Last update: 9 September 2022.
Following continuous low-level conflict in eastern Ukraine, in Donetsk and Luhansk oblasts (provinces) since 2014, in late February 2022, Russian forces attacked multiple cities across all of Ukraine, leading to full-scale war.
The intense fighting and shelling have led to 5.8 million people leaving Ukraine and becoming refugees across Europe.
As war continues across Ukraine and people flee, our teams are responding to a severe humanitarian crisis, both in Ukraine and in neighbouring countries.
Across Ukraine, people remaining in cities under attack face incredible hardship; they often live without electricity, food or clean water, or medicines. Hospitals are consistently in danger of running out of supplies, especially for those for surgical, trauma, emergency room and intensive care unit needs. However, other key medical items are also needed, including insulin for diabetes patients, and medicines for patients with chronic diseases such as asthma, hypertension or HIV.
We currently have approximately 122 international and 500 Ukrainian staff working in response to the war in Ukraine. More staff, Ukrainian and international, join the team every day. They work as medical staff (surgeons, doctors, nurses); psychologists; in logistics and administration; and management.
Our teams are currently based in Apostolove, Dnipro, Ivano-Frankivsk, Kharkiv, Kropyvnytskyi, Kryvyi Rih, Kyiv, Mykolaiv, Pokrovsk, Uzhhorod, Vinnytsia, Zaporizhzhia and Zhytomyr.
We are in contact with hospitals across the country, providing supplies and training as needed. MSF has now donated most medical supplies we had in the country; additional supplies continue to arrive.
Our current response includes:
- Rushed over 800 metric tons of medical supplies and other relief items to Ukraine.
- Providing patient care on board two medical trains, developed with Ukrainian Railways. The medically equipped carriages help us to evacuate patients out of hospitals close to active war zones and refers them to hospitals away from the frontlines. One train provides basic medical care and can carry up to 50 patients. The other train is able to carry around 26 patients but is equipped to provide intensive care (ICU) for patients in serious condition. So far, the two trains have evacuated 1,401 patients and 78 orphans. Of the patients transported, 43 per cent were trauma cases and 10 per cent ICU cases.
Kyiv and surrounds
- In July, in the city of Kyiv, we began to provide physiotherapy services in a hospital managed by the Ministry of Interior. There are approximately 300 beds entirely dedicated to war-wounded people. The need for post-operative care is enormous as there are a high number of trauma patients at risk of developing long-term mobility issues without proper care. MSF physiotherapists work side by side with local health staff providing bedside training and creating local capacity for physiotherapy.
- Our teams in Hostomel, and other areas on the outskirts of Kyiv, continue to provide mental health and psychosocial support.
- As part of our collaboration with Ministry of Reintegration and Temporarily Occupied Territories, we are providing mental health training to call centre personnel. The call centre is run by the Ministry in order to respond to the mental health needs of IDPs and people who have remained in non-government-controlled areas (NGCA) in Ukraine
- In Kropyvnytskyi, central Ukraine, an MSF team is providing medical donations, and training for health workers and first responders.
- Still in Kropyvnytskyi, we are distributing relief items in shelters for displaced people and carrying out mental health sessions with groups and individuals, both in the town and surrounding areas.
- We are also supporting a maternity hospital in Kropyvnytskyi to make services for survivors of sexual and gender-based violence (SGBV) more accessible.
- In Apostolove, an MSF team has been working with the local hospital to develop their emergency room and mass casualty response capacity.
- An MSF team based in Kryvyi Rih has started running mobile clinics providing basic healthcare, including sexual and reproductive health.
- In Mykolaiv, we support several hospitals in the city with medical and logistic donations and water and sanitation services. Our teams have also provided training to hundreds of medical doctors and nurses to triage patients according to the severity of their injuries.
- We also provide mental health services in three sites in the rural areas around Mykolaiv, where we witness the extremely severe impact of war on the psyche of people.
- In Kharkiv, we run a hotline to respond to ongoing needs for medications and online medical and psychological consultations. Volunteers deliver the medication to people’s homes in the city and in the oblast.
- We provide medical and mental health activities through mobile clinics in and around Kharkiv city at various shelters hosting displaced people.
- Outside of Kharkiv city we have started regular visits to two shelters in Donets and two other shelters in Slobozhanske, providing medical consultations and mental health support.
- In Zhytomyr, MSF teams are providing food parcels and hygiene kits and psychological support to tuberculosis (TB) patients.
- We continue to support the regional TB Hospital in Zhytomyr with donations of TB and other drugs, as well as laboratory consumables and food for patients.
- In collaboration with health authorities, MSF has recently started doing contact-tracing for children who have been in close contact with TB patients.
MSF has expanded our activities in eastern Ukraine in response to the growing humanitarian needs in areas close to the frontline and in places hosting people who have fled their homes.
- Our teams are providing basic relief items and run mobile clinics, providing medical consultations; continuation of care and medications for people with chronic illnesses; referrals to hospital for severely ill patients; mental health consultations to people who have fled parts of Donetsk and Luhansk oblasts and are now staying in around 40 shelters in and around Dnipro. MSF also provides consultations and referrals for people who have experienced sexual violence.
