-乌克兰战争-无国界医生组织(msf)

![](/media/202412//1733470096.6880682.png)

![](/media/202412//1733470096.699775.png)乌克兰战争

无国界医生组织是如何回应的

出版时间：2022年2月24日更新日期：2023年8月29日

乌克兰的战斗已造成数千人伤亡，

而有650多万的难民已经逃到了邻国 国家

无国界医生/无国界医生（MSF）团队

致力于向仍在医院的人提供紧急医疗援助

乌克兰，以及那些现在在邻国寻求安全的国家。

情况非常不稳定，我们已经目睹了

冲突对平民的毁灭性影响——一些城市是这样的 被军队包围，遭受着猛烈的轰炸和奔跑

没有食物和水 。![](/media/202412//1733470096.7214754.png)

许多医院正面临着医疗用品的严重短缺

从外科手术工具到治疗慢性疾病的药物，而精神疾病 震惊和痛苦对健康的影响甚至都是巨大的

在一些地区免受暴力的冲击 。而且，每天都有更多的人来做工作 面对一个可怕的选择 呆在一个不安全的地方 ，或者逃回家

不确定性。

下面关于我们的回复，截至12月的信息是正确的。 22, 2022 .

无国界医生组织是如何支持人们的的？ 医疗需求？

无国界医生组织的医疗小组是在冲突地区和

复杂的人道主义危机，而我们经验丰富的后勤人员和

强大的供应链确保关键供应到达其位置 需要

-初级保健 ，包括慢性病治疗 ，为逃离家园并留在战斗激烈地区的弱势人群提供 治疗

-向乌克兰医务人员提供物资和培训

-为病人从不堪重负的医院送到更安全地区的医疗后送

-支持乌克兰心理学家和急救人员 ，为面临严重创伤经历的人提供精神保健

我们正在努力把我们的人道主义反应的重点放在人民的地方

需求是最大的 ，我们的紧急医疗工作可以有 最大的影响。

我可以捐款来支持无国界医生组织吗 在乌克兰工作？

感谢像你这样的人的慷慨，捐赠给我们的将军

我们不需要呼吁我们在乌克兰的工作 和周边国家。

请考虑给予不受限制的捐赠 ，这将给我们的

世界各地的医疗团队都有宝贵的灵活性 需要出现。

请访问以下页面以了解更多信息。

我们怎么花你的钱

我们在乌克兰的反应是：深入了解

我们在乌克兰的首要任务是为乌克兰的医生提供医疗用品 他们需要。

我们正在提供技术支持和培训，关于如何管理大型企业

受伤人数众多 ，并通过医疗手段缓解压力 将病人转移到该国较安全地区的医院。

虽然到目前为止，重点是手术、创伤和重症监护

由于冲突的需要，一种令人担忧的情况也正在出现 患有高血压、糖尿病、哮喘等慢性疾病的患者

还有那些需要关键药物和支持的心脏病患者。

![](/media/202412//1733470096.74285.jpeg)

