Dubai (AFP) - A missile strike on a Doctors Without Borders clinic in Yemen killed at least four people, the group said, condemning what it called a "worrying pattern" of such attacks.
The raid was the third of its kind in four months in the war-ravaged country, where a Saudi-led coalition has been battling Shiite Huthi rebels who have seized territory from the internationally-recognised government.
It also follows a US strike in Afghanistan on a facility run by the Paris-based medical humanitarian organisation, known by its French acronym MSF, which killed 42 people.
MSF could not specify whether the medical facility was hit in an air strike by the Saudi-led coalition or by a rocket fired from the ground.
Three MSF staff were among 10 people wounded in the Yemen strike, and two other members of staff were in "critical condition", MSF said in a statement.
"The numbers of casualties could rise as there could still be people trapped in the rubble," it said, adding that the missile hit the medical facility in the Razeh district of Saada province.
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MSF director of operations Raquel Ayora denounced the strike and repeated that the organisation constantly shares the coordinates of its facilities with those fighting in Yemen.
"There is no way that anyone with the capacity to carry out an air strike or launch a rocket would not have known" that the clinic was a functioning health facility supported by MSF, Ayora said.
"We strongly condemn this incident that confirms a worrying pattern of attacks to essential medical services and express our strongest outrage as this will leave a very fragile population without healthcare for weeks," said Ayora.
"Once more it is civilians that bear the brunt of this war," she added.
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MSF last month accused the coalition of bombing its clinic in Taez, southwest Yemen, wounding nine people including two staff members.
The coalition said it would investigate that claim although it has repeatedly insisted it does not attack civilians.
And in October, air strikes hit another hospital run by MSF near Saada without causing any deaths.
MSF facilities have also been hit elsewhere, with the deadliest recent strike coming during a US air raid on the hospital in the Afghan city of Kunduz.
Washington has said the October strike, which came as NATO-backed Afghan forces clashed with insurgents for control of the northern provincial capital, was "caused primarily by human error".
