

pregnant women, were subjected to conditions of detention that constitute

reproductive violence and discrimination based on their gender, including by denying

them access to sufficient food, medical care and menstrual products. These violations

have a severe impact on women’s dignity and physical and emotional well-being.

196. Several female detainees were also photographed and shamed online, sitting in

front of the Israeli flag, with their hands tied, and/or were photographed in the

intimacy of their bedroom, which amounts to outrages on personal dignity. The

Commission concludes that this type of sexual and gender-based violence subjects

women to distinct gender-based stigmatization and isolation, including the exposure

of private information, which has the effect of silencing women, including women

human rights defenders, due to the associated stigma and possible repercussions and

risk of violence from within the community.

197. The Commission also concludes that acts of sexual and gender-based violence

amounting to the war crime of outrages upon personal dignity were committed when

male and female detainees were recorded or photographed by members of the ISF,

while in extremely vulnerable situations and under duress, revealing their identity,

and/or making forced confessions to acts of sexual violence against Israeli women and

girls and when those recordings were publicly released.

Persecution of men and boys

198. Since 7 October 2023, Palestinian men and boys in the Gaza Strip have been

subjected to severe deprivation of fundamental rights, including the right to life, the

right to be free from torture and cruel, inhuman and degrading treatment without

discrimination and the right to be free from arbitrary detention.

199. Large-scale arrests of Palestinian men and boys have been carried out with little

or no justifiable cause, in many cases seemingly solely on the basis that they were men

of ‘fighting age’ or they did not follow evacuation orders. The subsequent detention

of thousands of Palestinian men and boys for prolonged periods, even when theyA/HRC/58/CRP.6

clearly posed no security risk, was arbitrary, unlawful and constitutes collective

punishment and gender persecution.115

200. The Commission finds that Israeli forces have committed the crime against

humanity of persecution based on gender. Incidents of arbitrary arrest and sexual

violence amounting to torture and others forms of ill treatment form a part of a broader

pattern of targeting and persecution of Palestinian men and boys as means of

humiliation and subjugation. The Commission notes that the violations in most cases

had a gender dimension and that the physical and psychological violence directed at

Palestinians had sexual characteristics, such as forcing a person to strip naked in public

and sexualized torture in detention. The crimes were intended to inflict severe

humiliation on the victims and, when others were forced to watch, either in person or

by disseminated digital content, they were also intended to intimidate the larger

community.116

201. The Commission concludes on reasonable grounds that men and boys have

been subjected to specific acts based on their gender which were committed with the

intent to punish and humiliate them in retaliation for the crimes committed on 7

October 2023. The Commission concludes that the ISF specifically targeted men and

boys on the ground of gender, based on the following facts the Commission

documented: (i) only men and boys were repeatedly filmed and photographed by

soldiers while subjected to sexual violence or sexual torture and ill-treatment,

including while wholly or partly naked, blindfolded, kneeling on the ground, tied

and/or subjected to physical abuse; (ii) digital footage of Palestinian men and boys

wholly or partly naked was disseminated online by ISF soldiers operating in Gaza;

(iii) male detainees were subjected to rape and other forms of sexual and reproductive

violence in detention; (iv) statements by Israeli officials regarding those responsible

for the attacks on 7 October implicitly singled out male perpetrators, attempting to

dehumanize and vilify Palestinian men with references to “human animals”,

“barbarism”, “rapists” and “ISIS”; and (v) videos of alleged male perpetrators of

sexual violence committed in Israel on 7 October were made and disseminated by

members of the ISF, revealing the identities of Palestinian men despite the absence of

due process, formal prosecution and conviction by a court.

202. The Commission finds that the treatment of men and boys was intentionally

sexualized as an act of revenge for the attack of 7 October 2023 in southern Israel, in

particular for sexual violence committed by Palestinian armed groups, with the

intention to punish, humiliate and degrade Palestinian men and boys, including by

“feminising” them and harming their sense of dignity. The Commission notes that the

photographing and filming of stripped or naked Palestinian men and boys, and in at

least ten cases the dissemination of such digital items, is a new and rapidly spreading

practice since October 2023 intended to humiliate Palestinians. The Commission notes

that personal motives of revenge do not negate a discriminatory intent but constitute

aggravating factors; the acts were carried out both in revenge and with the purpose of

punishing and humiliating the men and boys specifically.

