Over 2,500 civilians have been killed in the conflict zone in Donbas, Eastern Ukraine, since April 2014 and another 9,000 injured, according to the Ukraine 2018 Humanitarian Response Plan (HRP). Along the ‘contact line’, an average of 40 armed clashes are recorded every day. Up to 200,0002 people living in the 5 km zone along the ‘contact line’ in the GCA regularly experience injury to or loss of loved ones or their neighbours, damage to property, and systematic barriers to accessing basic services.
Lack of access to healthcare is particularly concerning, threatening the wellbeing – and the survival – of millions of people in both the GCA and the NGCA.
Disruption to critical infrastructure in settlements along the ‘contact line’ is becoming the daily ‘normal’ for millions of people.
The socio-economic situation in the Donbas has significantly worsened. Children, especially those living in the NGCA, face diffi culties accessing official documents, including identity papers, birth registration and education certificates. For example, due to diffi culty crossing the ‘contact line’, as well as non-recognition of birth certifi cates issued by the de facto authorities in the NGCA, more than half of births in the NGCA are not being registered in the GCA.
In addition, some 6,000 IDPs living in hundreds of collective centres across the country are particularly vulnerable.
Increased food insecurity has been observed in both the GCA and the NGCA, with some 1.2 million people found to be either severely or moderately food insecure.
Increased food prices have also contributed to more people in the NGCA resorting to negative coping strategies such as buying food on credit, borrowing food and/or reducing dietary diversity because of lack of money or other resources to obtain food.
The report also speaks of 250,000 people at risk of GBV and GBV survivors lack appropriate access to life-saving information and essential services, including psychosocial support, health and legal assistance, and safe shelter. Due to absence or insuffi ciency of safe shelters, GBV survivors will have no option but to remain in unsafe living environments. 250,000 people suff ering confl ict-related trauma do not receive psychosocial support. 34,000 IDPs and confl ict-aff ected people with specifi c needs, in particular persons with disabilities, older people, and female-headed households, are further marginalized, due to a lack of individual protection assistance.
It is also noted that if critical repairs cannot be completed there are real risks that piped water systems break at critical locations, leaving millions without clean water, and without centralized heating in the winter months. - As people cannot afford other fuel sources, they may be left with no option but to migrate to new areas. - Sanitary conditions would continue to deteriorate near the ‘contact line’, with schools, hospitals and social institutions likely to operate less and less in those areas.