来自乌克兰的带有无国界医生组织活动的一般地图。

然而 ，随着在许多领域的全面战争，运动是

困难的，危险的或完全不可能的 。通信网络是 并不总是可用的，而且有大量的

误报

我们正在帮助确保处于脆弱状态的人

疾病会继续得到他们所需要的护理和药物治疗 情况不会变得更糟。

我们也看到，人们完全被他们所拥有的东西所摧毁

已经通过 。焦虑、恐慌症发作和睡眠困难都是很常见的 症状

我们加强了对心理健康活动的关注，包括 首先加强乌克兰心理学家的能力和培训

急救人员进行心理急救。

MSF的工作数量

![](/media/202412//1733470096.7616076.png)801名无国界医生组织的工作人员在乌克兰工作

![](/media/202412//1733470096.7919765.png)交付408公吨医疗货物

![](/media/202412//1733470096.8162627.png)13.无国界医生组织开展医疗活动的13个乌克兰城市

医疗疏散列车

4月1 日，无国界医生组织开始运行一列双节车厢的医疗列车撤离 患者病情严重但稳定至安全 。我们现在也是

运行一列更高度医疗化的火车，能够提供强化服务 关心

这些火车把病人从附近负担过重的乌克兰医院运送过来

从活跃的战区转移到拥有更多能力的乌克兰医院 离活跃的战区更远。

迄今为止 ，已有2607名患者被撤离 。该小组疏散了78人 扎波里齐亚孤儿院的婴幼儿 ，其中的一些人

在被广泛报道的对克拉马托尔斯克的导弹袭击中受伤了吗 火车站

乌克兰中部

基 辅

无国界医生组织在霍斯托梅尔和基辅郊区其他地区的团队， 继续提供心理健康和心理社会支持

希望进一步扩大我们在该领域的这方面的工作。

在基辅市 ，我们在7月开始提供物理治疗服务

一家由内政部管理的一家医院。大约有

300张床位完全献给战争受伤的人。后的需要

手术护理是巨大的 ，因为康复和物理治疗并不是 特别是在地方医疗保健系统中发展起来的之前

冲突和大量的创伤患者都有这样的风险

没有适当的护理，发展成长期的行动问题 。MSF

物理治疗师与当地卫生工作人员并肩工作 ，提供医疗服务 床边培训和创造当地的物理治疗能力。

作为我们与重返社会部合作的一部分

暂时被占领的领土 ，我们正在提供心理健康

对呼叫中心的工作人员进行培训 。这个呼叫中心是由 以满足国内流离失所者和人口的需要

仍留在乌克兰的非政府控制的地区（NGCA）。 到目前为止，已经完成了四次会议。

Tserkva和Fastiv

在比拉尔 ·瑟尔克瓦和法斯提夫，我们的团队专注于老年人和老年人 患有慢性疾病的流离失所的人

切断医疗保健 。这包括捐款 ，以及医疗服务和医疗服务

心理健康支持 ，同时培训将与工作人员在 医疗设施。

自4月5日以来，已进行了约60次医疗咨询 这个地区住着老人。

克 罗皮 夫 尼 茨基

无国界医生组织的一个小组正在进行专门的医疗捐赠和健康培训

工人和一线急救人员，分发救援物资和做什么 在IDP收容所的康复工作和开展心理教育

与流离失所者群体和个人心理健康问题进行的会议 在城镇和周边地区进行咨询 。我们也是

支持一家妇产医院提供更容易获得的服务

性暴力和基于性别的暴力的幸存者（SGBV）。

乌克兰北部

日 托米 尔

我们的焦点正在逐渐恢复我们的以前 支持耐药结核病治疗的活动。

在日托米尔及其周边，我们捐赠了创伤相关的用品

在此阶段在9家医院进行了大规模伤亡培训 当战斗的前线很接近时。

无国界医生组织小组继续提供社会支持(食品包裹和卫生服务

并对所有活动性结核病患者提供心理支持 ，以帮助他们 继续正确服药 ，完成治疗。在

无国界医生组织最近开始与卫生当局合作

对曾密切接触过结核病的儿童的接触者进行追踪 患者

无国界医生组织还将样本运送到结核病医院进行检测，以便 可以监测患者的进展情况。

与此同时 ，我们继续支持区域结核病医院

为他们提供结核病和其他药物以及实验室服务 提供给病人的消耗品和食物。

切 尔尼 希 夫

我们在附近的10个邻近村庄经营流动诊所 以应对卫生需求。我们提供门诊服务

关于非传染性疾病和心理健康的咨询

支持和查明性暴力和基于性别的暴力案件 。我们

切尔尼希夫的病人也有我们的性和性别吗 总部位于基辅的暴力热线。

哈 尔 科 夫

在哈尔科夫，我们正在为数千人经营流动诊所 躲在地铁站(超过一半的车站

他们中的许多人正遭受着压力和心理创伤 对战争。已经进行了1000多次协商 。我们 还安装了水过滤器来确保清洁的水。

随着安全上下文的发展和后续的发展

恢复地下系统的运作，无国界医生组织 “地下 ” 活动已经被移到地面上

重组 ，以帮助那些没有家的人回到和/或

仍然需要医疗支持 。在哈尔科夫家族的内部，我们 目前正在提供支持 该市流离失所的人通过流动诊所 。然后

一些诊所的活动是在志愿者所在的地点进行的

网络 ，其他一些是在分配给国内流离失所者的宿舍里进行的。 然而 ，城市里（以及周边地区）的罢工已经发生了

在过去的几个星期里再次加剧了 ，这导致了中断 活动

哈尔科夫市继续每天受到炮击。尽管

它们似乎是相当有针对性的攻击 ，其趋势和精确的细节

仍然具有挑战性。与此同时 ，北方的许多地区仍没有进入这里 由于安全原因 ，本周的范围 。然而，OCA团队是

能够访问9个地点，在诊所内外开展14个流动诊所

该市在7月28日至8月10日期间举行。14家移动诊所进行 8月11日至24日，在哈尔科夫市及其周边地区。

乌克兰西部

利 耶夫

在利沃夫市，专家团队一直在培训医院的工作人员进行处理 与大规模的伤亡事件和治疗战争中的创伤。

我们还有一个外科团队来支持一个烧伤单位 在利沃夫的大型转诊医院中。

![](/media/202412//1733470096.8443613.jpeg)

