There has been "little improvement" for people in Gaza since Israel announced it was easing its economic blockade of the territory six months ago.
That is the verdict of a new report by aid agencies and rights groups working inside the Palestinian territory.
A ban on most exports from Gaza is "crippling" the economy, they say.
The report, "Dashed Hopes: Continuation of the Gaza Blockade", was compiled by 21 different groups, including Oxfam, Amnesty and Save the Children.
"Only a fraction of the aid needed has made it to the civilians trapped in Gaza by the blockade," said Jeremy Hobbs, Director of Oxfam International. BBC News