A/HRC/39/70 68. The cost of the Humanitarian Response Plan is estimated at $515.6 million. 4 The Independent Expert very much regrets that in June 2018 only 23 per cent of the funds had been raised. She fully supported the humanitarian appeal aimed at guaranteeing reliable and foreseeable financing to aid the 1.9 million Central Africans targeted by the Plan. Regarding identified needs, she emphasized that persons with disabilities faced still greater challenges in accessing food, health services and medical assistance. She also notes the importance of strengthening measures on access to psychotherapeutic assistance for victims of the crisis. 69. The Independent Expert deplores the unacceptable looting and attacks on humanitarian workers and their equipment. Between January and June 2018, 150 acts of violence were committed on humanitarian workers or property and four humanitarian staff members lost their lives in the course of their work.3 In particular, she regretted the attack in the vicinity of Markounda (north-west) on 25 February 2018, when five representatives of the education ministry and a UNICEF consultant were killed. Regarding access to foodstuffs, she was informed that the World Food Programme warehouses in Bangassou (south-east) had been looted several times by anti-Balaka elements. 70. With regard to health services, the Independent Expert, strongly condemned the attack on Zémio hospital on 11 July 2017 by an anti-Balaka element, who killed a one-yearold Muslim child. The same hospital was attacked again on 17 August by armed Peul elements, who killed at least 11 civilians. In late August, anti-Balaka elements prevented Muslims from entering the hospital. She also deplores the attack on the hospital of Ippy (centre) in December 2017, which resulted in the death of 17 civilians, and the attack on the community hospital in Bangui in May 2018 by individuals seeking to attack Muslim victims who were receiving treatment, which led to the lynching of a member of the healthcare staff. On 7 June, armed elements entered the hospital of Bambari and threatened medical staff and patients, causing some 30 patients to flee in a situation of vulnerability. 71. The Independent Expert points out that these unacceptable acts are evidence of a great lack of humanity on the part of their perpetrators and that they will be held responsible for them. She also notes that this situation only worsens the already disastrous state of health institutions, 70 per cent of which are damaged or non-operational, and the insufficiency of Central African medical staff. The Expert recalls that the attacks on hospitals could constitute war crimes or crimes against humanity and should be the subject of judicial enquiries. B. Refugees and displaced persons 72. The conditions of return of refugees and displaced persons remain difficult in 2018 because of the presence of armed groups in almost 80 per cent of Central African territory. The anti-Balaka and ex-Séléka groups are still the main perpetrators of abuses against displaced and repatriated persons. According to the Office of the United Nations High Commissioner for Refugees, since 2016, more than 200,000 displaced persons and 93,000 refugees have been repatriated to their areas of origin, including the western prefectures and Bangui. 73. The Independent Expert deplores the negative impact of attacks on displaced persons camps. On 3 April 2018, the UPC attacked Tagbara camp and killed 23 persons, including three children and four women. In May 2018, almost 10,000 displaced persons in the Ippy camp (centre) had been deprived of freedom of movement since December 2017 as a result of the presence of armed groups around the camp, preventing them from going about their subsistence agriculture activities and creating a serious risk of food insecurity. A similar situation was observed in Paoua in February 2018, but seems to have been resolved by the arrival of Central African armed forces in the town. 74. In Libreville, the Independent Expert received worrying information about the situation of Central African refugees in neighbouring countries. She was alerted to the 4 12 In 2017, the cost of the Humanitarian Response Plan was estimated at $399 million. GE.18-13342