Humanitarian Health Action

Ukraine Humanitarian Response Plan 2016

There are an estimated 3.7 million people in need of humanitarian assistance in eastern Ukraine – the consequence of civil unrest that started in April 2014. This includes 2.3 million people (unemployed, elderly, children, internally displaced people (IDPs) and disabled people) in need of life-saving assistance along the ‘contact line’ (between non-government and government forces) and in non-government controlled areas.

The decline and interruption of essential water supply and sanitation service provision, particularly in areas connected to centralized systems, is a major consequence of the conflict. Infrastructure related to these large-scale systems on both sides of the ‘contact line’ has frequently sustained damage, halting service delivery over extended periods of time.

An estimated 553 000 people will need food assistance. The most vulnerable are food-insecure people living along the ‘contact line’ and in non-government controlled areas, followed by the vulnerable IDPs and the most vulnerable in IDP-hosting communities. Assessments indicate women, elderly and disabled people are most impacted by the crisis and in need of services. The conflict has also had a devastating impact on the psycho-social well-being of children.

Health Sector Situation

Access to quality essential health and nutrition services is an immediate need for some 2.3 million people as health services are disrupted in parts of conflict- affected Donetska and Luhanska. More than 120 health facilities are reported damaged – some critically.

Women and children (more than 60%) are disproportionately affected by a severe reduction in health services. Pregnant and lactating women continue to face compromised access to reproductive health and referral services, antenatal and post-natal care and safe birthing practices. This exposes pregnant women to a high risk of pregnancy related morbidity and mortality. The demand of complementary foods assistance for infants and young children aged 0–23 months remains and nutritional needs of the elderly and pregnant and lactating women residing in non-government controlled areas and areas near the conflict zone are of special concern.

Current emergency mechanisms for providing HIV and TB prevention, treatment, care and support are extremely fragile. Lifesaving Opioid Substitution Therapy services to people in the war zone are completely unsupported, despite the efforts of WHO and other actors. Health concerns have been raised by NGOs for women living in highly militarized areas, as they are exposed to sexual violence, transactional sex, and unhealthy and unsafe sexual practices.

Vaccine-preventable diseases, including polio (there have been two confirmed cases reported in Ukraine) are a major public health concern. Insufficient vaccine supply and the conflict have contributed to low levels of coverage.

Health Sector Objectives

Objective 1: Fill critical gaps in health services delivery for conflict affected population and enhance access to essential quality health care services.

  • Planned outputs:

    • Provide quality essential primary health care and nutrition services and referral services.
    • Provide prevention, treatment and referral to TB, HIV/AIDS and STIs.
    • Support delivery of emergency reproductive healthcare services.
    • Provide support to improve quality of emergency care provision for new born and children through implementing Integrated Management of Childhood Illnesses.
    • Deliver psychosocial support and community based mental health care services.
    • Provide essential medicines and supplies.
    • Support trauma care through treatment and capacity building.

Objective 2: Strengthen and expand disease surveillance and response, including enhance laboratory capacities and technical guidance on priority public health issues and risks.

  • Planned outputs:

    • Expand early warning system for disease surveillance and outbreak response.
    • Monitor water quality for control of waterborne diseases.
    • Improve diagnostic capacities through provision of lab reagents, supplies and training.
    • Preposition emergency medical supplies and material ensuring timely response to epidemic-prone diseases outbreaks.

Objective 3: Prevent excessive nutrition-related morbidity and mortality of vulnerable groups including acutely malnourished children, pregnant and lactating women, and the elderly.

  • Planned outputs:

    • Support capacity building on nutrition, including provision of equipment and supplies in emergencies.
    • Strengthen the epidemiological and nutritional monitoring/surveillance system.
    • Ensure adequate coverage with appropriate food supplies to the vulnerable groups.

Objective 4: Provide technical support through targeted interventions for revitalization of disrupted health services and basic rehabilitation/restoration of health facilities in the affected areas.

  • Planned outputs:

    • Conduct joint assessments related to safe and equal access to primary healthcare services by the most affected populations.
    • Strengthen the Health Information Management System for evidence based information and linking the relief to recovery.
    • Rehabilitate selected health services and infrastructure affected by the crisis, in line with the health system reforms, and enhance restoration of health services.
    • Implement strategic communication, awareness, social mobilization and advocacy in health and nutrition activities (health and hygiene, safe drinking water, vaccination mother and child health, nutrition and mental health, etc.).

Beneficiaries targeted by health partners in 2016

Health partners will target 2.3 million people in 2016. These include:

  • 500 000 people living along the contact line
  • 1.6 million people in non-government controlled areas
  • 200 000 internally displaced people

Geographical areas targeted by health partners in 2016

Non-government controlled areas, contact line areas and government-controlled areas where there are IDPs.

Health and Nutrition Cluster funding requirements for 2016

US$ 33 321 635 (health and nutrition partners including WHO)

WHO funding requirements for 2016

WHO is appealing for a total of US$ 18 500 000

Ukraine - Emergencies Response Plan 2017

Health sector funding requirements
US$ 23.3 million (health partners including WHO)

WHO requirements
US$ 5 million

WHO and emergencies