Salvador Peiró
Epidemiologist, researcher in the Health Services and Pharmacoepidemiology Research Area of the Foundation for the Promotion of Health and Biomedical Research of the Valencian Community (FISABIO) and Director of Gaceta Sanitaria, the scientific journal of the Spanish Society of Public Health and Health Administration (SESPAS)
The report is not a scientific manuscript, but rather a report that analyses the (devastating) cumulative impact of more than two years of conflict on the lives of Palestinian children (especially in Gaza) and is intended to inform policymakers, international agencies and public opinion.
Within this framework, the work is of good quality. It is well structured, draws on solid institutional sources (UN agencies, international NGOs, administrative data) and coherently combines quantitative information with qualitative evidence from interviews and testimonies on the ground. The approach is consistent with the usual standards for this type of report.
The report describes a situation of extreme deterioration in living conditions, marked by continued violence, food shortages, the collapse of basic services and the almost total disruption of the education system, as well as highlighting the emotional and social impact of the conflict on children. Its findings are consistent with the accumulated evidence on the impact of protracted armed conflict on children, particularly in terms of malnutrition, psychological trauma and loss of educational opportunities, although the scenario reported is unprecedented in recent times, showing that educational and health infrastructure has been widespread destroyed and densely populated urban areas bombed. The destruction goes far beyond the data expected in a conventional conflict or that reported in recent conflicts (Iraq, Afghanistan, Syria) that seemed particularly cruel.
The main contribution of the report is to integrate the dimensions of education, health and psychosocial well-being, and to show how their effects reinforce each other. The implications are primarily political and humanitarian, reinforcing the urgency of protecting children, ensuring access to basic services and preventing educational disruption from having irreversible effects in the medium and long term.
Like most reports produced in contexts of active war, it has significant limitations. Data collection is necessarily incomplete, there is a heavy reliance on secondary sources and indirect estimates, and it is not always possible to independently verify information from the field. These limitations probably tend to underestimate the magnitude of the problems. In addition, some quantifications (e.g., educational losses) are based on reasonable but simplified assumptions. Although these limitations may affect some figures, they do not invalidate the report's overall conclusions about the inadequacy of local efforts without a substantial and sustained increase in international aid, both for immediate response and for medium- and long-term educational recovery.