无国界医生组织在利沃夫的一家医院进行的大规模伤亡培训。

在维尼西亚，我们为那些逃离他人的人提供支持

并在临时和长期内避难 住宿和庇护所。

在收容所里，我们的团队经营着流动诊所 ，提供医疗服务 咨询；继续为患者提供护理和药物治疗

慢性疾病 ，如高血压，哮喘 ，糖尿病 ，心脏病， 癫痫；将严重不适的病人转诊到医院；

心理急救和心理健康咨询；和基本的救济 项目

我们的团队提供基本的家庭和救援用品，

包括卫生纸、牙刷 、牙膏、肥皂 、 洗发水，尿布和毛巾。

在维尼西亚，我们正在促进老年人和弱势的转诊 从东部前线地区撤离的人和

需要对慢性疾病进行医疗随访。“ 医疗培训 ” 当地的救护车用于交通 ，我们的团队

维尼西亚在抵达后与当地卫生当局进行协调 然后把病人交给他们。

今年7月，我们在一家拥有60张床位的医院开设了一个物理治疗项 目， 提供床边培训和护理，努力增加当地服务

应对急性需求的能力，类似于我们在基辅的方法。

穆卡切沃和贝雷霍夫

一个团队正在与匈牙利接壤的边境地区经营流动诊所

有大量的人聚集在一起 ，集中在一起 时刻在贝雷霍夫。

该团队看到的迹象表明 ，心理健康支持正在成为一种

优先我们将集中在这个方向 ，也关注的连续性

照顾那些以前正在接受药物治疗的病人 有因迅速前往安全地点而中断的风险。

乌日洛德和伊万诺-弗兰基夫斯克

我们已经在乌日霍罗德和伊瓦诺-弗兰基夫斯克建立了基地

建立一个向前线医院运送物资的网络

地区我们也在评估附近的医疗保健需求 进行化学 、生物、放射学和核学训练

当地医疗团队。

我们与当地的卫生专业人员进行了培训，包括

为心理学家和急救人员提供心理健康服务 ，并提供相关服务

团体治疗会议和个人心理健康咨询 国内流离失所者。

我们正在支持一个专门针对IDP患者的诊所 从冲突中流离失所 ，在乌日霍罗德，我们是

经营一家流动诊所 ，重点关注那些留在公共场所的国内流离失所者 居所

我们继续向这两个地方的卫生机构捐款

特别是为流离失所者分发非食品项目（NFI）工具包 在附近的农村地区 ，以及在IDP做康复工作

居所

乌克兰南部

![](/media/202412//1733470096.8600054.jpeg)

正在准备运送准备运往乌克兰的医疗用品

帮助乌克兰的卫生设施应对潜在的大量涌入的问题 无国界医生组织的研究小组已经培训了数百名医生 而护士则根据病人受伤的严重程度对病人进行分类。

这一步骤对于确保患者得到适当的治疗是至关重要的 在紧急情况下。

在奥德萨和米科莱夫，我们能够捐赠医疗用品给

医院准备接受伤员 。为流离失所者和 处境脆弱的人。

在米科莱夫，无国界医生组织也在资助当地志愿者的工作

进出被围困城市的医疗和后勤设备。我们 为该市的几家医院提供医疗和后勤捐款

以及水和卫生服务 。我们提供心理健康服务 在城市周围的农村地区 ，我们在那里看到了 战争对人口心理的极其严重的影响。这是

这是一个需要关注的领域，因为心理健康问题仍然经常出现 在全国还没有足够的心理学家和

精神病医生，尤其是有过战争相关创伤经历的精神病医生。

克里维里

在更广泛的克里维伊里赫地区，无国界医生组织已经开始运营流动诊所

提供基本的医疗保健，包括性健康和生殖健康 。在 附属医院 ，无国界医生组织支持急诊室进行弥撒

伤亡反应能力和提供外科医疗设备

活动在地方当局的要求下，一个小组正在评估

为了在前线附近的村庄进行移动行动 诊所如果可能的话。

乌克兰东部

我们已经扩大了我们在乌克兰东部的工作 ，以应对 在靠近前线的地区和在托管地区的需求日益增长

那些已经逃离家园的人。

第 聂伯 河

在德尼普罗及其周边地区，我们正在支持弱势群体 逃离顿涅茨克和卢甘斯克部分地区

冲突尤其激烈 ，谁现在会暂时停留或暂时停留 长期居住在40多个避难所。

许多人都处于危险之中 ，包括老年人 、残疾人 、

无人陪伴的儿童和那些负担不起制造 在乌克兰或国外进一步向西旅行。

在收容所里，我们的团队经营着流动诊所 ，提供医疗服务

咨询；继续为患者提供护理和药物治疗

慢性疾病；将严重不适的病人转诊到医院； 心理急救和心理健康咨询；和基本的救济

项目无国界医生组织还为那些有 都经历过性暴力。

佐 波里 齐 塔

在扎波里齐亚 ，我们为流离失所者提供支持

其中数千人从马里乌波尔和其他地区流离失所 战斗激烈的地方。

我们的团队在主要的接待中心经营流动诊所和支持 在扎波里齐齐亚有30多个避难所，提供医疗服务

咨询；针对慢性病患者的药物，如

高血压、哮喘 、糖尿病 、心脏病 、癫痫；和转诊到

严重不适病人的医院；心理急救和精神上 卫生咨询；和基本的救济项 目。

无国界医生组织已经开始为抵达现场的人提供心理急救

来自马里乌波尔的接待区和避难所。我们也捐赠了

并为医院的工作人员进行了大规模伤亡培训 佐波里吉亚的主要医院。

我们正在加大努力 ，以支持全国各地的医疗设施 扎波里日齐阿州的前线仍在非

政府控制地区 。无国界医生组织的团队已经成功地建立了这个关系 与全州的卫生专业人员和志愿者保持联系

为了了解他们需要继续提供医疗保健

受冲突影响的人群 。缺乏实际的访问和存在

在这些领域仍然是一个主要的挑战，但团队正在调查 替代和创造性的解决方案，以解决这些需求。

顿涅茨克和卢甘斯克地区

我们正在与附近的医院和初级卫生设施合作

在顿涅茨克的前线 ，以确保他们有足够的权利 如果病人被削减，就能够继续治疗他们

通过激烈的战斗离开了补给线。这包括对

初级保健 、慢性病治疗 、孕产妇保健 和创伤。

对于一些设施 ，我们也提供后勤支持 ，以确保一个

通过发电机和太阳能自主供应电力，

和清洁的水，可以继续运行长达一周。

我们还为一些医院配备了“ 自治工具包”

