Clashes between Syrian regime forces and jihadists Monday killed more than 26 fighters in the country's northwest, which has seen an escalation in shelling and air strikes, a monitor said.

Eleven pro-government fighters were among those killed in fierce fighting in the northern countryside of Hama province, said the Britain-based Syrian Observatory for Human Rights.

Fifteen jihadists, including members of Al-Qaeda's former Syrian branch, Hayat Tahrir al-Sham (HTS), and its ally the Turkistan Islamic Party, were also killed, the war monitor said.

The fighting came as regime forces advanced on two villages and a strategic hilltop in the region, it said.

State news agency SANA said Syrian troops launched "intensive operations," targeting supply lines and areas where armed groups operate in northern Hama and neighbouring Idlib.

The region held by HTS has faced intensifying bombardment in the past month, prompting a new wave of displacement.

On Monday, four civilians were killed in shelling and air strikes on Idlib and neighbouring areas by the Syrian government and its ally Russia, said the Observatory.

An AFP photographer in Idlib saw several houses completely destroyed by recent attacks.

One man who lost his wife, his daughter-in-law, and his two grandchildren during shelling overnight prepared a pickup truck to relocate surviving members of his family.

"I don't know where I'm going," he told AFP.

More than 140,000 civilians have been forced to flee attacks since February, Refugees International said on Monday.

"It is difficult to overstate the urgency of this looming humanitarian disaster if nothing is done to protect these people," the non-governmental organisation said in a statement.

Escalated attacks have hit schools and medical facilities, according to the UN.

Since 28 April, at least seven healthcare facilities have reportedly been struck, including four in Hama and three in Idlib, said David Swanson of the UN Office for the Coordination of Humanitarian Affairs.

Russia and rebel-backer Turkey in September inked a buffer zone deal to prevent a massive regime offensive on the Idlib region, near the Turkish border.

But the region of some three million people has come under increasing bombardment since HTS took full control of it in January.

The civil war in Syria has killed more than 370,000 people and displaced millions since it began with the bloody repression of anti-government protests in 2011.

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Air raids hit three hospitals in Syria's Idlib: monitor
Hass, Syrie (AFP) May 5, 2019
Air strikes by Syrian regime ally Russia on Sunday forced the closure of two hospitals and also damaged a third one in the jihadist-held Syrian province of Idlib, a war monitor said. It came as eight civilians were killed in bombardment by the regime and Russia across the northwestern province, the Britain-based Syrian Observatory for Human Rights said. Idlib and other adjacent territories of Syria held by jihadists have faced intensifying bombardment in the past month. On Sunday, air strike ... read more