We are shifting from running mobile clinics in several villages in Chernihiv oblast to a more specific focus on mental health needs, women's health, and caring for survivors of sexual and gender-based violence. We are working to reach patients through our hotline and are continuing to donate medical supplies to health facilities.
Apostolove and Kryvyi Rih
In Apostolove hospital, MSF provides emergency room and direct, hands-on surgical support. This includes assisting with, and working on, triage and surgical interventions. We also support outpatient activities in four activities and have treated over 1,000 patients in recent months.
In the broader area of Kryvyi Rih, mobile clinics provide sexual and reproductive health and mental health services and health promotion. Mobile clinics also visit areas that have been affected by fighting for many months and been under the control of different military forces, where many people have not accessed health care during that time. MSF teams continue to assess new areas as the frontlines shift and territory is retaken by the Ukrainian forces.
In Kochubeivka, we run a stabilization point where patients are provided with initial treatment before being referred to hospitals. Many of the patients in this particular area have injuries as a result of landmine explosions.
MSF ambulances also transfer patients to hospitals and between medical facilities around Kryvyi Rih and in the areas of the Kherson oblast that are under Ukrainian control. This includes one regular ambulance, one ambulance able to transport up to four patients, and one ambulance able to support patients requiring ICU-level care.
Mykolaiv and Odesa
To help Ukrainian health facilities cope with a potential influx of injured people, MSF teams have trained hundreds of medical doctors and nurses to triage patients according to the severity of their injuries.
In Mykolaiv, we support several hospitals in the city with medical and logistic donations, along with water and sanitation services. We provide mental health services in three sites in the rural areas around the city, where we witness the extremely severe impact of war on the psyche of the people. This is an area that needs attention as mental health issues are still frequently stigmatized in the country and there aren’t enough psychologists and psychiatrists, especially with experience of war-related trauma.
In Bashtanka, north of Mykolaiv, we made a large donation of medications and emergency supplies to the local hospital after an airstrike caused many casualties on June 6.
In Kharkiv we have phased out our mobile clinics in metro stations now that many people are no longer sheltering there. The counteroffensive launched in early September by the Ukrainian Armed Forces in the Kharkiv oblast resulted in the retreat of the Russian Armed Forces from the northern and eastern areas. Since then, the teams have been able to reach villages, towns, and people that were previously inaccessible. The majority of those who had remained in the region are elderly people living with chronic health issues and people with disabilities, including mobility issues. Many have experienced isolation, fear and panic, depression or stress; and the lack of access to medical care has left people without proper treatment and treatment interruptions of chronic diseases.
The need for medical care and mental health support is high—especially in the rural communities. Our teams run mobiles clinics—focusing on areas with damaged or destroyed health facilities or no healthcare presence—providing primary care, including sexual and reproductive health, and psychological first aid and mental health consultations.
Due to the high medical needs and increase in regional accessibility, the teams doubled the average rate of monthly medical consultations in September as opposed to previous months. The teams are also providing non-food items such as hygiene kits, medical donations to health facilities, and water treatment systems to IDP shelters.
We also operate a phone hotline for Kharkiv city and oblast to respond to ongoing needs for medications and online medical and psychological consultations. The number of patients increased significantly in the last two weeks of October, as the population in the rural areas were reconnected to the mobile network.