基础设施支持 ，如太阳能电池板 、发电机和水

储备 ，允许他们继续运作，如果他们的电力或水是

中断了，基础设施可以让他们继续为此工作 最多一周。

无国界医生组织的研究小组正在支持特定的医院进行重组和加强

他们的急诊室容量和为可能的质量做好准备 受伤病人的涌入以及捐赠特定药物

根据设施和医务人员的要求提供用品 。自从 8月初 ，科斯坦蒂尼夫卡医院得到了支助

恢复其急诊室和手术室的定期存在 无国界医生组织外科团队。

我们的应急响应 邻国

无国界医生组织致力于向受其影响的人提供医疗援助 冲突 ，无论他们在哪里或他们是谁。

![](/media/202412//1733470096.8746305.jpeg)无国界医生组织已在乌克兰境内派遣医疗流动单位提供医疗服务 向那些试图穿越波兰逃离的人提供医疗援助

2022年3月9日，他们国家在波兰和乌克兰边境的战争

无国界医生组织的紧急救援小组正在波兰的基地开展行动 进入乌克兰的基本医务人员和物资。

根据联合国的数据 ，有460万人

他于2022年7月18日从乌克兰逃到了波兰 。在最初的几天里

作为回应 ，我们向红十字会卢布林和a

在霍洛德洛的接待点，我们打算开始提供

对志愿者进行的心理急救、自我护理及辅导培训 帮助回应。

无国界医生组织正在积极努力支持卫生部提供医疗服务 对耐药结核病患者的治疗，包括

乌克兰无国界医生组织以前支持的患者。

匈 牙利

联合国报告称 ，大约有53万名难民越界进入

匈牙利然而，我们的评估发现，立即 许多人的需求都得到了满足。

我们现在已经开始与当地组织合作 提供初级保健咨询和心理支持。

同时 ，我们将继续监测形势 ，重点关注 识别出不太明显的个人和群体的需求

缺少基本服务的脆弱情况。

摩尔 多瓦

截至5月3日，已有近500人从美国过境进入摩尔多瓦

乌克兰虽然很多人似乎在过境，摩尔多瓦- 这里只有260万人口

乌克兰难民人均集中

un。

3月12 日，在帕兰卡 ，无国界医生组织开始提供初级保健 为逃离的人提供咨询和心理急救会议

来自米科莱夫和奥德萨 。我们的团队也提供了心理健康服务 支持首都齐接待中心的人们？英诺和

在全市各地的医院进行评估 ，以了解这些情况 医疗需求。

白 俄罗 斯

超过16690人从乌克兰越过边境进入 白俄罗斯截至8月23日。

在白俄罗斯，一个无国界医生组织的评估小组已经转移到白俄罗斯的地区-

在乌克兰边境评估潜在的医疗和人道主义需求 。在 白俄罗斯 ，我们的团队看到越来越多的人强行

因需要医疗援助和社会援助而从乌克兰流离失所者 支持我们是在回应来自乌克兰的病人的需求

以及其他的原籍国 ，在明斯克，格罗德诺 ，布雷斯特，戈梅尔， 莫吉列夫和维特布斯克地区 。在我们的病人中 ，有很多

儿童和非传染性疾病和慢性病患者

包括糖尿病和高血压。他们中的大多数都需要

紧急心理支持 。在白俄罗斯 ，无国界医生组织继续运作 定期的计划。我们支持国家结核病（TB）

在民事部门和监狱中实施的方案。

俄 罗斯

截 至23 年 ，已 有 超 过 230 万 人从 乌 克 兰进 入 俄 罗斯 2022年8月。

无国界医生组织在俄罗斯已经存在了30年了 。目前，MSF的团队在

俄罗斯与阿尔汉格尔斯克和弗拉基米尔的卫生当局合作 支持对药物患者进行关键的 、挽救生命的治疗

耐药结核病。在过去的几个月里 ，无国界医生组织扩大了其规模 协助合作伙伴组织在圣 。彼得堡和莫斯科

确保乌克兰人继续接受艾滋病毒治疗

其他需要帮助的人 。我们已经看到了人数的增加

来自乌克兰的艾滋病毒和丙型肝炎患者，需要补充药物 抗逆转录病毒药物。

与此同时 ，无国界医生组织最近也开始支持流离失所的人

罗斯托夫和沃罗涅日（ 自2022年2月以来），与当地政府协调 当局2022年5月，无国界医生组织的专用热线开通

旨在为难民的医疗和社会支持提供转诊服务

和乌克兰 。截至8月底 ，无国界医生组织在当地政府的支持下成立 专家们响应了490多人的医疗需求

逐个案例的分析。无国界医生组织与当地非政府组织合作，提供了相关服务 基本的救济项 目，包括食品 、血糖仪和消耗品

来自乌克兰沃罗涅日的糖尿病患者。截至8月中旬，MSF- 为2360多名受益人提供的地方倡议，

优先考虑最近抵达的流离失所者的迫切需求 俄罗斯南部。

我们将继续支持食品和卫生项目 。MSF

通过当地组织 、社会工作者和当地卫生保健提供者，

旨在将有需要的人口与现有的医疗和人道主义服务联系起来 服务和提高他们获得所需医疗和服务的能力

人道主义支持 。和任何国家一样 ，我们在俄罗斯的工作重点 仅根据医疗需求就可以提供医疗保健。

![](/media/202412//1733470096.8952844.jpeg)保护思想：保护

在战争中的心理健康

乌克兰

2023年8月8日出版 阅读更多

![](/media/202412//1733470096.9049206.jpeg)乌克兰：中间的积极故事 在战争中

2023年5月26日出版

![](/media/202412//1733470096.9145503.jpeg)阅读更多

在敌人的战线之间：毁灭

的医疗基础设施 乌克兰

2023年3月31日出版

![](/media/202412//1733470096.926249.jpeg)阅读更多

乌克兰：无国界医生组织的团队治疗病人

在导弹袭击住宅后 佐波里齐亚的建筑 2023年3月2日出版

![](/media/202412//1733470140.6005712.png)

