A/HRC/42/CRP.1 displaced persons moved into urban centres in the governorate, which further strained the water and sanitation needs of the host population and resulted in unmet needs for the newly arrived displaced persons. Al-Hudaydah also became one of the governorates most affected by food insecurity, with more than 1,600,000 inhabitants left with critical needs and 560,000 living in pre-famine conditions.810 Al-Hudaydah had the most cases in the country of children at risk of acute malnutrition in the aftermath of the fighting. Furthermore, the health worker-to-population rate in al-Hudaydah became 7 to 10,000, well below the 22 to 10,000 recommended by the Inter-Agency Standing Committee (“IASC”). 811 At least 80 schools were affected by the fighting in al-Hudaydah, either because they had been occupied by armed actors or by internally displaced persons, or because they were impacted during the fighting. (a) Situation in al-Durayhimi 503. Most of al-Hudaydah governorate suffered impediments to the access of humanitarian aid during the fighting and, in its aftermath, due to landmines and continued sporadic clashes. As an illustration of this dynamic, the Group of Experts examined allegations that parts of al-Durayhimi district were under siege. In early August 2018, the Yemeni armed forces and affiliated UAE-backed armed groups advanced to the outskirts of the district centre. Following periods of intense fighting that led to the destruction of many buildings, the Houthis retained control of most of the district, including its centre. The frontlines settled with the access points to the district centre under control of the Yemeni armed forces and affiliated groups. Access to the area was further complicated by the presence of landmines.812 504. Civilian objects including essential infrastructure in al-Durayhimi suffered severe damage as a result of the conflict. For example, a main water tank in the city was destroyed when the vicinity was targeted in an attack, for which the party responsible had not been determined at the time of writing.813 The fragility of the health infrastructure in the district is illustrated by cases investigated by the Group of Experts, in which injured civilians were required to seek healthcare outside the district.814 Additionally, the only maternity and neonatal centre was partially destroyed by a coalition airstrike on 11 October 2018. On the same day, a rural hospital in the same area was shelled. As a result, there are less facilities and services to assist women during pregnancy and childbirth in al-Durayhimi city.815 505. From August until December 2018, while the intense fighting was ongoing, humanitarian actors did not have access to the district at all. In 2019, humanitarian actors were allowed briefly to access al-Durayhimi to deliver food in January and in late April/early May. In spite of this brief access, no humanitarian assessment has been carried out in al-Durayhimi since June 2018.816 Therefore, the number of individuals living today in al-Durayhimi district and the district centre itself (and their needs), is not confirmed, and a proper humanitarian response could not be devised or implemented. The continued restrictions, ongoing at the time of writing, were mainly due to Yemeni armed forces’ and affiliated armed groups’ control of access points, as well as the presence of landmines around these areas, which remained under the control of the de facto authorities. 817 Sana’a Centre for Strategic Studies “Starvation, Diplomacy and Ruthless Friends: The Yemen Annual Review 2018”, 22 January 2019. 810 IPC Overview and Classification System: Yemen: Acute Food Insecurity Situation December 2018 - January 2019. See: http://www.ipcinfo.org/ipc-country-analysis/details-map/en/c/1151858/ 811 The Inter-Agency Standing Committee is the primary mechanism for inter-agency coordination of humanitarian assistance. It is a unique forum involving the key United Nations and non-United Nations humanitarian partners. The IASC was established in June 1992 in response to United Nations General Assembly Resolution 46/182 on the strengthening of humanitarian assistance. 812 Confidential Sources on File. 813 UNICEF, Humanitarian Situation Report, August 2018. 814 See Shelling incidents of 4 August, 14 August and 19 July. 815 For further details on this case, see section below on access. 816 Confidential Sources on File. 817 Confidential Sources on File. 809 124