According to Ukraine’s Health Ministry, over 2,500 medical facilities across the country have been damaged or destroyed as of early 2026, with 328 completely destroyed. Mykolaiv region is among the regions where health facilities have suffered some of the heaviest losses. WHO estimates that 10.8 million people across Ukraine still need humanitarian assistance in 2026, with needs particularly acute in southern regions like Mykolaiv as they continue to host large numbers of internally displaced persons fleeing from nearby frontline areas.
Humanitarian needs extend beyond physical damage. Workforce shortages, displacement and destruction of healthcare facilities drastically reduce the availability of primary care. Trauma, relocation, increasing workloads and burnout are also widespread among the healthcare workers that remain.
In this challenging context, Acted provides repairs to war-damaged institutions, including healthcare facilities, through the Ukraine Response Consortium, with the financial support of the U.S Government, to restore essential services to civilians.
Mykolaiv’s primary health centers: the beating of the community
The Primary Health Care Center No. 3, in Mykolaiv city center, continues to provide essential services to thousands of residents. The center operates four family medicine outpatient clinics and delivers a wide range of care including palliative medicine, tuberculosis follow-up, and mental health support for both adults and children.
As of November 2025, physicians at the center had signed nearly 7,000 patient declarations, including over 1,000 patients with chronic conditions, 400 persons with disabilities, and close to 400 internally displaced persons. One of the outpatient clinics alone serves an average of 2,075 patients per month.
On January 22, 2025, a drone attack caused an explosion that damaged the facility. The blast shattered windows and doors, creating difficult conditions for both medical staff and patients, particularly during the harsh winter period when temperatures were low. Restoring the facility was essential to ensure a safe and comfortable environment for the provision of healthcare services.
Acted Shelter senior officer showing the newly repaired windows
This facility is an important point of access to primary healthcare for the local population, internally displaced persons, including children, elderly people, patients with chronic diseases, and people with disabilities. The renovation will improve the general condition, safety, and comfort of the premises, as well as create more dignified conditions for patients and medical staff. This is especially important considering the high monthly workload of the outpatient clinic and the constant flow of vulnerable populations.
Rebuilding against the odds: Acted addresses recurring blast damages to protect essential medical services
Acted ensures the continuity of essential services following war-induced damages from aerial attacks to institutions by restoring dignified, safe, warm, and dry service delivery spaces. The repairs of the healthcare center include the replacement of 8 windows (covering over 42 m²), 3 entrance doors (20 m²), and 15 internal doors (57 m²), as well as ceiling repairs. In April, the Health Center was almost fully repaired.
Unfortunately, on April 30, 2026, as a result of a drone strike on a neighboring building, the already installed equipment, including windows and doors, was damaged by debris.
Adapting to shifting frontlines
Four years after the start of the conflict, attacks on urban centres continue to intensify, leaving civilian infrastructure and private property increasingly affected.
Following a second attack that damaged the almost rehabilitated Primary Health Center, Acted repaired the affected windows and doors by the end of April 2026.
“We are witnessing an escalation that increasingly reaches residential neighborhoods, bringing the front line to Ukraine’s urban centers. Beyond the Mykolaiv health center that Acted was repairing and got struck a second time in a drone attack, a direct missile hit the roof of a collective center we support in Dnipro, causing significant structural damage. In recent weeks, central Kyiv has seen some of the most violent attacks on civilians since the start of the war. Acted teams were able to respond with emergency rapid cash assistance to the affected people in the targeted neighborhoods. The attacks on city centers are nothing new, but they demand a constant response. As major cities far from the front-line face growing threats, we keep pace with an ever-shifting reality.” Zoe, Acted Ukraine Deputy Country Director for Programs.
Since the start of the project in 2023, Acted has rehabilitated 12 war-damaged institutions in frontline oblasts, including educational and healthcare facilities such as children’s hospitals and university buildings, and aims to repair a total of 19 institutions by the end of 2026.
Through the Ukraine Response Consortium, supported by the U.S. Government, Acted and its partners provide multi-sectoral assistance to conflict-affected populations in frontline and war-affected areas across Ukraine. The consortium brings together Acted, World Vision, Estonian Refugee Council, Right to Protection, CARE, and IMPACT Initiatives, combining their respective expertise to deliver a comprehensive and tailored response to the diverse needs of war-affected communities.
Activities include the rehabilitation of homes, social institutions, and essential public infrastructure damaged by the war; the provision of emergency relief items, water, and other forms of basic assistance; cash assistance, as well as protection services, including legal aid and mental health and psychosocial support. Together, these interventions help address immediate humanitarian needs while supporting the continuity of essential services and strengthening community resilience.
* This article product is made possible by the generous support of the American people through the United States Government. The contents are the resposibility of Acted and do not necessarily reflect the views of the United States Government.