117

203. The Commission concludes that gender-based discriminatory intent intersects

with other grounds for persecution. The persecutory acts based on gender that were

documented by the Commission intersect with the systematic discrimination against

Palestinians based on nationality, ethnicity, culture and religion. Furthermore, men

and boys were particularly targeted because of assumptions of their support, activity

or affiliation with Hamas and other Palestinian armed groups.

204. The Commission has found that women and girls were targeted on the basis of

gender in relation to direct attacks, shaming online, gendered and sexualized graffiti

and forced removal of the veil during the ISF military operations and evacuation of

115 Rome Statute, arts.8(2)(a)(vi);8(2)(a)(vii).

116 https://www.icc-cpi.int/sites/default/files/2023-12/2023-policy-gender-en-web.pdf, footnote 79.

117 https://www.icc-cpi.int/sites/default/files/2022-12/2022-12-07-Policy-on-the-Crime-of-Gender-

Persecution.pdf, para 52.

43A/HRC/58/CRP.6

E. 44

civilians in the current hostilities (see section Sexual harassment and shaming of

Palestinian women online, paras. 82-92).

205. The Commission finds that ISF soldiers were operating within a permissive

culture that encouraged them to humiliate and degrade Palestinians on the basis of

their gender. The Commission notes that Israeli soldiers have committed acts with

similar persecutory characteristics intended to punish, humiliate and intimidate

Palestinian men and boys in the West Bank and Israel as well as the Gaza Strip (see

section Sexual and gender-based violence by settlers and other civilians, paras. 128-

137 and Sexual, reproductive and other gender-based violence in detention, paras. 115-

127).

Violations committed by settlers and soldiers in the West Bank and

Israel

206. The Commission finds similar patterns in the violations that ISF soldiers

committed against Palestinians in the West Bank and Israel (see section Persecution

of men and boys, paras. 198-205). Israeli soldiers, in some cases together with Israeli

civilians and settlers, have committed acts with similar persecutory characteristics

intended to punish, humiliate and intimidate Palestinian men and boys. In three cases

documented by the Commission in the West Bank, victims were subjected to forced

public stripping and sexual, physical or mental abuse by settlers, and in two of these

cases they were accompanied by soldiers. The sexual violence was also filmed and

photographed by the perpetrators and the footage disseminated online in one of the

cases.

207. Settlers have resorted to sexual violence as a tool to instil fear, humiliate and

punish Palestinian families and communities, to force them to leave their homes and

land. The Commission concludes that Palestinian civilians were subjected to sexual

and gender-based violence by settlers, including forced public nudity, threats of rape

and torture and cruel and inhuman treatment in relation to sexual and reproductive

organs.

208. In a case documented by the Commission, ISF soldiers and armed settlers

severely degraded, humiliated and attacked two male human rights defenders and a

Bedouin man. One of the victims was also sexually assaulted. Throughout the ordeal,

in two separate instances, Israeli Civil Administration officers and police were at the

scene, yet none intervened, and they left without stopping the mistreatment, thus

consenting to or acquiescing in the settlers’ and the ISF actions against the victims.

Similarly to the cases documented in the Gaza Strip, the men were undressed and

photographed and photos of them were disseminated online. The Commission

concludes that the two human rights defenders were victims of torture. The

Commission also finds that two of the victims, the human rights defenders, were

subjected to sexual violence and abuse that amounts to torture and inhuman treatment.

The Commission notes that torture is prohibited by the International Covenant on Civil

and Political Rights (ICCPR) and the Convention against Torture (CAT) and is a jus

cogens norm of international law.

209. Israeli civilians in Israel also committed sexualized desecration and degrading

treatment of the bodies of Palestinian men by stripping the bodies, physically

assaulting them and urinating on them, while uttering racist and religious slurs. The

Commission notes that these violations occurred following the 7 October 2023 attacks

and were intended to humiliate and show disrespect to the dead, their families and

their community, especially taking into consideration that these acts violated cultural

and religious practices and that the abuse was filmed and shared online.

210. Israeli authorities have encouraged, participated in or shown unwillingness to

prevent or stop the abuses, or to investigate and prosecute the perpetrators. The

Commission notes that the acts were committed as part of and were enabled by the

broader targeting and ill-treatment of the Palestinian civilian population. The

Commission reiterates that Israel is responsible to investigate and hold their citizensA/HRC/58/CRP.6

accountable for these violations, and to ensure full respect of international human

rights law and international humanitarian law as an occupying power with an

obligation to protect.

