Palestinians in Gaza continue to suffer a harsh daily struggle to access food, water, and essential medical supplies one week into the ceasefire agreement as Israel heavily restricts the flow of aid into the war-devastated enclave, contravening the deal, writes Al Jazeera.

UNICEF spokesperson Tess Ingram told Al Jazeera that Palestinians in northern Gaza are in “desperate need” of food and water as thousands have returned to total destruction.

Speaking to Al Jazeera from the al-Mawasi area in the south of the Gaza Strip, Ingram said that in order to scale up humanitarian aid deliveries, multiple crossings into the enclave must be opened.

“The stakes are really high,” she said. “There are 28,000 children who were diagnosed with malnutrition in July and August alone, and thousands more since then. So, we need to make sure it’s not just food coming in, but malnutrition treatments, as well.”

While maintaining that humanitarian aid should never become political leverage, Ingram highlighted that assistance to Gaza has been severely constrained for two years, with United Nations agencies sidelined.

“This [ceasefire] is our opportunity to overcome all of that, to turn it right. That is why Israel has to open all of the border crossings now, and they have to let all of the aid into the Gaza Strip at scale alongside commercial goods,” she said.

Israel’s military aid agency COGAT on Thursday announced plans to coordinate with Egypt for reopening the Rafah crossing for civilian movement once preparations conclude. However, COGAT specified that Rafah would remain closed for aid deliveries, saying this wasn’t stipulated in the truce agreement. All humanitarian supplies must instead pass through Israeli security inspections at the Karem Abu Salem crossing, known to Israelis as Kerem Shalom.