UPDATE: February 18, 2015

A ceasefire went into effect on February 15, after more than a month of escalating violence in eastern Ukraine. Though shelling has subsided, fighting continues, particularly around the frontline town of Debaltseve.

The conditions for civilians caught in the conflict zone are dire and the humanitarian situation continues to deteriorate. “We don’t have plans for the future,” says Alyona, a 24-year-old woman who fled Debaltseve with her husband and two-year-old son. Concerned about the impact the conflict was having on her son, Alyona sought assistance from an MSF psychologist. “It is difficult to have hope,” she says. “Everybody has been affected, mentally or physically. People had everything, [and] now my child is homeless.”

MSF has begun running mobile clinics in three rural towns outside Donestsk and to displaced people in Svyatogorsk, providing basic health care and medicines to those displaced by the conflict. An MSF surgeon is also providing support to the surgical team in Gorlovka’s Hospital #2.

Medical facilities near the front line continue to come under fire, while doctors struggle to treat their patients with dwindling supplies. MSF teams are responding by expanding support to doctors on both sides of the frontline.

Five medical facilities supported by MSF have been damaged or destroyed in the past few weeks alone, forcing staff to flee and depriving thousands of people of healthcare. 

 “Medical workers have been under intense strain for months on end dealing with thousands of wounded and displaced people,” says Loïc Jaeger, deputy head of mission for MSF in Ukraine.

As of January, almost one million people have been displaced by fighting in Ukraine, with approximately 600,000 seeking refuge in other countries. Many more have been trapped in frontline towns, unable to escape due to heavy fighting. In Gorlovka, one of the hardest-hit cities on the frontline, thousands of civilians are unable to flee the violence, with only one narrow and dangerous road leading out of the city.

Since January 13, when the most recent surge in violence began, directors of hospitals in Dontesk, Stakhanov, Pervomaisk, and Novoaidar—all supported by MSF—have reported a drastic increase in wounded patients admitted for care, putting increased pressure on overburdened and undersupplied hospitals.

“The intensification in fighting has only exacerbated the already acute shortage of essential medicines such as antibiotics, pain killers, and suture materials,” says Jaeger.

MSF has been relieving pressure on these and seven other hospitals on both sides of the frontline by providing much-needed supplies. Since the beginning of the conflict, MSF has providing supplies and medicine to treat almost 15,000 wounded patients, 4,200 chronic diseases, and 1,700 childbirths. 

MSF-provided Supplies Since Start of Conflict
Wounded (supplies for treating X wounded patients) 14950
Chronic diseases (medicines for treating X patients) 4200
Primary health care (medicines for treating X patients) 2900
Maternity (supplies for X deliveries) 1700
Hygiene kits (no. of recipients) 3654
X-ray film 6600
Blankets 7622
Mobile clinic locations 4
Primary health consultations (mobile clinics) 745
Individual counselling sessions 719
Group counselling sessions 1768
Psychological training sessions 416
Drug resistant-TB facilities supported 5
Drug resistant-TB patients under treatment 150

 

Ukraine: Latest MSF Updates

 

Why are we there?

  • Armed Conflict
  • Health care exclusion

Our work

This is an extract MSF's 2013 International Activity Report:

The dual drug-resistant tuberculosis (DR-TB) and HIV epidemics in the Ukrainian penitentiary system are an urgent public health issue. 

Overcrowded prison environments and the inadequate healthcare provided to inmates exacerbate the spread of DR-TB. The diagnosis and treatment of the disease in Ukrainian prisons is limited.

Since 2012, MSF has provided DR-TB treatment to prisoners and ex-prisoners in eastern Ukraine’s Donetsk region. DOTS (directly observed treatment, short course), the treatment recommended by the World Health Organization, is provided in a special prison TB hospital and in three pre-trial detention centers. Antiretroviral (ARV) therapy is given to DR-TB patients co-infected with HIV. After the prisoners are released, MSF works to ensure that they complete their DR-TB treatment.

The course of treatment for DR-TB takes up to two years and can result in a number of side effects, some of them severe, including vomiting, nausea, depression, and loss of hearing. Counseling is an important part of the patient-centered program, to help people cope with their diagnosis and adhere to treatment. Inmates often come from deprived environments, with difficult family histories and experiences of social marginalization. Some have psychological disorders, and many suffer from drug and alcohol addictions.

MSF provides laboratory services for rapid, accurate TB diagnosis, adverse effects diagnosis, and management, and guarantees an uninterrupted quality-assured drugs supply is available. MSF also lobbies the State Penitentiary Service of Ukraine and the Ministry of Health, at regional and national levels, for the integration of TB and HIV services and multidisciplinary, patient-oriented TB case management in penal facilities. 

At the end of 2013, MSF had 62 staff in Ukraine. MSF has been working in the country since 1999.

Patient story

Andriy*, 31 years old

“I grew up in Artyomovsk, a small town outside Donetsk, in eastern Ukraine. Unfortunately, I am infected with drug-resistant tuberculosis. I was studying to become a builder, but I got into a drunken fight one night and ended up in jail.

Inside prison, MSF started to provide me with DR-TB treatment.

When I got out of prison, my mother had died and my sister had sold my flat. I had nowhere to go. MSF will provide me with treatment until I am cured, and has also arranged for me to stay at the Artyomovsk TB dispensary until I can find a place to live.”

* The patient’s name has been changed.