JISR AL-SHUGHUR: Regime and Russian air strikes on northwestern Syria on Wednesday killed 11 civilians including four children and knocked a hospital out of service, a monitor said.

The raids are the latest in an uptick in deadly government and Russian bombardment since late April on the jihadist-administered region of Idlib despite a months-old truce deal.

Regime air strikes killed seven civilians including three children in the town of Jisr al-Shughur in Idlib province, said the Syrian Observatory for Human Rights, a Britain-based monitor that relies on sources inside Syria for its information.

Three civilians died after the hospital was hit, while four were killed elsewhere in the town, said Observatory head Rami Abdel Rahman.

Rescue workers known as the White Helmets said missiles targeted the hospital and residential neighbourhoods in Jisr al-Shughur.

A doctor there said the health facility had been knocked out of service after the generators were hit, and the wounded had been transferred to another hospital for treatment.

"We have no more generators to operate the hospital. It's the only one for Jisr al-Shughur and neighbouring villages," Bassam al-Khattab told AFP.

An AFP correspondent saw three destroyed generators and a damaged ambulance covered in debris.

Further south, Russian air raids hit a gathering of displaced people, killing four civilians including one child outside the town of Maaret Hurma in Hama province, the Observatory said.

The greater Idlib region, home to some three million people, has since January been administered by Syria's former Al-Qaeda affiliate Hayat Tahrir al-Sham, but other jihadist and rebel groups are also present in the area.

The area includes most of Idlib province as well as parts of neighbouring Hama, Aleppo and Latakia.

More than 550 civilians have been killed in regime and Russian air strikes on northwest Syria since the end of April, the Observatory says.

The United Nations says 25 health facilities in the region have been hit, despite a September deal between Russia and rebel backer Turkey to avert a massive regime offensive there.

The spike in violence has caused 330,000 people to flee their homes since May 1, the UN has said.

Syria's war has killed more than 370,000 people and displaced millions since it started in 2011 with a brutal crackdown on anti-government protests. —AFP