A/HRC/42/CRP.1 prohibition related to objects indispensable to the survival of the civilian population, these attacks must have been conducted with the objective to deprive the civilian population of the sustenance value of these objects, whatever the motive. In most cases examined by the Group of Experts, more investigations are needed to determine the objective. However, information regarding the circumstances of these attacks and, in some cases, their recurrence, may be considered indicative of the objective of the attacks. 4. Attacks on medical facilities and personnel 761. As an additional burden on an already weak and fragile health infrastructure in Yemen, medical facilities have also been destroyed or damaged during the hostilities. This has been compounded by the military use of such facilities by all parties to the conflict. According to the United Nations Secretary General, between 2015 and 2018, 119 attacks were carried out impacting medical facilities in Yemen.1217 The Group of Experts have documented several incidents occurring during the conflict where health facilities were damaged or destroyed. For instance, in its first report, the Group of Experts raised serious concerns about the targeting process applied by the coalition, following airstrikes that hit the facilities of Doctors Without Borders/Médecins Sans Frontières (MSF) in Sa’dah and Hajjah governorates in 2015 and 2016, respectively.1218 In its findings, MSF concluded that the attack of 15 August 2016 impacting Abs hospital constituted an attack by the coalition against a protected facility and that it disregarded the protected nature of the medical facility.1219 According to MSF, while repairing material damage might be relatively simple, it has been much harder to rebuild people’s confidence for them to come back and seek health services. MSF stated, “The bombing of the hospital in August 2016 not only destroyed the building, it also destroyed people’s confidence. Rebuilding that trust has taken months.”1220 762. In yet another incident affecting an MSF facility, on 2 December 2015, a coalition airstrike reportedly hit in the vicinity of an MSF health clinic in Hawban, east of Ta’izz, injuring nine people, including an MSF health educator and an MSF guard.1221 One person died the day after from his injuries. 1222 763. Most recently, the Group of Experts investigated the destruction of the Cholera Treatment Centre located in Abs district, Hajjah governorate, also set up by MSF, that was hit by a coalition airstrike on 11 June 2018. The facility was scheduled to open at the beginning of the ‘cholera season’ expected shortly thereafter and could have accommodated approximately 50-60 beds. The facility was empty at the time of the attack, but the strike rendered the centre fully inoperative. Hence, it could not serve as planned for the 2019 cholera season to address the sharp increase in cases (see section on airstrikes in the chapter on Sana’a and northern areas). 764. Further incidents investigated by the Group of Experts included those during the battle of Aden in 2015, where the Group of Experts investigated numerous attacks by all 1217 See Reports of the Secretary-General on children and armed conflict to the Security Council, A/70/836-S/2016/360 para 170; A/72/361–S/2017/821 para 193; A/72/865-S/2018/465, para 208-209; and S/2019/453, para 43. 1218 A/HRC/39/43, para. 36. 1219 In its summary of findings related to the attack of 15 August 2016 on Abs hospital, MSF found that the attack was perpetrated by the coalition, and that the objective of the attack appears to have been a car that drove into the compound shortly before the airstrike. It concludes that “given that the vehicle was in the hospital compound, this constitutes an attack on a protected medical facility” see “MSF internal investigation of the 15 August attack on Abs hospital, Yemen, Summary of findings”, 27 September 2016, available at: https://reliefweb.int/sites/reliefweb.int/files/resources/Yemen_Abs_investigation_summary_final.pdf. 1220 MSF, “Some families have to choose between taking a child to hospital or feeding the others”, Voices from the Field, 10 July 2017 (https://www.msf.org/yemen-%E2%80%9Csome-families-havechoose-between-taking-child-hospital-or-feeding-others%E2%80%9D). 1221https://www.msf.org.uk/sites/uk/files/27092016_Taiz_IR_Airstrike_clinic_EXT_VERSION_VAL IDATED_W_INTSTRUCTIONS_JMDM.pdf 1222 Ibid. 182

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