2020 has been a tumultuous year for the occupied Palestinian territory-oPt which is suffering the economic and health fallouts of the COVID-19 outbreak, as well as a political standoff that has put additional pressure on the already fragile economy. In 2020, the humanitarian situation in the occupied Palestinian territory has further deteriorated due to two major developments. Firstly, the outbreak of COVID-19 and the measures imposed to contain the pandemic including; travel restrictions, school closures, recurrent lockdowns, reduction of commercial activities; which in turn has resulted in an increase in the unmet need for primary healthcare (PHC), sexual and reproductive health (SRH) as well as other services among the most vulnerable. Secondly, the Palestinian Authority’s decision to halt all bilateral contacts with Israel as of May 19 in response to Israel’s decision to annex additional parts of the west bank. Despite the fact that the PA resumed security coordination with Israel in November, this decision coupled with the economic slowdown due to COVID-19, has reduced the PA’s capacity to deliver services, pay salaries and maintain social safety nets.