The objective of this report is not simply to add to the already detailed evidence base on the impact and consequences of the on-going conflict and exposure of the population to political violence in the Gaza Strip. Instead HelpAge International wants to contribute to local and international actors understanding of the profile of Gaza population, their needs, and the constraints they face in accessing assistance and meeting their basic needs. To achieve this objective the following report focuses on addressing a key evidence gap: the situation facing older people. While the Occupied Palestinian Territory (oPt) is still predominately young, in line with global trends the older population is growing. In 2012 those aged 50 and above account for 8.9% of the total population with estimated life expectancy now standing at 75.95 for females and 72.48 for males. The growing number of older people, combined with the existing youth population places increasing strain on the middle age group as illustrated by the dependency ratio in the Gaza Strip which already stands at 80%. Despite the growing numbers of older people the existing response to their needs resulting from the chronic crisis in Gaza illustrates the degree to which both Governmental institutions and humanitarian / development actors systematically overlook the needs of this specific vulnerable group. Official data is rarely disaggregated by sex and age making it difficult to profile the population, and misconceptions about how societies respond to vulnerable groups contribute to increased gaps in assistance. Furthermore, the predominance of standardised, vertical response models often result in a failure to deliver responses which are inclusive and (where necessary) adapted to specific age group’s needs. The explanation for this situation lies largely in the lack of evidence and technical expertise amongst partners around what the needs of vulnerable groups are, and how to address them. This report provides the necessary evidence to understand the broad needs of older people in the Gaza strip, and gives recommendations to ensure their inclusion in assistance delivery. The ultimate aim is therefore to support the delivery of inclusive, impartial, needs based response that covers all other vulnerable groups.