![](/media/202412//1733470140.61119.png)War in Ukraine

**How MSF is responding**

Published: Feb 24, 2022Updated: Aug 29, 2023

**Fighting in Ukraine has killed or injured thousands of people, while more than 6.5 million refugees have fled to neighbouring countries.**

Doctors Without Borders/Médecins Sans Frontières (MSF) teams are

working to deliver emergency medical assistance to people still in

Ukraine, as well as those now seeking safety in neighbouring countries.

The situation is extremely volatile and we have witnessed the

devastating impact of the conflict on civilians – some cities are

surrounded by military forces, under heavy bombardment and running out of food and water.![](/media/202412//1733470140.667822.png)

Many hospitals are facing dramatic shortages of medical supplies –

from surgical tools to drugs for chronic diseases – while the mental

health consequences of shock and suffering have been enormous, even in areas spared the brunt of the violence. And, every day, more people face a terrible choice: stay in an unsafe place or flee home into

uncertainty.

**The information about our response, below, is correct as of Dec. 22, 2022.**

**How is MSF supporting people’s medical needs?**

MSF medical teams are experts at working in conflict zones and

complex humanitarian crises, while our experienced logistics staff and robust supply chains ensure critical supplies reach where they are

needed.

– Primary healthcare, including treatment for chronic illnesses, for people invulnerable situations who’ve fled their homes and stayed behind in areas with heavy fighting

– Support to Ukrainian medics with supplies and training

– Medical evacuations for patients from overwhelmed hospitals to safer areas

– Support to Ukrainian psychologists and first responders to provide mental healthcare for people who’ve faced intensely traumatic

experiences

We are working to focus our humanitarian response where people’s

needs are greatest and where our emergency medical work can have the most impact.

**Can Idonate to support MSF’s work in Ukraine?**

Thanks to the generosity of people like you donating to our general funds, we haven’t needed to launch an appeal for our work in Ukraine and surrounding countries.

Please consider giving an unrestricted donation, which will give our medical teams across the world the valuable flexibility to respond as needs arise.

Visit the following page to learn more.

[HOW WE SPEND YOUR MONEY](https://www.doctorswithoutborders.ca/about-msf/impact-accountability/)

**Our response in Ukraine: In-depth**

Our priority in Ukraine is getting Ukrainian medics the medical supplies they need.

We’re providing technical support and training on how to manage large numbers of wounded people, and relieving pressure by medically

evacuating patients to hospitals in safer parts of the country.

While the focus so far has been on surgery, trauma and intensive care needs driven by the conflict, a worrying situation is also emerging for patients with chronic diseases such as hypertension, diabetes, asthma and heart disease who require key drugs and support.

![](/media/202412//1733470140.6910844.jpeg)

General map from Ukraine with MSF activities.

However, with full-scale warfare in many areas, movements are

difficult, dangerous or simply impossible. Communication networks are not always available and there is a significant amount of

misinformation.

We’re helping ensure people invulnerable situations with chronic

illnesses continue to get the care and medications they need so their conditions don’t get worse.

We’re also seeing that people are absolutely shattered by what they’ve been through. Anxiety, panic attacks and trouble sleeping are common symptoms.

We have increased our focus on mental health activities, including

strengthening the capacity of Ukrainian psychologists and training first responders to administer psychological first aid.

MSF’s work in numbers

· 801 MSF staff working in Ukraine

· 408 metric tonnes of medical cargo delivered

· 13 Ukrainian cities where MSF has medical activities

Medical evacuation trains

On April 1, MSF began running a two-carriage medical train to evacuate patients in serious but stable conditions to safety. We are now also

running a more highly medicalized train, capable of providing intensive

care.

The trains take patients from overburdened Ukrainian hospitals close to active warzones to Ukrainian hospitals with more capacity that are

further from active warzones.

To date, 2,607 patients have been evacuated. The team evacuated 78

babies and toddlers from an orphanage in Zaporizhzhia, some of whom had been injured by the widely reported missile strike on Kramatorsk train station.

Central Ukraine

**Kyiv**

MSF’s team in Hostomel and other areas on the outskirts of Kyiv,

continues to provide mental health and psychosocial support and are looking to further scale up this aspect of our work in the area.

In the city of Kyiv, in July 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 rehabilitation and physiotherapy was not particularly developed in the local healthcare system prior to the

conflict and the high number of trauma patients are 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.

As part of our collaboration with Ministry of Reintegration and

Temporarily Occupied Territories, we are providing mental health

training to the call centre personnel. The call centre is run by the

Ministry in order to respond to the needs of IDPs and the populations remained in the non-government-controlled areas (NGCA) in Ukraine. So far, four sessions have been completed.

