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Direct Link to Full 18-Page 2015 Publication, which includes maps and graphs.

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THE STRUGGLE FOR SURVIVAL ACROSS UKRAINE’S FRONTLINE - WOMEN

 

Andrew Gully - May 29, 2015

Ukraine's frontline cuts across the country like a jagged scar. Despite a February ceasefire, the fighting hasn't stopped. In March and April, Kristina Jovanovski had rare access to rebel-held areas to investigate the humanitarian disaster that has unfolded on Europe's doorstep. Here is our exclusive report on why aid isn't getting through. 

Soup kitchens, like this one run by the local Red Cross in Luhansk, are the only source of regular food for some 

Soup kitchens, like this one run by the local Red Cross in Luhansk, are the only source of regular food for some.

More than half those displaced are in the war-torn regions of Donetsk and Luhansk

In rebel-held areas, 92 percent of households reported to ACAPS, an independent organisation that assesses humanitarian needs, that they were in need of medicine, while 34 percent said they had no access or unreliable access to water.

With no free health care or drugs, patients are also suffering. Since many of those left in rebel-held areas are elderly, the need for medicines for chronic diseases is especially acute. Aid organisations focused on emergencies are ill-equipped to deliver the long-term solutions required.

"No one knows how they’ll manage to provide insulin to the patients here in two months' time," says MSF's Jaeger.

In yet another obstacle, Ukrainian law limits the type of drugs that can be imported and does not allow aid agencies to donate to hospitals – only to individuals. That is especially problematic for patients who cannot administer their own medicine, such as those with mental disabilities living in institutions where their doctors need to prescribe the drugs.

Hospitals in the rebel-held east struggle to treat acute injuries.

MSF did manage to get enough drugs to run some mobile clinics, including at the hospital in the town of Novosvitlivka.

The road to the town is dotted with small villages foreshadowing a former frontline. The houses are destroyed, belongings abandoned. The occasional pedestrian is often the only sign that the communities are not completely deserted. Residents have become stuck in a time capsule of war, living amongst the rubble.

Valya Stepkina is one of about 300 patients to attend the MSF clinic the day I visit. Most people are seeking treatment for chronic diseases like diabetes or for pills to help regulate heart problems.

Stepkina, 65, is picking up medication for her blood pressure, but what she is really hoping for are the pills she needs to treat her cancer.

She waits anxiously until the doctor finally comes out only to tell her they don't have them. It has been the same story since September and Stepkina is worried about her growing tumour. She has tried going to Luhansk city but can’t find the pills there either. Having not received her pension in more than nine months, she says she wouldn’t be able to afford the medicine even if it was available.

Back at her home, a baby carriage for her twin grandsons lies empty in the living room. They are at the hospital with a high fever that will not go away. So is Stepkina's son, who has a leg injury and can't get the right treatment.

"Sometimes I (might) cry. But it is life. I can't do anything. We need to survive but nobody cares about us," she says, counting herself as one of the lucky ones. At least her house is still standing.