"When the war erupted, I refused to move anywhere because no one thought the situation could get so bad."

October 7, 2022
Photo credit: Oksana Farynych / UNDP Ukraine

On 21 March, as bombs rained down on Mariupol, Nadiia Dobrodeeva, 70, from Mariupol, was sitting in a bomb shelter. She counted 72 bombs drop in just three hours. Her house was completely burned down, so she had no choice but to sleep on the floor in the frost. For 36 days, Nadiia lived on food scraps and rainwater.

"I didn't wash or change clothes for many days, my clothes were all burnt, because when the rocket hit the house, I was in it,” she said. Miraculously, Nadia survived though she sustained ear and neck injuries, and her hair, face and hands were burnt.

Over 7 months after the war began, and in a desperate attempt to escape the fighting, thousands of people have fled their homes in similarly traumatic circumstances. Even after moving to relatively safe areas of Ukraine, many people continue to lack food, water, and basic necessities. They are also living without proper access to much needed psychological and social support, medical services, and medicines.

When Nadiia was eventually able to evacuate, on 31st March, she decided to go to Mukachevo in western Ukraine, a region she knows well. Her daughter and her young family, who lived with her in Mariupol, took refuge in the Czech Republic. After the war, they plan to move back with Nadiia in Mukachevo, and start building a new life there.

A helping hand to the medical facilities in host communities

Upon her arrival to Mukachevo, Nadiia immediately saw a doctor and was referred to specialists where she received free medical care for the injuries she had sustained.  "I even consulted a therapist upon the doctor's recommendation,” she says. Through my computer files, they could immediately access my health care data in the system. Even though I came here without a single medical document."

During more than 124 days of the war in Ukraine, the Mukachevo community in Zakarpattia Oblast has welcomed some 24,500 internally displaced persons, including almost 7,000 children. The unprecedented rise in people requiring healthcare support has put significant strain on medical staff and health care facilities, most of which were not equipped to reach such large numbers of people and have struggled to meet the growing demands.

To help strengthen the capacities of the primary health care institutions, the United Nations Development Programme (UNDP) in Ukraine has been providing support to medical institutions across the country, including host communities like Mukachevo, that have become a sanctuary for Ukrainians fleeing the war.

In Mukachevo, this has included IT support, through the provision of  computers, monitors and keyboards to the Primary Health Care Centre. Six automatic defibrillators were also provided, along with furniture such as tables for medical manipulations, blood donor chairs with armrests, cabinets and couches.

“Since the war, the doctors’ workload in their institution has increased by 25 percent,” said Myroslava Chubirko, director of the Primary Health Care Centre. “The hospital now has what it needs to receive both local patients and internally displaced people. The conditions in rural branches and dispensaries, where part of the received equipment was delivered, are also improved.”

The equipment was provided by UNDP, as part of the the UN Recovery and Peacebuilding Programme, and with financial support from the European Union.