**Bilal Tserkva and Fastiv**

In Bilal Tserkva and Fastiv, our teams are focusing on elderly and

displaced people suffering from chronic diseases who may have been cut off from healthcare. This involves donations, as well as medical and mental health support, while training will be carried out with staff at healthcare facilities.

Since April 5, around 60 medical consultations have been carried out with elderly people living in the area.

**Kropyvnytskyi**

An MSF team is doing ad-hoc medical donations, trainings for health workers and first line responders, distributing relief items and doing rehabilitation work in IDP shelters and carrying out psychoeducation sessions with groups of displaced people and individual mental health consultations both in the town and peripheral areas. We are also

supporting a maternity hospital to make more accessible services for survivors of sexual and gender-based violence (SGBV).

Northern Ukraine

**Zhytomyr**

The focus in Zhytomyr is gradually returning to resuming our former activities supporting the treatment of drug-resistant tuberculosis.

In and around Zhytomyr, we donated trauma-related supplies and conducted mass casualty training in nine hospitals during the phase when frontlines of fighting were close.

MSF teams continue to provide social support (food parcels and hygiene kits) and psychological support to all active TB patients to help them to keep taking their medication correctly and complete treatment. In

collaboration with health authorities, MSF has recently started doing contact-tracing for children who have been in close contact with TB patients.

MSF also transports samples to the TB hospital for testing so that patients’ progress can be monitored.

At the same time, we continue to support the regional TB Hospital by providing them with TB and other drugs as well as laboratory

consumables and food for patients.

**Chernihiv**

We are running mobile clinics in 10 neighbouring villages around

Chernihiv to respond to health needs. We are providing outpatient

consultations for non-communicable diseases as well as mental health support and identifying cases of sexual and gender-based violence. We are also reaching patients in Chernihiv with our sexual and gender-

based violence hotline, located in Kyiv.

**Kharkiv**

In Kharkiv, we are running mobile clinics for thousands of people

sheltering in subway stations (more than half the total stations in the city), many of whom are suffering stress and psychological trauma due to the war. More than 1,000 consultations have been performed. We

have also installed water filters to secure clean water.

Following the developments of the security context and subsequent resumption of the functioning of the underground system, MSF

‘underground’ activities have been moved aboveground and

restructured to assist people who have no home to go back to and/or

still need medical support. Inside Kharkiv, we are currently supporting the city’s displaced people at various locations via mobile clinics. While some of the clinic activities are carried out in the locations of volunteer networks, some others are conducted in dormitories assigned for IDPs. However, the strikes in the city (and in the surrounding areas) have

intensified again in the last weeks, which causes interruption of activities.

Kharkiv city continues to receive shelling on a daily basis. Although

they appear to be rather targeted attacks, the trends and precise details remain challenging. Meanwhile, many areas in the north remained out of reach due to security reasons this week. However, OCA teams were

able to visit 9 locations, conducting 14 mobile clinics inside and outside the city between 28 July and 10 August. 14 mobile clinics conducted

between 11 and 24 August in and around Kharkiv city.

Western Ukraine

**Lyiv**

In the city of Lviv, expert teams have been training hospital staff to deal with mass casualty events and to treat war wounds.

We also have a surgical team working to support the burns unit of one of the big referral hospitals in Lviv.

![](/media/202412//1733470140.7128105.jpeg)

MSF mass casualty training taking place at a hospital in Lviv.

In Vinnytsia, we provide support to people who have fled from other parts of the country and taken refuge in temporary and longer-term accommodation and shelters.

In the shelters our teams run mobile clinics, providing medical

consultations; continuation of care and medications for people with

chronic illnesses such as hypertension, asthma, diabetes, heart disease, epilepsy; referrals to hospital for severely unwell patients;

psychological first aid and mental health consultations; and basic relief items.

Our teams provide kits with essential household and relief items,

including items such as toilet paper, toothbrushes, toothpaste, soap, shampoo, nappies and towels.

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 and hand them over to them.

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.

**Mukachevo and Berehove**

A team is running mobile clinics along the border with Hungary, where there are significant numbers of people gathered, centred for the

moment on Berehove.

The team is seeing signs that mental health support is becoming a

priority. We will focus in this direction, and also on the continuity of

care for patients who were previously following medical treatment that risks being interrupted by their rapid departure to a place of safety.

**Uzhhorod and Ivano-Frankivsk**

We have established bases in Uzhhorod and Ivano-Frankivsk and are

building a network for transporting supplies to hospitals in frontline

areas. We are also assessing nearby healthcare needs and will be

carrying out chemical, biological, radiological and nuclear training with local healthcare teams.

We have carried out trainings with local health professionals, including on mental health for psychologists and first responders, and provide

group therapy sessions and individual mental health consultations with internally displaced people.

We are supporting a clinic focusing on IDP patients run by doctors who are displaced from the conflict themselves and in Uzhhorod we are

running a mobile clinic focusing on IDPs who are staying in public shelters.

We keep doing donations to health facilities in these two locations and distributing non-food item (NFI) kits for displaced people, particularly in nearby rural areas, as well as doing rehabilitation works at IDP

shelters.

Southern Ukraine

![](/media/202412//1733470140.7350564.jpeg)

Shipments of medical supplies being prepared for dispatch to Ukraine

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.

This step is essential to ensure that patients are treated appropriately in an emergency situation.

