2025-03-23-世界卫生组织-HeRAMS_Ukraine_comparative_analysis_report_January_2024_versus_January_2025_Ukrainian_version_83页_10mb

Summary of HeRAMS Ukraine Healthcare Report: January 2024 vs January 2025

Key Findings

• Healthcare Facility Availability: Compared data across 10 conflict-affected regions. Sixty percent of all facilities reported damage in 2024. A significant year-over-year decline occurred in operational facilities: 14.9% in Donetsk region (-14.9% operational), 10.6% in Kharkiv (-10.6%), and 6.9% in Zaporizhzhia (-6.9%) in 2024.

• Facility Damage: Full damage increased moderately (from 2.1% in 2024 to 2.8% in 2025).

• Buffer Zone Analysis: In the 20 km red zone from the front line, healthcare became significantly less available year over year (24% decrease). Close to 76.8% of facilities reported damage, injuries, etc., destabilizing situations.

• Health Service Access: Availability for most services also declined across affected regions. The largest drop was in psychological support (+20.0%) and traumatology services (+3.9%). Access for children's services decreased slightly, while infectious disease treatment remained relatively unchanged.

• Regional Highlights:

  • Donetsk region experienced the biggest year-over-year increase in inactive healthcare facilities (+38.8%) and full damage rate (+2.7%).
  • Kharkiv region saw a 10.6% rise in inactive facilities and a 22.5% increase in areas with no healthcare facility.

• Bright Spots: Kyiv region (+8.3% service maintenance) and borrow'-Del'nmistrskyy district (+14.3% improvement in access through telemedicine) demonstrated effective partial recovery and adaptation.

Conclusion

The analysis highlights ongoing declines in healthcare infrastructure availability and service delivery, with varying severity across regions. Interventions focusing on stabilizing essential services, especially for civilians in buffer zones, are crucial. The study also suggests monitoring more carefully facilities that have fully shut down and adapting approaches for vulnerable populations (e.g., children) effectively.