- In Zaporizhzhia, teams run mobile clinics in the main reception centre and more than 30 shelters for people who have fled Mariupol, and other areas where fighting is intense, providing medical consultations; continuation of care and medications for people with chronic illnesses; referrals to hospital for severely ill patients; mental health consultations; and basic relief items to people.
- We are providing supplies and training to health facilities close to the frontline in Donetsk oblast
- We are providing logistics and supplies for electricity and clean water to health facilities in Donetsk oblast
- An MSF team based in Donetsk and Luhansk oblasts provides surgical guidance, coaching and on-going training for hospitals across the oblasts.
- We run a hospital-to-hospital ambulance referral service out of Dnipro and Pokrovsk towns, transferring patients from hospitals near the frontlines to health facilities further away and to the medical referral train.
- Since February, we have donated medical supplies and/or provided in person or remote mass casualty training to Ukrainian medical staff working in numerous hospitals throughout eastern Ukraine. This includes hospitals in Bakhmut, Dnipro, Kramatorsk, Mariupol, Myrnohrad, Orikhiv, Pokrovsk and Zaporizhzhia.
- Working through a network of passionate volunteers we are supporting groups of vulnerable people who remain in their homes or in local community space, living underground in often dire conditions. Through this network we provide treatment for chronic diseases, donate essential items such as water as well as power banks to charge phones and lights.
- In Vinnytsia, we run mobile clinics in shelters, providing medical consultations, continuation of care and medications for people with chronic illnesses; referrals to hospital for severely ill patients; mental health consultations; and basic relief items to people.
- In Vinnytsia, we have rehabilitated part of a medical facility to host elderly people who are evacuated from the eastern frontline regions and require medical follow-up for chronic disease.
- In Vinnytsia, we are facilitating the referral of elderly and vulnerable people who are evacuated from the eastern frontline regions and require medical follow-up for chronic disease. The ‘medicalised train’ and local ambulances are used for transportation, and our teams in Vinnytsia coordinate with local health authorities on the arrival of patients.
- In July we opened a physiotherapy project on a 60-bed hospital, providing bedside training and care, working to increase the local capacity to respond to an acute need similar to our approach in Kyiv.
- In Uzhhorod and Ivano-Frankivsk, we have provided training for local health professionals, including on mental health for psychologists and first responders, and have started group therapy sessions and individual mental health consultations with internally displaced people.
- In Ivano-Frankivsk we are supporting a clinic focusing on displaced people run by doctors who are displaced from the conflict themselves.
- In Uzhhorod we started running a mobile clinic for displaced people who are staying in public shelters.
- We are providing donations to health facilities and of non-food item kits for displaced people in nearby rural areas of Uzhhorod and Ivano-Frankivsk.
MSF already works with health authorities in Arkhangelsk and Vladimir regions of Russia to reduce the burden of drug-resistant tuberculosis (DR-TB) and improve treatment.
- We have an assessment team in the south of Russia, to see whether new medical humanitarian needs have emerged. As of mid-August, MSF-supported local initiatives provided for more than 2,360 people, prioritising the immediate needs of recently arrived displaced people in Southern Russia.
- In Rostov and Voronezh, we have donated items such as food, hygiene kits and medicines to support some of the more than 270,000 refugees who have crossed into Russia.
- In our projects in Moscow and Saint Petersburg, where we are partnering with local NGOs to support vulnerable groups, we’ve seen an increase of Ukrainian people living with HIV and hepatitis C who are stranded in Russia and cannot get refills for their antiretroviral medicines.
- We run a hotline to provide referral services to medico-social support to refugees and displaced people from Ukraine. As of end of August, MSF with the support of local specialists responded to the medical needs of more than 490 people on a case by case basis.
- In Belarus, an MSF assessment team has moved to areas of the Belarus-Ukraine border to assess potential medical and humanitarian needs.
- We are responding to the needs of patients from Ukraine, as well as other countries of origin, in Minsk, Grodno, Brest, Gomel, Mogilev and Vitebsk regions. Among our patients, there are many children and people with non-communicable and chronic diseases including diabetes and hypertension. The majority of them are in need of urgent psychological support.
- We continue to run our regular programmes. We support the national tuberculosis programme and hepatitis C treatment in prisons.
- MSF is actively working to support the Ministry of Health to provide treatment for patients with drug-resistant tuberculosis, including patients previously supported by MSF in Ukraine.
- MSF donated shelter-related items to the Red Cross in Lublin, Poland, located about 100 kilometres from the Ukraine-Poland border.
In Hungary, we provided basic medical care and mental health care to refugees who crossed the border, via mobile clinics we ran in partnership with local organisations and with the support of Hungarian doctors.
MSF had teams in Moldova at the border crossing points with Ukraine, to assess the situation of refugees who made their way across. Other activities included:
- In Palanca, on the southeastern border with Ukraine, we provided basic healthcare consultations and mental health first aid to people. We also provided basic needs, such as blankets, to refugees.
- On the northern border with Ukraine, in Otaci we ran a medical post where we provided basic healthcare and mental health care. We also trained local volunteers in providing mental health first aid to refugees.
- Our mental health team also provided mental health first aid to people in reception facilities in the capital, Chișinău.
- Also in Chișinău, we conducted assessments in different hospitals in the city to evaluate how to improve access to health care for refugees.
MSF previously worked in Slovakia training Ministry of Health staff on providing treatment for victims of sexual and gender-based violence and for TB and MDR-TB.