Ukraine

Psychological help and medical treatment for those affected by violence

In the laboratory of the Mykolaiv Regional Center of Palliative Care and Integrated Services, with which MSF collaborates to treat patients with hepatitis C.
UKRAINE 2018 © Aleksandr Glyadyelov
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This information is excerpted from MSF’s 2017 International Activity Report.

As the conflict in eastern Ukraine continued into its third year, access to health care remained severely limited for people living along the front-line, due to disrupted services and damage to infrastructure.

In eastern Ukraine, Doctors Without Borders/Médecins Sans Frontières (MSF) scaled up its mobile clinics and operated in a total of 28 locations. The teams offered primary health care and psychological support to those living in or near the conflict zone, including internally displaced people. The majority of patients are aged over 50 and have chronic diseases.

In addition, MSF provided training in psychological support to assist health care workers and teachers living and working in the conflict zone.

Hepatitis C

MSF opened a hepatitis C program in Mykolaiv region, providing treatment with two effective direct-acting antivirals—daclatasvir and sofosbuvir—as well as diagnostic tests, patient support, education, and counseling services. Some patients are co-infected with HIV or on opioid substitution therapy; others are health care workers infected with the virus.

Handover of care for drug-resistant tuberculosis (DR-TB) patients in the penitentiary system

At the end of November, MSF handed over care of patients with DR-TB in the penitentiary system in Dnipro and Donetsk. In order to ensure continuity of care, a transfer plan was put in place for each patient, including the provision of medication to enable them to finish their treatment. MSF is also now working to open a new program in Zhytomyr to treat DRTB patients in the general population.