More civilians were killed in Afghanistan in 2018 than in any other year on record, according to a report published Sunday by the UN Assistance Mission in Afghanistan (UNAMA).

UNAMA reported 3,804 deaths—an 11 percent increase from 2017. According to the report, the greatest cause of civilian casualties is suicide bombers, coupled with additional attacks by insurgents.

UNAMA reported that there has been a deliberate targeting of civilians in 2018. The attacks on civilians by the Taliban nearly doubled in the past year, while attacks by the Islamic State increased by 118 percent.

Among the two pages of recommendations offered by UNAMA are recommendations to stop the use of IEDs, to ensure that all directives and orders comply with international humanitarian law, and to stop targeting health care facilities and health care workers.