Research reports from Ukraine’s frontline: provision of modular civilian medical units where facilities have been damaged, destroyed or are inaccessible

BACKGROUND: The full-scale invasion of Ukraine by Russia in 2022 caused immediate and extensive damage to healthcare facilities, particularly those close to the frontline. A new Irish charity, driven by the business community, undertook to identify and replace facilities in key areas, using philanthropic funds. METHODS: Consultation with local health authorities identified areas where facilities were destroyed, damaged or inaccessible and staff were available to continue to provide services. Purpose designed, equipped and built transportable medical modules in 20' containers were installed. No costs were incurred by local authorities, to whom ownership and operational responsibility were transferred. Data was collected on viability, initial patient contact rates and operation into 2025. RESULTS: 19 modules were installed (eight trauma, five maternity, four primary care, two laboratory), by September2023 and most in frontline communities, at a total cost of €1.7 m. One module was unused and three had to be relocated because of nearby fighting. All active units reported patient contacts (weekly average range 4.2-80.5). Of the 19, 13 remained active in 2025, three have had to close in November 2025 due to nearby fighting and three are unknown/inactive. CONCLUSIONS: Local access to healthcare is central to the life of communities. This project developed and delivered medical modules to frontline communities in Ukraine swiftly and at reasonable cost. Many of those units remain active in 2025. The ability of a 'pop-up' charity to deliver 'plug-in', bespoke assistance may have wider application.