Deliberate targeting of Yemen’s health care facilities has worsened its civilians’ dire humanitarian suffering. Yet even with ongoing peace efforts brokered by Saudi Arabia, it is unlikely that this alone will repair the catastrophic damage and scars that Yemen’s war has left behind.

Such intentional destruction of Yemen’s state and infrastructure has created what the United Nations has called the “world’s worst humanitarian crisis,” which is mostly manmade. The conflict since March 2015, when Saudi Arabia led a coalition against the Houthi rebels and to restore Yemen’s government, has taken over 100,000 lives. Many more have likely died due to Yemen’s failing health care system, particularly as ailments such as cholera and malnourishment put millions of lives at risk.

The Yemeni Archive, which has been documenting rights abuses in Yemen, has compiled a database on the targeting of health care infrastructure as a war tactic. Countless attacks have occurred on hospitals and medical facilities, mostly from airstrikes, artillery fire and light weaponry; this occurred most frequently in 2015, between October and December 2017 and between March and August of this year.

“Of the 133 attacks identified, Saudi-led coalition forces are allegedly responsible for 72 attacks, Houthis forces are allegedly responsible for 52 attacks, Al-Qaeda is allegedly responsible for three attacks, and the forces loyal to the Saudi-led coalition forces are allegedly responsible for three attacks,” the organization’s research showed. The group could not identify the perpetrator in the other three attacks.