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Healthcare exclusion | Armed conflict

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

In eastern Ukraine, Médecins Sans Frontières (MSF) scaled up its mobile clinics and operated in a total of 28 locations.

The teams offered primary healthcare 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 healthcare workers and teachers living and working in the conflict zone.

Hepatitis C

MSF opened a hepatitis C programme in Mykolaiv region, providing treatment with two effective direct-acting antivirals – daclatasvir and sofosbuvir – as well as diagnostic tests, patient support, education and counselling services. Some patients are co-infected with HIV or on opioid substitution therapy; others are healthcare 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 programme in Zhytomyr to treat DR-TB patients in the general population.

No. staff in 2017: 150 | Expenditure: €5.7 million | Year MSF first worked in the country: 1999  | @MSF_Ukraine