Kyiv, 24 February 2025 – Three years after Russian forces invaded Ukraine, dramatically escalating an international armed conflict that began in 2014, people continue to bear the burden of the war’s devastation as seen through their lost lives, lost limbs, and lost homes.
Since 2022, Médecins Sans Frontières/Doctors Without Borders (MSF) has seen more patients with war-related trauma in need of early rehabilitation, namely post-amputation physiotherapy. There is also an increase in the number of patients requiring treatment for post-traumatic stress disorder. In areas close to the frontlines, daily shelling means that some of the most vulnerable, including older people and people with chronic conditions, have extremely limited access to medical care.
MSF runs an early rehabilitation project with centres in Cherkasy and Odesa, where people receive early post-operative physiotherapy, mental health support and nursing care following incidents of violent trauma. MSF treated 755 patients in 2023 and 2024. From one year to the next, there was a 10 per cent increase in the number of patients requiring post-operative care for leg amputations.
In 2024, half of all patients in the project were diagnosed with either post-traumatic stress disorder, or depression. The need for mental health support in Ukraine is significant. In addition to the centres in Cherkasy and Odesa, MSF has established a project focused on post-traumatic stress disorder in Vinnytsia.
“The ferocity of this war has not diminished, and the medical humanitarian needs have only grown more complex. Even if the war were to end tomorrow, hundreds of thousands of people would require years of long-term physiotherapy, or counselling for post-traumatic stress disorder. Ensuring this care requires an ongoing humanitarian commitment.”
– Thomas Marchese, MSF Head of Programmes in Ukraine
Today, Ukraine’s healthcare system faces immense pressure, balancing emergency responses with the ongoing needs of patients affected by the war. For three years, drone and missile attacks have been a daily occurrence, in some cases striking cities more than 1,000 kilometres from the frontline. Medical facilities and systems have been forced to adapt to treating patients in bunkers or basements, as well as to frequent power cuts from attacks on energy infrastructure.
In response to this, MSF operates ambulances, transferring patients from overburdened hospitals near the frontline to medical facilities in central and western Ukraine with greater capacity. Over the past three years, MSF ambulances have transferred more than 25,000 patients, more than half of whom had injuries caused by violent trauma.
In 2024, MSF mobile clinic and ambulance teams working near the frontlines saw a significant increase in referrals for patients with chronic diseases such as cardiovascular issues, diabetes, and cancer. In 2023, these cases accounted for 24 per cent of all referrals, rising to 33 per cent in 2024. However, regular shelling and strikes mean that the access of MSF’s teams is not guaranteed. Many of those living with chronic conditions are older, and less mobile, in some areas, people have begun living in their basements or in bunkers, due to the intense shelling.
MSF is an international, medical, humanitarian organisation that delivers medical care to people in need, regardless of their origin, religion, or political affiliation. MSF has been working in Haiti for over 30 years, offering general healthcare, trauma care, burn wound care, maternity care, and care for survivors of sexual violence. MSF Australia was established in 1995 and is one of 24 international MSF sections committed to delivering medical humanitarian assistance to people in crisis. In 2022, more than 120 project staff from Australia and New Zealand worked with MSF on assignment overseas. MSF delivers medical care based on need alone and operates independently of government, religion or economic influence and irrespective of race, religion or gender. For more information visit msf.org.au