Global Humanitarian Overview 2023

Ukraine

  • Current People in Need
    17.6 million
  • Current People Targeted
    11.1 million
  • Current Requirements (US$)
    $3.95 billion
People in Need at launch (Dec. 2022)
17.6 million
People Targeted at launch (Dec. 2022)
9.4 million
Requirements (US$) at launch (Dec. 2022)
3.9 billion
Total Population
43.3 million
Income level
Lower middle income
INFORM Severity Index
5.1 / High
Consecutive appeals
2014 - 2023

Analysis of the context, crisis and needs

Russia’s invasion of Ukraine, which started on 24 February, has caused widespread death, destruction, displacement and suffering, and left at least 17.6 million people in urgent need of humanitarian assistance and protection in 2023. They include 6.3 million internally displaced people (IDPs), 6.9 million people who remain at their homes and 4.4 million returnees. The highest severity of needs is among people living in areas not under the Government of Ukraine’s control and in areas directly affected by active hostilities.

In February 2022, the Russian Federation launched missile and rocket attacks in cities across Ukraine, while ground troops moved in from the north, east and south. The Ukrainian counteroffensive retook the north of the country by April. Fighting continues in the east and south, with the front line continually shifting, and many areas becoming newly accessible to humanitarian actors responding to a steadily increasing number of people in severe humanitarian need in these locations.

In October, attacks against energy infrastructure, often in and around urban areas, intensified, further disrupting public services including water, electricity, health care, education and social protection. This will exacerbate needs and likely cause more displacement as temperatures drop as low as -20°C, potentially leading to a humanitarian catastrophe if needs are not addressed. According to the Government of Ukraine, the war damaged 2,677 education facilities, of which 331 are destroyed. Between 24 February and 22 November 2022, there were 703 verified attacks on health care. These attacks took the lives of 100 people, injured 129 and impacted 618 health care facilities. This corresponds to over 90 per cent of WHO recorded attacks on 684 health care facilities across 15 countries/territories during this period.

In the first two months of fighting, the war uprooted more than 30 per cent of Ukraine’s population. More than 6 million people returned to their places of origin by September, including 21 per cent from abroad, but more than 7.7 million people are still trying to find safety and security as refugees abroad. Almost twice as many civilians have been killed over the past eight months (6,114 civilians) than in the past eight years of conflict (3,404 civilians), according to the Office of the United Nations High Commissioner for Human Rights. People in war-affected communities, including near the front- lines, are exposed to constant bombardment, armed violence, and landmine and explosive remnants of war contamination, contributing to dynamic displacements in country.

Among people who remained in towns and villages, assessments show the highest needs are in the east, especially among older people, people with disabilities and other vulnerable groups. The war has severely impacted access to pensions, health care and other basic services, including adequate housing. Older people, including those with disabilities, have encountered challenges accessing bomb shelters and necessary supplies. Meanwhile, northern oblasts have seen many people who have returned requiring humanitarian assistance.

The most vulnerable IDPs include those currently living in collective centres, many of which are not properly equipped to meet long-term accommodation needs. Urgent needs are heating/fuel, construction repairs, food, bathing facilities and essential items. As most of the people displaced are women and girls (64 per cent), sexual and reproductive health services, along with gender-based violence prevention and response services, are critical. Additionally, a significant proportion of displaced people report a family member who is older (39 per cent), chronically ill (30 per cent) or living with a disability (nearly 25 per cent), presenting additional needs concerning financial and social support, health care and accessible facilities.

The war has exacerbated pre-existing inequalities. Across the country, marginalized groups including LGBTIQ+, Roma, people with disabilities and people living with HIV/AIDS are at heightened risk of exclusion, sexual and economic exploitation, violence and abuse. Each group may require special approaches to aid delivery, as they often face discrimination by local authorities when seeking assistance and services.

Projected situation in 2023 and beyond

The war has been marked by severe violations of international humanitarian and human rights law. Since 10 October 2022, the Russian Federation has admitted to deliberately targeting the nation’s energy infrastructure, resulting in the Government of Ukraine estimating that between 30 and 40 per cent of the country’s energy facilities were damaged as of early November, pending damage assessments. Destruction of civilian infrastructure causes severe disruption of electricity, running water, telecommunications, health care, transportation and other essential services. A likely worsening energy crisis in the winter months necessitates urgent additional support related to heating, insulation and fuel.

The war has profoundly disrupted the Ukrainian economy. In addition to the loss of nearly 5 million jobs by August 2022, the nation’s total GDP is expected to contract by more than 30 per cent in 2023, and it is likely to shrink further as the war continues. This will further hamper livelihoods and threaten civil society’s capacity to provide the extensive volunteer support to people impacted by the war.

Across Ukraine, 26 per cent of people report a lack of access to essential medicines and health services, with the situation particularly acute in the east (29 per cent) and south (31 per cent), and with older people worse off. Additional needs include protection, shelter and critical household items, water and hygiene support, and education. Humanitarian space and humanitarian access to areas not under the Government of Ukraine’s control remain extremely limited. This prevents comprehensive needs assessments and assistance at the required scope and scale. However, as humanitarian needs are severe in areas where the Government of Ukraine has retaken control, it is assumed that the situation is similar or worse for communities currently inaccessible to the international humanitarian community.

Response priorities in 2023

In the 2023 Humanitarian Response Plan (HRP), the humanitarian community will target 9.4 million people with multisectoral humanitarian assistance, prioritizing areas with a high intersectoral severity of needs in the east, including in areas retaken by the Government. The target population includes 4.9 million people who remain at their homes, 2.8 million IDPs and 1.7 million returnees.

Ukraine HRP

The financial requirement of US$3.9 billion for the 2023 HRP corresponds to the widespread destruction, displacement and human suffering caused by the war. It also takes into account a potential severe deterioration of the humanitarian situation as a consequence of the energy crisis, which will further deepen humanitarian needs. The response to identified humanitarian needs is based on the concept of complementarity to planning frameworks of the Government, development partners, and Ukrainian volunteer and civil-society organizations. It also takes into account inflation, which makes the provision of aid more expensive.

The 2023 response will focus on two strategic objectives:

  • Provide principled and timely multisectoral life-saving assistance to IDPs, non-displaced people and returnees, ensuring their safety and dignity.
  • Enable access to basic services to IDPs, non-displaced people and returnees.

References

  1. WHO, ‘Surveillance System for Attacks on Health Care’, accessed 22 November 2022.