On October 14, 2023: The occupation forces threatened Al-Awda Hospital with bombing if it did not evacuate[8].

On October 18, 2023:  The occupation forces again demanded that the hospital's management evacuates the hospital[9].

On October 22, 2023: The hospital was damaged by heavy shelling of a nearby house, and the hospital announced that it will continue to provide free obstetrics and gynecology services in the hospital amid the war[10][11].

On October 27, 2023: The hospital received a large number of injured and wounded as a result of the shelling of an entire residential block in the Jabalia refugee camp area[12].

On November 5, 2023: The director of Al-Awda Hospitals announces that Al-Awda Hospital - Jabalia was suffering from a severe shortage of medicines, and that the hospital may be out of service within 36 hours[13].

On November 6, 2023: The hospital reissued an SOS warning amid a fuel shortage and the possibility of the hospital going out of service within 30 hours[14].

On November 8, 2023: The hospital announced the closure of its operating and radiology departments and emergency services following the fuel shortage[15].

On November 9, 2023: The Ministry of Health announced that al-Awda Hospital - Jabalia no longer was operational[16]. In a press statement, the hospital's director, Dr. Ahmad Muhanna, announced that a large number of health staff have been injured and that the hospital's property is severely damaged[17].

On November 10, 2023: A number of medical staff at the hospital, in addition to a number of Palestinian Red Crescent Society paramedics, were injured during repeated bombings by occupation forces in the vicinity of the hospital, which also caused severe damage to the hospital and to several ambulances[18].

On November 12, 2023: Occupation forces bombed the vicinity of the hospital[19] .

On November 21, 2023: The Ministry of Health announced that occupation attacks on Al-Awda Hospital caused dozens of martyrs and injuries among patients and medical staff[20]. The hospital's reconstructive surgery building, and the third floor of the main building are shelled[21]. One of the doctors who were killed had written on a board in the hospital before his martyrdom: "Whoever stays until the end will tell our story. We did everything we could. Remember us."[22][23][24].

On 24 November, 2023: Al-Awda Hospital announced that several hours before the truce, occupation forces deliberately targeted its facilities in Jabalia, including:

• The hospital's central warehouse, destroying significant pharmaceutical, medical and consumable supplies.
• The ambulance and emergency vehicle facility, resulting in the near total destruction of two ICU (intensive care) ambulances, in addition to a vehicle dedicated to medical supply and transportation, and another for logistics services.
• The third and fourth floors of the hospital's eastern building, which includes 38 residential and dormitory beds and two operating rooms, were retargeted, resulting in their permanent removal from service.
• The solar power system, which was almost completely destroyed and put out of service.
• The medical gases facility, causing significant damage to the medical gases network.
• The fuel and generator facility, which resulted in the destruction of the fuel tanks.
• The hospital's administration building, causing significant damage.
• Regular and filtered water tanks used to supply water to the hospital.
• All the hospital buildings, which were damaged by flying shrapnel and gunfire[25].

On December 1, 2023: The Ministry of Health announced that the Israeli air force directly targeted the office of the director of Al-Awda Hospital, Dr. Muhanna[26].

On December 3, 2023: The hospital announced that its clinical capacity was halved as a result of the occupation shelling of buildings adjacent to the hospital, in addition to the martyrdom of three doctors and two paramedics who are directly targeted[27].

On December 6, 2023: Occupation forces completely besieged the hospital. The hospital launched a relief operation to protect 38 patients inside the hospital's departments, in addition to 95 employees[28].

On December 8, 2023: Occupation snipers shot and martyred volunteer doctor Ashraf Abu Dghaim on the hospital campus. The hospital administration confirmed that the working staff were very concerned about the continued siege of the hospital[29].

On December 9, 2023: The Ministry of Health announced that pregnant women could not reach the hospital due to the ongoing siege[30]. The World Health Organization (WHO) announced that the siege of the hospital had been ongoing since December 5 and that two medical staff members have been martyred while working inside the hospital[31].

On December 12, 2023: The siege and targeting of the hospital continued, as occupation forces prevented water, food and electricity from reaching the hospital, in addition to preventing access to the wounded and sick[32].

On December 15, 2023: The siege on the hospital continued for the tenth consecutive day with occupation forces opening fire at anyone who moved inside it[33].

On December 16, 2023: Occupation forces storm the hospital, detaining and stripping, and interrogating medical staff before releasing them, while kidnapping the hospital director, Dr. Muhanna[34].

On December 18, 2023: Occupation forces forced hospital staff, patients, and companions to descend to the hospital yard[35].

On December 19, 2023: The Ministry of Health announced that the Israeli military had turned the hospital into a military barracks, and detained 240 people, including 80 medical staff, 40 patients, and 120 internally displaced people inside the hospital, without water, food, or medicine, and was preventing movement between departments. In addition, six of the hospital's staff, including its director, Dr. Muhanna, a patient, and an escort were abducted and taken to an unknown location[36].

On December 21, 2023: Occupation snipers shot and martyred a hospital worker inside Al-Awda Hospital. There were reports of a state of terror and torture experienced by patients and medical staff trapped inside the hospital[37].

On December 23, 2023: Occupation forces withdraw from the hospital after 18 days of continuous siege, which led to the martyrdom of three people who were sniped inside the hospital, and the arrest and abduction of 12 people who were among those besieged. 225 people miraculously escaped death and bombing, but whose lives are still threatened due to the scarcity and depletion of food supplies and medicine[38].

On December 26, 2023: The hospital returned to partial operation by receiving patients in the reception, emergency, women's and maternity departments. All other hospitals in northern Gaza were out of service[39].

On December 27, 2023: The hospital confirmed its continued operation under very scarce medical supplies and resources, with the Al-Awda team performing four Caesarean sections and six normal deliveries for women[40].

On January 30, 2024: The hospital administration announced that the hospital no longer was service[41].

On February 11, 2024: The hospital's administration announced that it had resumed operation[42].

On February 27, 2024: It was reported that the hospital was out of service agai[43].

On May 16, 2024: Occupation warplanes targeted ambulances belonging to the hospital, which led to the injury of an ambulance worker and a nurse while they were performing their humanitarian duty[44].

On May 19, 2024: Occupation tanks surrounded the hospital, in conjunction with the continued ground incursion into Jabalia refugee camp[45].

On May 20, 2024: Occupation artillery shelled the upper floor of the hospital[46]. 

On May 22, 2024: The WHO stated that medical staff consisting of 148 people, and 22 patients were trapped inside the hospital. Later, the occupation forces evacuated the medical staff and displaced persons from inside the hospital after a siege that lasted for three days, and arrested a number of medical staff and subjected them to field investigation and then forced them to evacuate to areas in western Gaza[47][48][49].

On May 23, 2024: The occupation forces closed the hospital and took it out of service completely after a four-day siege[50].

On May 31,2024: Occupation forces withdrew from the vicinity of Al-Awda Hospital - Jabalia, and the hospital resumed receiving patients and casualties. Acting Hospital Director Dr. Mohamed Saleh stated that the siege on the hospital was lifted after 13 days[51].

On June 30, 2024: The hospital’s director announced that the hospital was suffering from a shortage of fuel and is threatened with a complete cessation of service[52].

On July 8, 2024: WHO staff were able to deliver medicines and medical equipment to Al-Awda Hospital [53].