Since the Saudi-led coalition began military operations against Ansar Allah on 26 March 2015, Saudi-led coalition airstrikes unlawfully struck hospitals and other facilities run by aid organizations, according to Human Rights Watch. Médecins Sans Frontières (MSF) medical facilities in Yemen were attacked four times in three months. On 26 October 2015, HRW documented six Saudi-led airstrikes which bombed a MSF hospital in Haydan district (Sa'dah Governorate), wounding two patients. A Saudi-led coalition airstrike then hit a MSF mobile clinic on 2 December 2015, in Al Houban district (Taizz). Eight people were wounded, including two MSF staff members, and one other civilian nearby was killed. On 10 January 2016, six people were killed and seven wounded when a hospital in Sa'ada was hit by a projectile. MSF said it could not confirm whether the hospital was hit in an air strike by warplanes of the Saudi-led coalition, or by a rocket fired from the ground, and at least one other landed nearby. On 21 January 2016, an MSF ambulance was hit by an airstrike. Seven people were killed and dozens were wounded.
Fighter jets and ground forces from Egypt, Morocco, Jordan, Sudan, the United Arab Emirates, Kuwait, Qatar, Bahrain, and Academi (formerly called Blackwater) took part in the operation. Djibouti, Eritrea, and Somalia made their airspace, territorial waters, and military bases available to the coalition. The United States provided intelligence and logistical support, including aerial refueling and search-and-rescue for downed coalition pilots. It also accelerated the sale of weapons to coalition states and continued strikes against AQAP. The US and Britain have deployed their military personnel in the command and control centre responsible for Saudi-led air strikes on Yemen, having access to lists of targets.
More InfoIn February 2016, Amnesty International (AI) reported that it had investigated the circumstances and impact of more than 30 air strikes of the Saudi Arabia-led coalition forces in Sanaʽa, Hodeidah, Hajjah and Sa'da. They believed that the coalition was intentionally striking civilian targets. On 24 April 2015, Amnesty International said that airstrikes hit five densely populated areas (Sa'dah, Sanaʽa, Hodeidah, Hajjah and Ibb), and "raise concerns about compliance with the rules of international humanitarian law." Their research indicates that there were at least 97 civilian deaths, including 33 children, and 157 civilians were wounded.
More InfoOn 26 October 2015 Médecins Sans Frontières reported that a coalition airstrike had completely destroyed a hospital they ran in Saada province's Haydan governorate, including the operating room. When the first strike hit an unused part of the hospital the facility was completely evacuated, so there were no direct casualties. A spokesman for the coalition forces, Brig-Gen Ahmed al-Asiri, denied responsibility for the attack. "With the hospital destroyed, at least 200,000 people now have no access to lifesaving medical care," MSF said. "This attack is another illustration of a complete disregard for civilians in Yemen, where bombings have become a daily routine," said Hassan Boucenine, MSF head of mission in Yemen. The GPS coordinates of the only hospital in the Haydan district were regularly shared with the Saudi-led coalition, and the roof of the facility was clearly identified with the MSF logo, he said. UNICEF said the hospital in Saada was the 39th health center hit in Yemen since March, when the violence escalated. "More children in Yemen may well die from a lack of medicines and healthcare than from bullets and bombs," its executive director Anthony Lake said in a statement. He added that critical shortages of fuel, medication, electricity and water could mean many more will close. Amnesty International said the strike may amount to a war crime and called for an independent investigation.
More InfoPakistan was called on by Saudi Arabia to join the coalition, but its parliament voted to maintain neutrality. On February 2016 Academi, the security firm withdraw from front-line duties in the Yemen campaing. Qatar was suspended from the coalition due to the 2017 Qatar diplomatic crisis. Morocco ended their participation in 2019 due to deterioration of Morocco–Saudi Arabia relations followed by United Arab Emirates in July 2019 amid possible tensions with Iran on the Persian Gulf and differences with Saudi Arabia. Sudan announced its decision to reduce troops commitment from 15,000 to 5,000 in early December 2019.
More InfoIn March 2017, Human Rights Watch (HRW) reported that "Since the start of the current conflict, at least 4,773 civilians had been killed and 8,272 wounded, the majority by coalition airstrikes.... Human Rights Watch has documented 62 apparently unlawful coalition airstrikes, some of which may amount to war crimes, that have killed nearly 900 civilians, and documented seven indiscriminate attacks by Houthi-Saleh forces in Aden and Taizz that killed 139 people, including at least eight children."
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