Some 640,000 women and girls in Ukraine will be affected by cuts to psychosocial support, gender-based violence services, safe spaces, and economic empowerment programs following the confirmation from US authorities to end practically all financial contributions to the UN reproductive and sexual health agency (UNFPA).

A young mother, five children in tow, steps off a train in the central Ukrainian city of Dnipro, holding a small bag. She is fleeing Russian attacks in the Zaporizhzhia region, she is also escaping a violent partner, a man who once beat her so severely she suffered a miscarriage. She needs urgent medical attention, legal assistance and a safe place for her children. “We met her at the train station,” says Tetiana, a psychologist with a mobile team since 2022. “We also organized a medical escort and lawyers to help with her documents and referrals.”

Trauma, distress and surging domestic abuse
Tetiana’s unit is one of 87 UNFPA psychosocial support teams, on call for emergency interventions. She can also refer survivors for longer-term assistance, job training and access to legal aid. These resources remain critical for survivors of abuse long after the initial danger has passed – especially in a country where three years of war have caused widespread trauma and deep psychological distress.

Since Russia’s full-scale invasion three years ago, reports of intimate partner violence, domestic abuse, sexual violence and other forms of gender-based violence have surged more than threefold in Ukraine. An estimated 2.4 million people – mostly women and girls – are in urgent need of gender-based violence prevention and response services. “Even after finding some physical safety in Dnipro, many struggle with lingering panic attacks, nightmares and depressive symptoms,” says Tetiana.

UNFPA’s mobile psychosocial support teams are often the first to respond to cases of gender-based violence after the police. Almost two thirds of households in Ukraine report dealing with some form of anxiety, depression or extreme stress, thwarting people’s ability to find work or care for family members. Financial hardship, mass job losses, deaths of loved ones and fears of future attacks are only intensifying their distress. Without proper counselling and care, the cycle of trauma can also be passed down to future generations, risking long-term and wider-spread harm to the community

Roman joined the team in Dnipro as a social worker in April 2022, arranging coordination with social services and public organizations. “We have built a response system for people’s safety and support,” he said, explaining that they are often the first to respond to cases of gender-based violence, after the police. “We are an ambulance of sorts for gender-based violence incidents.”

These services are vital, especially for women without stable income or housing, as the war has put many at risk of economic exploitation or renewed violence. “Many people think surviving the initial threat is the end of the story,” added Tetiana. “But the real healing only starts once they are physically safe. Without psychosocial support, it’s difficult for them to recover from trauma or prevent further harm.”

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Source: The UN

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