211. In one case in Hebron, the Commission also concludes that six men were

severely mistreated while detained by the ISF. The Commission concludes that

members of the ISF committed acts that amount to violations of international

humanitarian law, namely torture, cruel, inhuman or degrading treatment, and outrages

upon personal dignity, all of which are war crimes. All the detainees were, to one

degree or another, undressed or completely naked while they were mistreated and

filmed. In relation to this case, the Commission finds that the ISF members (i)

committed sexual violence; (ii) inflicted severe physical and mental pain on the

victims through sexual torture and inhumane acts; and (iii) humiliated the victims and

degraded their personal dignity.

212. The Commission emphasises that civilians are protected persons under

international humanitarian law and enjoy full protection under the Fourth Geneva

Convention during an occupation, in addition to the protections afforded under

international human rights law.118 Based on all the incidents highlighted above, the

Commission concludes on reasonable grounds that Israel, as the occupying power and

a State Party to the ICCPR and CAT, failed to fulfil its obligations under international

humanitarian law and international human rights law, including the failure to prevent

acts, including those of sexual nature, that amount to torture and cruel, inhuman or

degrading treatment in the West Bank committed by the ISF, armed settlers and Israeli

civilians.

XI. Conclusions

213. Israeli military operations in Gaza have had a disproportionate impact on

Palestinian women and girls, who continue to bear the brunt and pay the price for

decisions made by those in power while themselves marginalised from decision-

making and military and political power. The Commission notes in this regard the

high and increasing number and proportion of female fatalities in Gaza, which is on

an unprecedented scale, and the gender-specific harms related to a broad range of

violations and crimes that have caused specific and serious bodily and mental

harm to women and girls.

214. Israel has targeted civilian women and girls directly, acts that constitute

the crime against humanity of murder and the war crime of wilful killing. Women

and girls have also died from complications related to pregnancy and childbirth

due to the conditions imposed by the Israeli authorities impacting access to

reproductive health care, acts that amount to the crime against humanity of

extermination.

215. In addition to the disproportionate impact on women and girls as a result

of intentionally directing attacks against civilians and civilian objects, specific

gendered harms have been suffered as a result of starvation as a method of

warfare, forcible transfer, extermination and collective punishment.

216. Israel’s use of starvation as a method of war, the denial of humanitarian

assistance and the concerted policy to destroy Gaza’s healthcare system,

compounded by the lack of water and access to sanitation facilities, have caused

severe reproductive harms to women and girls, impacting all aspects of

reproduction, including pregnancy, childbirth, post-partum recovery and

lactation. Other reproductive harms include conditions that lead to the inability

to manage postpartum-bleeding and menstruation hygienically and with dignity.

217. As primary caregivers, women have suffered gender-specific harms as a

result of multiple displacements, deaths of children, separation of families and

118 ICCPR, art. 7; CAT, art. 2.

45A/HRC/58/CRP.6

caring for sick and wounded family members. Pre-existing structural

discrimination has also exacerbated controlling behaviours from male family

members and has impacted women's and girls’ freedom and agency.

218. Sexual and reproductive healthcare facilities have been systematically

destroyed across Gaza, including maternity hospitals and maternity wards of

hospitals and Gaza’s main in-vitro fertility clinic. Israeli authorities deliberately

destroyed such healthcare facilities rendering them non-functional, while

simultaneously imposing a siege, and preventing humanitarian assistance at-

scale, including necessary medications and equipment to ensure safe pregnancies,

deliveries and neonatal care. Israeli authorities have implemented the systematic

denial of approval for patients to exit Gaza and seek treatment elsewhere,

including patients with gynaecological cancer. The Commission finds that the

Israeli authorities have destroyed in part the reproductive capacity of the

Palestinians in Gaza as a group, including by imposing measures intended to

prevent births, one of the categories of genocidal acts in the Rome Statute and

the Genocide Convention.

219. The harm for pregnant, lactating and new mothers is of an unprecedented

scale in Gaza. Furthermore, the lack of access to sexual and reproductive health

care has caused immediate physical and mental harm and suffering to women

and girls that will have irreversible long-term effects on the mental health and

the physical reproductive and fertility prospects of the Palestinians in Gaza as a

group. The underlying acts amount to crimes against humanity and deliberately

inflicting conditions of life calculated to bring about the physical destruction of

Palestinians as a group, one of the categories of genocidal acts in the Rome Statute

and the Genocide Convention.

