Iran Project

The IDF said on March 31 that its Air Force conducted a drone strike targeting a PIJ command-and-control center in the al Aqsa Hospital complex in Deir al Balah. PIJ fighters were present at the center, according to the IDF. A spokesperson for the hospital said that the drone strike killed at least two people and wounded over a dozen. The IDF said that the hospital is still functioning and that the drone strike hit the area precisely to reduce harm to civilians. The al Aqsa Hosptial is the last functioning hospital in Deir al Balah.

US and Israeli officials may discuss a possible Israeli clearing operation into Rafah in a high-level meeting in Washington, DC, as soon as April 1, according to unspecified US officials. Israeli Prime Minister Benjamin Netanyahu approved plans for a clearing operation into Rafah on March 15. Axios reported on March 27 that Netanyahu is expected to send Israeli Strategic Affairs Minister Ron Dermer and National Security Adviser Tzachi Hanegbi to Washington for the high-level meeting with US officials.

Iranian Armed Forces General Staff (AFGS) Chief Maj. Gen. Mohammad Bagheri met with Hamas Political Bureau Chairman Ismail Haniyeh in Tehran on March 29.

A series of senior Axis of Resistance officials have met with senior Iranian officials—including the supreme leader—in March, likely to coordinate and prepare plans for their reaction to a wider Israeli operation into southern Lebanon. Iran and the Axis of Resistance use periodic meetings between senior officials to coordinate responses to new developments in the region. Iranian Islamic Revolutionary Guards Corps Quds Force Commander Esmail Ghaani spent much of October 2023 in Beirut for meetings with Lebanese Hezbollah leader Hassan Nasrallah to help coordinate “a possible broader confrontation with Israel,” for example. The Syrian defense minister, Kataib Hezbollah secretary general, Palestinian Islamic Jihad secretary general, and Hamas Political Bureau chairman each met with senior Iranian leaders, including Supreme Leader Ali Khamenei, in Tehran between March 17 and 28.

Israeli forces continued operating in and around al Shifa Hospital in Gaza City on March 27. Israeli forces killed dozens of Palestinian fighters and located unspecified military infrastructure and weapons in the hospital area. Israeli Army Radio reported that the IDF surrounded three buildings in the hospital compound, where approximately 30 senior Hamas and Palestinian Islamic Jihad (PIJ) personnel are located. The IDF published footage on March 26 of its forces questioning a PIJ fighter, who said that Hamas and PIJ personnel are “scattered in the buildings” at al Shifa Hospital. The IDF published an infographic of three Hamas and PIJ officials detained at the hospital, including a leader in Hamas’ Security and Protection Department.

Senior Hamas and Palestinian Islamic Jihad (PIJ) officials have traveled to Iran likely to coordinate their ongoing efforts against Israel in the Gaza Strip and across the Middle East. Hamas Political Bureau Chairman Ismail Haniyeh and PIJ Secretary General Ziyad al Nakhalah both arrived in Tehran on March 26.

Shin Bet announced on March 25 that the IDF seized a “significant amount of advanced arms from Iran” that Iran had smuggled into the West Bank to support Palestinian militia attacks targeting Israel. The captured arms included 83 small arms, five anti-tank mines, four grenade launchers, 15 RPGs, and 25 kilograms of plastic explosives. Shin Bet also said that a Fatah official based in Lebanon and affiliated with Lebanese Hezbollah and the IRGC assisted the Iranian effort to smuggle arms into the West Bank, but Shin Bet did not provide further details. Shin Bet added that the Iranian Islamic Revolutionary Guards Corps (IRGC) Quds Force organized the effort to smuggle Iranian weapons into the West Bank, which is consistent with previous Western reporting.

The Israel Defense Forces (IDF) concluded a weeklong operation in and around al Shifa Hospital on March 23. Israeli forces engaged Palestinian fighters during a raid targeting an unspecified “wanted individual” in Tulkarm in the West Bank on March 22. Lebanese Hezbollah has conducted at least eight attacks from southern Lebanon into northern Israel since CTP-ISW's last data cutoff on March 22. CENTCOM reported that the Houthis launched four anti-ship ballistic missiles into the Red Sea but added that the Houthi attacks did not damage any military or commercial vessels.

The Israel Defense Forces (IDF) continued to conduct an operation in and around al Shifa Hospital in Gaza City on March 22. The IDF 401st and Nahal Brigades (162nd Division) and Israeli special operations forces have killed approximately 150 Palestinian fighters in the hospital area since the operation began on March 18.

Israeli forces continued to conduct an operation in and around al Shifa Hospital in Gaza City on March 21. Israeli special operations forces and the Israel Defense Forces (IDF) 401st Brigade (162nd Division) killed approximately 50 Palestinian fighters and located ammunition depots near the hospital over the last 24 hours. IDF spokesperson Daniel Hagari stated on March 21 that Palestinian fighters remain barricaded in the al Shifa Hospital emergency room and that the Israeli forces are focused on evacuating civilians from the area before clearing the full hospital.