WHO counted how many hospitals in Ukraine survived the war and what to expect in 2026

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As of April 2026, 94% of Ukraine’s medical facilities in government-controlled areas continue to operate at least partially. This data is contained in the latest report of the HeRAMS health resource monitoring system, which the World Health Organization has been conducting jointly with the Ministry of Health of Ukraine since 2022. The latest nationwide update, completed in the first quarter of 2026, covered 11,213 facilities – from first aid stations and family medicine clinics to multi-profile hospitals. The figures show a system that has withstood, but operates with deep gaps: 1,089 facilities are not functioning, a significant part of the network has been disabled in the front-line regions, and a shortage of personnel, equipment, and funding limits access to certain types of assistance even in the rear regions.

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How the data was collected

HeRAMS was launched in Ukraine in 2022 to assess the needs of the healthcare sector in emergency situations. Initially, the system covered the most affected regions, and by May 2023, it had formed a complete baseline picture across the country. Since then, it has registered over 2,000 legal entities and more than 11,000 medical facilities. The data is entered by a network of contact persons on the ground, and each facility updates the information or confirms the absence of changes at least once every six months. The April analysis is based on data as of April 17, 2026, and concerns only government-controlled territories. The authors emphasize that the results should be considered as a working tool for planning, rather than final statistics.

Every sixteenth facility is not working

Out of 11,213 evaluated facilities, 1,089, or 6%, are considered non-operational. Among them, 606 are completely destroyed or destroyed, 440 are not functioning for other reasons, and 43 are inaccessible to patients. The geography of losses repeats the map of hostilities: in the Donetsk region, 139 facilities are not working, in the Kharkiv region – 138, in the Sumy region – 66, in the Zaporizhzhia region – 58. These four regions together account for every third non-operational medical facility in the country. In the Donetsk region, only 71 out of 210 evaluated facilities are functioning – two-thirds of the network have been disabled. In the Lviv, Vinnytsia, Ivano-Frankivsk, and Chernivtsi regions, there are no non-operational facilities at all.

Among facilities with damaged buildings, 90% cite hostilities, attacks, or looting as the reason, and for damaged equipment, this figure reaches 95%. A different picture emerges in facilities that have survived physically but are not working fully: 41% point to a lack of personnel, 32% – to the absence of safety. For facilities with limited access to patients, danger is the determining factor, cited by 46%, and 36% acknowledge that the premises are not adapted for people with limited mobility.

Water, heating, and beds

Among the 10,564 functioning facilities, the report found significant gaps in basic infrastructure. Water supply does not meet standards in 7% of facilities, almost 29% of institutions lack proper water storage tanks, and sanitary conditions do not meet norms in 14%. Electricity supply is more stable: non-compliance is recorded in only 2% of facilities, 99% are connected to the national grid, and 49% have generators. Transportation of patients remains a weak link – almost 26% of facilities do not provide it at the proper level, and communication problems are recorded by about 15%.

The most acute situation is with obstetric beds: out of 496 facilities that are supposed to provide them, almost 42% report a lack of beds. A shortage of intensive care beds is felt by 19% of specialized facilities, and a general hospital bed fund – by 8.4%. Among the reasons, facilities most often cite a lack of funding, equipment, and personnel.

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Pediatrics holds on, oncology and cardiology are declining

The best indicators are demonstrated by services for children and nutrition, which are fully or partially available in 53% of all evaluated facilities, as well as assistance for infectious diseases with an indicator of 48%. General clinical and trauma care is available in 31% of facilities, reproductive health services – in 25%, assistance for non-communicable diseases and mental health – in 22%. These percentages are calculated from all facilities, including those where services by profile are not provided, so the low figures partially reflect the structure of the network.

At the level of individual services, the primary link works almost without interruptions: outpatient care meets standards in 96% of specialized facilities, hypertension control – in 98%, immunization – in 97%. Problems are concentrated in specialized care: radiological departments do not meet standards in 43% of facilities, radiation therapy – in 51%, assistance for acute myocardial infarction – in 45%, treatment of cancer – in 39%, hemodialysis – in 32%, mammography – in 30%. In the field of reproductive health, the largest gaps are in emergency contraception with an indicator of 33%, free access to contraceptives – 32%, and family planning – 22%.

Sumy and Zhytomyr regions are anti-leaders

The lowest availability of services does not always coincide with proximity to the front line. In general clinical and trauma care, the worst indicators are in the Sumy, Zhytomyr, and Ivano-Frankivsk regions, in children’s services – in the Kherson, Sumy, and Cherkasy regions, in assistance for infectious diseases – in the Sumy, Cherkasy, and Zhytomyr regions. Reproductive health services are least accessible in the Chernivtsi, Ivano-Frankivsk, and Vinnytsia regions, with only 7% of facilities in Chernivtsi reporting full access. In the direction of non-communicable diseases and mental health, the list is closed by the Sumy, Zhytomyr, and Kherson regions. The list of barriers is repeated from region to region: lack of personnel, medical materials, and equipment. In the Sumy region, 92% of facilities with access problems cite a shortage of personnel as an obstacle to children’s services.

A third of medical facilities work with partner support

About 3,116 functioning facilities, almost 30%, receive significant or partial support from partner organizations. Assistance most often comes in the form of medical supplies, which 95% of recipients report, equipment – 71%, personnel training – 23%. The authors of the report summarize that despite the preservation of the working capacity of most of the network, significant gaps in functionality, infrastructure, and service availability persist, most acutely in the Donetsk, Kherson, and Zaporizhzhia regions. Further monitoring through HeRAMS is considered necessary by the WHO for targeted support and preservation of continuity of medical care in Ukraine.

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