220. Israel has systematically used sexual, reproductive and other forms of

gender-based violence since 7 October 2023. The Commission concludes that there

has been a large increase in sexual and gender-based crimes perpetrated against

Palestinians by members of the ISF since 7 October 2023, intended to retaliate and

punish them collectively for the attacks carried out by the military wing of Hamas

and other Palestinian armed groups in southern Israel on 7 October.

221. Palestinian men and boys have been subjected to specific persecutory acts

intended to punish them collectively. The way in which these often-sexual acts are

committed, including their filming, photographing and dissemination online, in

conjunction with similar cases being documented in several locations, shows that

forced public stripping and nudity, as well as sexualised torture and ill-treatment,

are part of the persecutory attack against men and boys committed to punish,

humiliate and intimidate Palestinian men and boys into subjugation.

222. Israeli detention is characterized by widespread and systematic abuse and

sexual and gender-based violence. These practices have increased significantly in

severity and frequency since 7 October 2023, following orders and statements of

the Minister for National Security Ben Gvir who is in charge of prisons. The

mistreatment of Palestinian detainees by Israeli authorities is a result of an

intentional policy that utilises sexual, reproductive and other forms of gender-based

violence to humiliate and degrade Palestinians in detention. This was observed across

several facilities, temporary holding locations, during interrogation and while in

transit.

223. The frequency, prevalence and severity of sexual and gender-based crimes

perpetrated across the Occupied Palestinian Territory leads the Commission to

conclude that sexual and gender-based violence is increasingly used as a method

of war by Israel to destabilize, dominate, oppress and destroy the Palestinian

people. The Commission documented a pattern of sexual violence, including cases

of rape and other forms of sexual violence, torture and other inhumane acts that

amount to war crimes and crimes against humanity.

224. Specific forms of sexual and gender-based violence such as forced public

stripping and nudity, sexual harassment including threats of rape, as well as

46A/HRC/58/CRP.6

sexual assault, de facto form part of the ISF standard operating procedures

towards Palestinians. The Commission concludes that these and other forms of

sexualized torture, including rape and violence targeting the genitals, are

committed with either explicit orders or an implicit encouragement by the top

civilian and military leadership. The Commission found that all its documented

incidents of sexual and gender-based violence committed by members of the ISF

were met with impunity. Under these circumstances, the civilian and military

leaders are as responsible for these crimes, as are the direct perpetrators.

225. The Commission’s findings demonstrate a clear pattern of members of the

ISF and settlers committing sexual and gender-based crimes aimed at instilling

fear with the underlying intention to perpetuate Palestinian subordination and

remove Palestinians from their land. The Commission therefore concludes that

sexual and gender-based violence was intended not only to humiliate, punish and

intimidate the individual Palestinians but the civilian population as a whole, with

the objective to subordinate, destroy and expel the Palestinian community.

226. Sexual, reproductive and other forms of gender-based violence constitute a

major element in the ill-treatment of Palestinians and, in the wider context, the

unlawful occupation and the oppression of Palestinians as a group. Sexual and

gender-based violence is used as a tool to further accentuate the subordination of

the occupied people, maintain the Israeli system of oppression and deny

Palestinians the right to self-determination. The Commission affirms that these

crimes must be addressed by tackling their root causes through ending the unlawful

occupation as rapidly as possible, dismantling settlements and evacuating the

settlers immediately, ensuring the right to return, ensuring restitution of property

and land, paying reparations to Palestinians whose property cannot be restored,

as well as dismantling the historically oppressive structures and institutionalized

system of discrimination against Palestinians, as indicated by the International Court

of Justice in its Advisory Opinion of July 2024.

XII. Recommendations

227. To the Government of the State of Israel:

(a) End the unlawful occupation in line with the International Court of

Justice in its Advisory Opinion of July 2024:

(b) Immediately cease targeting civilians and civilian objects; revise the

military protocols in relation to targeting criteria to ensure effective protection

for women and children;

(c) Immediately cease the targeting of sexual and reproductive

healthcare facilities and restore Gaza’s health care system, including for pregnant

women and girls, new mothers and their newborns;

(d) Comply with obligations to ensure availability of and access to quality

reproductive health services, goods and facilities, including for pregnant,

birthing, post-partum and lactating women and girls,

(e) Ensure the necessary entry and distribution of humanitarian

assistance and cease the restrictions on “dual-use” items that involve medical-

related supplies;

