BACKGROUND:
Gaza is in a humanitarian crisis with ongoing conflict and displacement. Most people and health services are within designated safe areas. Women living in conflict areas travel long distances in insecure areas or forgo care. Most displaced communities have midwives who are no longer working as a result of the conflict, they are often sought out by women but lack access to essential medicines and supplies.

OBJECTIVES:
To reduce women's health morbidity and mortality within conflict zones in Gaza To empower midwives and midwifery care models

METHODS:
Seven midwives residing in conflict areas were identified, all agreed to provide services. Midwives accessed project offices and received orientations, guidelines, register books, and commodities. Midwives offered health education, antenatal and postnatal care, family planning, nutrition screening, gyn care, and emergency stabilization. Midwives supplied micronutrient supplements and high energy biscuits to all pregnant women, and other treatments as needed. Midwives sent their reports weekly by text messages.

RESULTS:
Midwives saw 5600 women in the first 5 weeks of the project, 2281 for antenatal care, 215 for gynecological infections,1025 for family planning, and 2698 received SRH counseling. Of those seen for antenatal care 334 had a history of risk factors, and 476 had had a previous cesarean section, 95 were identified as having gestational hypertension and referred, and 212 were anemic and received treatment and follow up. Of those receiving family planning, most received condoms (600), followed by combined oral contraceptive pills (147), and progesterone only pills (38).

CONCLUSIONS:
Enabling midwives within displaced communities was effective for reaching vulnerable women in displaced conflict-ridden communities. Midwives worked independently. This is an example of a midwifery model of care in a humanitarian context that deserves further research.

KEY MESSAGE:
Enabled midwives within displaced communities will provide essential services even if outside of existing health systems. Midwifery models of care are efficient and effective Humanitarian 1 (including three-minute presentation competition)