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Nadiia, 79. from Mariupol listens to MSF nurse Tetiana as she goes over new treatment options. Nadiia receives medical treatment for heart and kidney problems. "I live alone in Mariupol. It was very hard being by myself during the conflict, as I live on the fourteenth floor of my building. I could hear shooting all the time, and it scared me a lot. It was a trying experience for me, but there are other people who have suffered more than me, so I don't feel I suffered that much. One lady from the village of Shyrokyne lost her entire house and garden. It has ruined her life for good. The conflict has affected many, many people in different ways. It destroyed them."
8 August 2018 - Nadiia, 79, from Mariupol, Ukraine, listens to MSF nurse Tetiana as she goes over new treatment options for her heart and kidney problems. "I live alone in Mariupol. It was very hard being by myself during the conflict. The conflict has affected many, many people in different ways."
© Kenny Karpov

Living with loneliness and trauma

8 August 2018 - Nadiia, 79, from Mariupol, Ukraine, listens to MSF nurse Tetiana as she goes over new treatment options for her heart and kidney problems. "I live alone in Mariupol. It was very hard being by myself during the conflict. The conflict has affected many, many people in different ways."
© Kenny Karpov
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Four years of conflict have severely altered the lives of people living in eastern Ukraine. Over a million people have been forced from their homes by a lack of security, loss of livelihoods and damage to their property. Partially abandoned villages are mostly home to elderly people living in relative isolation, who struggle to afford daily necessities as they cope with rising prices and insufficient pensions.

Many of these residents are in desperate need of medical care to treat chronic diseases and psychological support to help them cope with issues of stress and loneliness that have been exacerbated by the conflict. Unfortunately, healthcare is often out of reach both physically and financially. Medical personnel are among those who fled the region, and many hospitals and medical clinics were damaged or destroyed by the fighting.