(f) Allow free and unhindered access to all humanitarian and relief

actors across the Occupied Palestinian Territory, including UNRWA, and give

special attention to those providing sexual and reproductive health services;

(g) Immediately cease the arbitrary arrest and detention of Palestinians

as a collective punishment for the attack on 7 October 2023;

(h) Cease the practice of exposing female and male detainees in

vulnerable and degrading positions online, including while undressed;

47A/HRC/58/CRP.6

(i) Establish gender-specific protocols and conditions of detention,

including in relation to searching prisoners; ensure that female detainees are

supervised and attended to only by female staff and that transportation of female

prisoners includes female staff;

(j) Ensure that women’s gender-specific health-care needs are met in

detention, including access to reproductive health care, hygienic conditions and

menstrual products;

(k) Cease the practices of forced public stripping and nudity, repeated

and intimate body searches and removing women’s veils in public and in front of

male soldiers or male prison staff;

(l) Immediately cease the perpetration of rape and other forms of sexual

and gender-based violence, including sexualised torture, sexual assault,

prolonged nudity and other humiliating treatment such as sexual harassment,

including in detention and during ground operations, involving victims of all ages

and genders, online and in person;

(m) Immediately and without delay return the body of Dr. Adnan al-

Bursh to his family members, in addition to returning the bodies of all victims to

their families;

(n) Refrain from detaining pregnant women and young mothers except

as a last resort and for the shortest possible period of time; where their detention

is unavoidable, provide appropriate accommodation for them and ensure their

access to sexual and reproductive health care, and implement effective

safeguards, including regular monitoring and review of every person;

(o) Set up operational protocols, codes of conduct, regulations and

training modules to enable continuing monitoring and analysis of persecution or

discrimination based on gender and nationality, sensitize law enforcement

authorities and detention facility staff; address and actively combat the

discriminatory structures and beliefs that enable these violations to prevent their

recurrence;

(p) Immediately investigate and prosecute sexual and gender-based

violence committed by settlers and other civilians;

(q) Fully cooperate with the investigations by the Office of the Prosecutor

of the International Criminal Court;

(r) Allow the Commission access to Israel and the Occupied Palestinian

Territory to conduct investigations;

(s) Comply with all provisional measures ordered by the International

Court of Justice in the South Africa v. Israel case under the Genocide Convention,

and comply with the advisory opinion issued by the International Court of

Justice;

228. To all Member States:

(a) Comply with all international legal obligations, including, inter alia,

under the Geneva Conventions, the Genocide Convention, the Convention against

Torture and the Convention on the Elimination of All Forms of Discrimination

against Women; and comply with the advisory opinion issued by the International

Court of Justice and the obligation not to recognize the unlawful occupation and

not to render aid or assistance in maintaining the occupation;

(b) Apply a gender-conscious approach when reviewing the compliance

with the advisory opinion, and ensure that gender dimensions are taken into

account;

(c) Pursue avenues of accountability under domestic law or universal

jurisdiction and support international justice efforts; and, for States Parties to

the International Criminal Court, ensure full compliance with the arrest

warrants issued by the Court;

229. To the United Nations Security Council:

48A/HRC/58/CRP.6

(a) Ensure the participation and leadership of women in any recovery or

relief efforts in Gaza, and ensure that the women, peace and security agenda is

mainstreamed in the process of ensuring compliance with the advisory opinion

and ensuring gender expertise when identifying any further actions to bring an

end to the unlawful presence of Israel in the Occupied Palestinian Territory and

of Israeli settlers and settlements;

230. To the Secretary-General of the United Nations:

(a) Consider list Israel in the annexes of the next annual report on

conflict related sexual violence, in accordance with Security Council resolution

1960 (2010) and subsequent resolutions, owing to the prevailing climate of

impunity, the systematic and widespread nature of the sexual violence, and the

pattern to use sexual violence as a weapon to uphold a system of oppression of

Palestinians as a group.

231. To the United Nations High Commissioner for Human Rights:

(a) Recommend the deployment of dedicated conflict-related sexual

violence experts to the Office of the United Nations High Commissioner for

Human Rights in the State of Palestine and to the Commission in order to prevent,

address and respond to conflict-related sexual violence by the ISF and Palestinian

armed groups including reinforce monitoring and reporting of conflict-related

sexual violence trends and patterns in line with survivor centred trauma

informed approach, support survivor centred response including services and

advance accounta

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