Ukraine

After over four years of constant war, Ukrainians are still facing near-daily attacks that kill and injure civilians and damage homes, hospitals, and schools.

Project HOPE is continuing to show up for communities across Ukraine — deploying mobile medical units to frontline communities, providing mental health support and hygiene supplies to people impacted by strikes, operating safe spaces for families and children to access mental health support, training and equipping health workers, and reconstructing damaged hospitals and health facilities.

Since the start of the full-scale war, Project HOPE has been executing a comprehensive and coordinated humanitarian intervention in Ukraine and neighboring countries that are hosting significant Ukrainian refugee populations — reaching over 2 million people since 2022.

The Context

In February 2022, Russia launched a full-scale invasion of Ukraine, launching deadly missile attacks and occupying parts of the country, resulting in a devastating war that continues today. This was a major escalation following the 2014 Russian annexation of Crimea and the Donbas War in eastern Ukraine.

As of February 2026, there have been over 15,000 civilian deaths and more than 44,000 civilian injuries, with the entire Ukrainian population — more than 36 million people — living through unimaginable atrocities and enduring multiple humanitarian crises. Over 5.7 million Ukrainians are living as refugees in other countries and 3.7 million more are internally displaced, with 10.8 million Ukrainians — roughly 30% of the population — in need of humanitarian assistance.

Russia’s invasion has devastated Ukraine’s health system, especially in communities that have experienced heavy fighting. There have been more than 2,900 attacks on healthcare, including on patients receiving care, health facilities, medical transportation, and health workers themselves, over 300 of whom have been killed.

Since February of 2022, Project HOPE has been supporting the Ukrainian health system by equipping health clinics with supplies and medicines, training health workers, and deploying mobile medical units to reach people in remote and frontline communities. We’ve reconstructed damaged health and community facilities and helped mitigate the impacts of severe weather, power outages, and mass displacement. In frontline communities, our team continues to operate mobile medical units, provide mental health and psychosocial support like counseling and art therapy, and distribute critical supplies.

Our Impact

Health System Strengthening

Constant attacks have had a severe impact on Ukraine’s health system, causing medicine and staff shortages and the disruption of primary health care services. Project HOPE currently operates 42 mobile medical units and has provided frontline health facilities with 38 ambulances to expand access to both primary care and specialized medical transportation. Project HOPE has also supported health workers by incentivizing specialized health workers in frontline health facilities and providing a diverse series of high-quality trainings to anesthesiologists, trauma surgeons, pediatricians, and more, reaching over 13,800 health workers across Ukraine.

Mental Health and Psychosocial Support

Project HOPE continues to support the mental health and well-being of Ukrainians through group counseling, psychosocial support, and other mental health activities, reaching over 389,000 Ukrainians since 2022. Project HOPE’s 14 MHPSS centers have provided people with social and recreation activities, education, skills and language classes, individual and group counseling, psychoeducation, art therapy, yoga and fitness classes, and empowerment workshops. Project HOPE has also provided surge staffing for psychologists and established telehealth counseling for staff and patients at 46 hospitals, including health facilities in active conflict zones.

Water, Sanitation, and Hygiene (WASH)

In the face of disrupted water infrastructure and economic hardship, Project HOPE has distributed hygiene kits and essential non-food items to over 382,000 people and delivered 9.9 million liters of drinking water. Project HOPE has also renovated 288 sanitation stations at 24 health facilities, improving infection prevention for facilities that serve over 792,000 people.

Winterization and Non-Food Items (NFIs)

As attacks on Ukraine’s energy infrastructure persist, our team is distributing fuel vouchers kettles, and mobile room heaters to support health workers so they can provide the best care possible to patients.

Previously, Project HOPE has delivered 234 generators to 128 facilities — including hospitals and shelters for internally-displaced people — to restore essential services for Ukrainians across the country. And to mitigate the impact of harsh winter conditions, Project HOPE has distributed over 89,000 winterization NFIs, including electrical heaters, bedding, thermal clothing, and solid fuel.

Reconstruction and Rehabilitation of Health Facilities

Since 2022, thousands of Ukrainian health facilities have been damaged or destroyed. In collaboration with the Ministry of Health and local health authorities, Project HOPE has rehabilitated 21 health and social facilities in Kyiv, Chernihiv, Kharkiv, Kherson, Dnipro, Mykolaiv, and Sumy oblasts, allowing health workers and care providers to support thousands of Ukrainians for years to come.

Our History in Ukraine

Project HOPE began working in Ukraine in 2002 with a life skills program focused on drug use prevention, HIV prevention, and education for children in primary schools. Then, in 2007, Project HOPE began a five-year, USAID-funded HIV/AIDS Service Capacity project in Ukraine, which focused on the mobilization of communities most at risk of contracting and transmitting the disease. From 2012-2017, Project HOPE helped improve the health of Ukrainians by partnering with the Government of Ukraine to decrease the incidence and strain of tuberculosis (TB) on Ukraine’s health system and improve outcomes for people living with TB.