In Odesa and Mykolaiv, we were able to donate medical supplies to

hospitals preparing to accept wounded. Consultations for displaced and people invulnerable situations will be provided soon.

In Mykolaiv, MSF is also funding the work of local volunteers who bring medical and logistic equipment in and out of the besieged city. We

support several hospitals in the city with medical and logistic donations and water & 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 population. This is an area that needs attention as mental health issues are still frequently stigmatisedin the country and there aren’t enough psychologists and psychiatrists, especially with experience of war-related trauma.

**Kryvyi Rih**

In the broader Kryvyi Rih area, MSF has started running mobile clinics providing basic healthcare, including sexual and reproductive health. In Apostolove hospital, MSF supports the emergency room for mass

casualty response capacity and provides medical equipment for surgical activities. On the request of local authorities, a team is assessing the

situation in villages near the frontline in order to perform mobile clinics if possible.

Eastern Ukraine

We have expanded our work in eastern Ukraine in response to the growing needs in areas close to the frontline and in places hosting people who have fled their homes.

**Dnipro**

In and around Dnipro, we are supporting people invulnerable

situations who have fled parts of Donetsk and Luhansk where the

conflict is particularly intense, and who are now staying temporarily or longer-term in more than 40 shelters.

Many are at-risk, including the elderly, people with disabilities,

unaccompanied children and people who cannot afford to make the journey further west in Ukraine or abroad.

In the shelters our teams run mobile clinics, providing medical

consultations; continuation of care and medications for people with

chronic illnesses; referrals to hospitals for severely unwell patients;

psychological first aid and mental health consultations; and basic relief items. MSF also provides consultations and referrals for people who

have experienced sexual violence.

**Zaporizhzhia**

In Zaporizhzhia, we are providing support to displaced people

thousands of whom were displaced from Mariupol, and other areas where fighting is intense.

Our teams run mobile clinics in the main reception centre and support more than 30 shelters throughout Zaporizhzhia, providing medical

consultations; medicines for people with chronic illnesses such as

hypertension, asthma, diabetes, heart disease, epilepsy; and referrals to hospital for severely unwell patients; psychological first aid and mental health consultations; and basic relief items.

MSF has started providing psychological first aid to people arriving

from Mariupolin reception areas and shelters. We have also donated medical supplies and carried out mass casualty training for staff at the main hospital in Zaporizhzhia.

We are increasing our efforts to support the medical facilities across the frontline within the Zaporizhzhia oblast remaining in the non-

government controlled areas. MSF team has managed to establish

contact with health professionals and volunteers across the oblast in order to understand their needs to continue providing medical care to the conflict-affected populations. Lack of physical access and presence in those areas remains a main challenge, but the team is looking into alternative and creative solutions to address some of those needs soon.

**Donetsk and Luhansk regions**

We are working with hospitals and primary health facilities close to the frontline in Donetsk to make sure they have enough of the right

supplies and training to be able to keep treating patients if they get cut off from supply lines by intense fighting. This includes support to

primary healthcare, treatment for chronic diseases, maternal healthcare and trauma.

For some facilities we are also providing logistical support to ensure an autonomous supply of electricity through generators and solar power, and clean water to continue functioning for up to a week.

We are also equipping some hospitals with ‘autonomy kits’

infrastructural support, such as solar panels, generators, and water

reserves to allow them to continue to operate if their power or water is disrupted,with infrastructure that can allow them to keep working for up to a week.

MSF teams are supporting specific hospitals to reorganise and reinforce their emergency room capacity and to prepare for a possible mass

influx of wounded patients as well as donating specific medicines and supplies in response to requests from facilities and medical staff. Since the beginning of August, Kostiantynivka hospital has received support to rehabilitate its emergency room and OT with regular presence of an MSF surgical team.

**Our emergency response in neighbouring countries**

MSF is committed to providing medical assistance to people affected by the conflict no matter where or who they are.

**Poland**

![](/media/202412//1733470140.753769.jpeg)

Medical mobile units have been sent inside Ukraine by MSF to provide medical assistance to people who are trying to cross in Poland to flee the war in their country – Polish-Ukrainian border, March 09, 2022

MSF emergency teams are operating from bases in Poland to bring essential medical staff and supplies into Ukraine.

According to the United Nations, more than 4.6 million people have

fled from Ukraine into Poland as of July 18, 2022. In the first few days of the response, we donated supplies to the Red Cross Lublin and a

reception point in Horodlo, and we intend to start providing

psychological first aid, self-care and counselling training to volunteers helping with the response.

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.

**Hungary**

The UN reports that around 530,000 refugees have crossed into

Hungary. However, our assessments have found that the immediate needs of many people are being met.

We have now started working in partnership with local organizations to provide primary healthcare consultations and psychological support.

Meanwhile, we will continue to monitor the situation, focusing on identifying less visible needs of individuals and groups that are in vulnerable situations that are missing out on essential services.

**Moldova**

As of May 3, nearly 500,00 people have crossed into Moldova from

Ukraine. Although many people appear to be in transit, Moldova –

which has a population of only 2.6 million people – now hosts the

largest concentration of Ukrainian refugees per capita, according to the UN.

On March 12 in Palanca, MSF started providing primary healthcare

consultations and psychological first aid sessions for people fleeing

from Mykolaiv and Odesa. Our teams have also provided mental health support to people at reception centres in the capital Chi§inău and are undertaking assessments at hospitals across the city to understand the medical needs.

