Ukraine: Acute Needs Analysis | June – August 2025

Country: Ukraine Source: REACH Initiative Please refer to the attached file. KEY MESSAGES • The areas identified as having acute needs based on the analysis results are located mainly within 20km of the frontline, including Kharkivska, Donetska, Dnipropetrovska, Khersonska, and Zaporizka, up to 50km. • Acute Needs were found to be primarily driven by constraints in access to healthcare, particularly for less mobile populations, and by poor living conditions linked to damaged or inadequate shelters. In frontline areas, protection risks, including exposure to direct trauma (e. g. shelling or gunfire), also represent a major driver of need. • In Donetska Oblast, located within 20km of the frontline and partly occupied, findings suggest particularly acute needs across multiple factors, including health service gaps, conflict-related housing concerns, and limited access to clean drinking water, in a context of persistent protection threats due to the area’s proximity to active hostilities. As such, the area received an Acute Needs (!) classification, which suggests high concern due to high population exposure and limited coping, but a lack of representative morbidity data to analyse risk of excess mortality (see page 5). • The ability to analyze the occupied areas of Donetska, Luhansk, Zaporizka, and Khersonska oblasts is severely limited due to the lack of reliable data and their inaccessibility for data collection; therefore, current conclusions may underestimate the severity of needs in the most vulnerable areas. • The data does not cover 2025-26 cold winter conditions and attacks on energy infrastructure, which lead to widespread electricity and heat outages1. Living conditions during the winter period are likely to have worsened when checked against risk as of analysis time (REACH Cold Spot Analysis2), as even minor shelter issues may lead to acute seasonal needs during winter.

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