On February 24, 2026, Ukraine marks four years of full-scale war — four years of unprecedented strain on the country, its healthcare system, and millions of families. During this time, millions have been displaced, thousands of medical facilities damaged or destroyed, and uninterrupted access to treatment, prevention, and care has become a matter of survival.
In such conditions, maintaining control over HIV, tuberculosis, and viral hepatitis — while expanding support for people with substance use disorders, veterans, internally displaced persons, and frontline communities — required more than emergency response. It required systemic resilience.
Over four years of full-scale war, the Alliance for Public Health, together with government institutions, international partners, and community networks, ensured continuity of lifesaving services, deployed mobile clinics to frontline villages, scaled digital and telemedicine solutions, strengthened humanitarian response, and reinforced institutional capacity across Ukraine’s public health system.
This report is not only about crisis response. It is about resilience, innovation, and shared responsibility. It demonstrates how, even under bombardment, epidemic control can be preserved, millions of people supported, and the foundation of a modern, adaptive, and future-ready health system built for Ukraine.