**Belarus**

More than 16,690 people have crossed the border from Ukraine into Belarus as of 23 August.

In Belarus, an MSF assessment team has moved to areas of the Belarus- Ukraine border to assess potential medical and humanitarian needs. In Belarus, our team has seen an increasing number of people forcibly

displaced from Ukraine in need of medical assistance and social

support. 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. A majority of them is in need of urgent psychological support. In Belarus, MSF continues to run its

regular programmes. We support the national tuberculosis (TB) programme in the civil sector and in prisons.

**Russia**

Over 2,300,000 people have crossed to Russia from Ukraine as of 23 August 2022.

MSF has been present in Russia for 30 years. Currently, MSF’s teams in Russia work with health authorities in Arkhangelsk and Vladimir

regions to support crucial, life-saving treatment for patients with drug- resistant tuberculosis. In the last few months, MSF scaled up its

assistance to partner organisations in St. Petersburg and Moscow

ensuring continuation of HIV treatment for people from Ukraine and

other people in need. We have seen an increase in the number of people from Ukraine living with HIV and hepatitis C in need of refills for their antiretroviral medicines.

Alongside this, MSF has recently started to support people displaced to Rostov and Voronezh (since February 2022), in coordination with local authorities. In May 2022, a dedicated MSF hotline was launched with an aim to provide referral services to medico-social support to the refugees and 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 collaboration with local NGOs, MSF delivered

essential relief items including food, glucometers, and consumables to diabetic patients from Ukraine in Voronezh. As of mid-August, MSF-

supported local initiatives provided for more than 2360 beneficiaries, prioritizing the immediate needs of recently arrived displaced people in Southern Russia.

We are continuing the support with food and hygiene items. MSF

through local organisations, social workers and local health providers, aims to link populations in need to existing medical and humanitarian services and improve their ability to receive the needed medical and

humanitarian support. As in any country, our work in Russia is focused on providing medical care where we can, based on medical needs alone.

**Related Articles**

![](/media/202412//1733470140.8465414.jpeg)

![](/media/202412//1733470140.908094.png)

[Safeguarding the mind: protecting](https://www.doctorswithoutborders.ca/safeguarding-the-mind-protecting-mental-well-being-amidst-the-war-in-ukraine/)

[mental well-being amidst the war in](https://www.doctorswithoutborders.ca/safeguarding-the-mind-protecting-mental-well-being-amidst-the-war-in-ukraine/)

[Ukraine.](https://www.doctorswithoutborders.ca/safeguarding-the-mind-protecting-mental-well-being-amidst-the-war-in-ukraine/)

[Published Aug 8, 2023](https://www.doctorswithoutborders.ca/safeguarding-the-mind-protecting-mental-well-being-amidst-the-war-in-ukraine/)

[readmore](https://www.doctorswithoutborders.ca/safeguarding-the-mind-protecting-mental-well-being-amidst-the-war-in-ukraine/)

![](/media/202412//1733470140.9530652.jpeg)

![](/media/202412//1733470140.9939768.png)[Ukraine: Positive stories in the middle of a war](https://www.doctorswithoutborders.ca/ukraine-positive-stories-in-the-middle-of-a-war/)

[Published May 26, 2023](https://www.doctorswithoutborders.ca/ukraine-positive-stories-in-the-middle-of-a-war/) [readmore](https://www.doctorswithoutborders.ca/ukraine-positive-stories-in-the-middle-of-a-war/)

![](/media/202412//1733470141.0036626.jpeg)

![](/media/202412//1733470141.042811.png)

[Between enemy lines: the destruction](https://www.doctorswithoutborders.ca/between-enemy-lines-the-destruction-of-healthcare-infrastructure-in-ukraine/)

[of healthcare infrastructure in](https://www.doctorswithoutborders.ca/between-enemy-lines-the-destruction-of-healthcare-infrastructure-in-ukraine/)

[Ukraine](https://www.doctorswithoutborders.ca/between-enemy-lines-the-destruction-of-healthcare-infrastructure-in-ukraine/)

[Published Mar 31, 2023](https://www.doctorswithoutborders.ca/between-enemy-lines-the-destruction-of-healthcare-infrastructure-in-ukraine/)

[readmore](https://www.doctorswithoutborders.ca/between-enemy-lines-the-destruction-of-healthcare-infrastructure-in-ukraine/)

![](/media/202412//1733470141.0725963.jpeg)

![](/media/202412//1733470141.0849795.png)

[Ukraine: MSF teams treating patients](https://www.doctorswithoutborders.ca/msf-teams-treating-patients-after-missile-attack-residential-building-zaporizhzhia/)

[after missile attack on residential](https://www.doctorswithoutborders.ca/msf-teams-treating-patients-after-missile-attack-residential-building-zaporizhzhia/)

[building in Zaporizhzhia](https://www.doctorswithoutborders.ca/msf-teams-treating-patients-after-missile-attack-residential-building-zaporizhzhia/)

[Published Mar 2, 2023](https://www.doctorswithoutborders.ca/msf-teams-treating-patients-after-missile-attack-residential-building-zaporizhzhia/)

[readmore](https://www.doctorswithoutborders.ca/msf-teams-treating-patients-after-missile-attack-residential-building-zaporizhzhia/)