Start of program: 2022


  • 44 million inhabitants prior to the conflict
  • 15.7 million people in need
  • 6.3 million internally displaced persons







  • 60 local health workers trained on mass casualties planning
  • 3 500 patients with non communicable diseases provided with medicines and 514 specialist doctor consultations via the ALIMA mobile clinic
  • 6 hospitals and 8 health centers supported with medical equipment and medicines

Areas of intervention

  • Training and capacity-building
  • Conflicts and population displacement

Country context

Ukraine has been under a large-scale attack from Russian forces since February 24, 2022 and millions of Ukrainians are in need of humanitarian assistance. The health system is in dire straits with damaged facilities and staff shortages. There are also shortages of medical supplies and life-saving drugs, not just for the needs of the war-wounded, but also for the critically-ill, or persons with chronic diseases.

In areas near the war’s frontline, persons who have not been able to flee – often the most vulnerable, such as the elderly or ill – are more isolated than ever. They lack access to health care, particularly treatment for non-communicable diseases (such as cardiovascular diseases, diabetes, cancer, asthma). Cases of sexual violence have been increasingly reported since the conflict began. Given this context, there is a strong need for mental health support for local communities.

Present in the country since April 2022, with a coordination office in Odessa, ALIMA’s activities are currently centered in the Mykolaiv Oblast – a region near the frontline in southern Ukraine. Mykolaiv was attacked by Russian forces at the beginning of the war and continues to be regularly bombed today.

Copie de Varvarivka 7

© Myriam Renaud / ALIMA

ALIMA’s Impact – Our fieldwork

True to the ALIMA model, all our activities in the Mykolaiv region are implemented hand-in-hand with local authorities, health workers, and volunteer networks, enabling us to rapidly pinpoint medical structures in need of support, or reach persons in isolated areas requiring medical assistance.


Reinforcing war-damaged local health structures

Ukraininan health care workers have to cope with hospitals damaged by bombing. ALIMA supports six hospitals in the Mykolaiv region through the delivery of emergency surgical kits, medical equipment and drugs in collaboration with the Ukrainian Ministry of Health and local volunteers. In two of the main hospitals, ALIMA has also rehabilitated operating rooms and other key areas, such as converting a waiting room into a mass casualty triage center. In those structures, ALIMA also strengthened the capacity of hospital staff to respond to the needs of the frontline, ALIMA conducted training sessions such as mass casualties and burn patient management to prepare for a massive influx of war-wounded.


Organizing mobile clinics to take medical specialists to persons in need

Previously, persons in need of medical assistance could travel more freely to Mykolaiv for treatment, but now many are afraid to do so, or to leave their families behind. ALIMA organizes mobile clinics in the health centers of nine rural localities in Mykolaiv Oblast to facilitate access to health care. These mobile clinics take specialists (gynecologists, ophthalmologists, neurologists, cardiologists, psychologists, etc.) directly to people in the small villages and towns near the front line.


Copie de Formation SRH 4

© Myriam Renaud / ALIMA

Providing psychological support to local communities

To help local communities deal with the trauma of war and displacement, ALIMA provides psychological care through individual and group sessions, or referral to psychiatric hospitals. ALIMA trains frontline workers (health workers, volunteers, social workers, teachers, other NGO workers, etc.) on providing psychological first aid. ALIMA also supports art therapy activities for displaced children and young adolescents and their families from villages near the front line. From mid-April to mid-July, 162 people participated in joint sessions and 38 individual consultations.


Raising awareness on sexual and gender-based violence

ALIMA organizes sessions raising awareness on sexual violence and sexual assault first aid for health professionals in the Mykolaiv region. The sessions aim to educate first responders and health practitioners (such as family doctors and nurses from primary health centers) to ensure that victims of sexual violence have access to additional support or adapted services for reproductive health.

© Cover picture : Myriam Renaud / ALIMA

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