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Each day that passes, the Russia-Ukraine conflict brings more suffering. More than 4 million people have fled Ukraine since February 24, while 6.5 million have become internally displaced, making this the fastest and largest displacement crisis this century. Millions more are stuck in Mariupol, Chernihiv, Kharkiv, Mykolaiv, Sumy and other Ukrainian cities under attack, waiting for agreed “humanitarian corridors” to be safe enough to flee.

“It’s incredibly dangerous, the bombardment into civilian infrastructure attacking residential areas and hospitals,” Bob Kitchen, vice president of emergencies for the ̽����ѡ (̽����ѡ), . “It’s terrible, it’s traumatizing, and people are just trying to survive without power, water and heat. Groceries and shops are running out of supplies.”

An estimated 12 million people are stranded or are unable to leave Ukraine due to increasing violence, destruction of bridges and roads, as well as lack of resources or information on where to find safety and accommodation.

As attacks on civilians continue, people unable to travel to safer parts of Ukraine or neighboring countries are forced to shelter in subway stations and basements. Homes, schools and hospitals—including a children’s hospital and maternity ward in Mariupol—as well as a Mariupol theater sheltering families, have been damaged. At the same time, evacuation corridors are being targeted, preventing people from leaving, and aid workers are being blocked from reaching those trapped and in need of assistance.

All of these are violations of international law.

The number of attacks and airstrikes have significantly increased in the last few days, putting the lives of civilians and humanitarian aid workers at risk and making it extremely difficult to access people who need support and assistance.

The ̽����ѡ is calling for immediate local ceasefires and urgent humanitarian access to the hardest hit areas. “We’ve seen the humanitarian impact of not being able to reach people in besieged areas before and we must not allow the same to happen once again in Ukraine,” Kitchen said in an ̽����ѡ statement, recalling the 3.4 million who were cut off from aid in hard-to-reach parts of Syria.

“As urban areas increasingly fall under siege, the ̽����ѡ is doubly fearful of witnessing the same cruel tactics inflicted on the populations of Aleppo and Idlib across Ukraine.”

What Ukrainians need most

What do people in Ukraine need most right now? “Peace is the most important thing,” says Sasha Galkin, director of , a refugee assistance organization and ̽����ѡ partner in Ukraine. “We need some of these so-called green corridors to allow people to relocate from hotspots like Mariupol, like the Kyiv suburbs.”

“People need just to have freedom of movement in order to leave these places,” he . “And then, of course, the next step—just to relocate and [be] safe.”

As in any conflict, civilians continue to bear the brunt—both within Ukraine as well as those that have fled from the country.

“Families are having to make terrible decisions about whether to send their kids with neighbors or relatives to safety while they stay and try to protect their home and their belongings,” says the ̽����ѡ’s Bob Kitchen. “Otherwise, people are picking up whatever they can carry, the clothes on their back, and are trying to make their way across the country through increasing danger as they move.”

Refugees from Ukraine board a bus at the Medyka border crossing, Poland. The ̽����ѡ and our partners in Poland and Ukraine are providing emergency support.

Photo: Francesco Pistilli for the ̽����ѡ

The ̽����ѡ is particularly concerned for the safety of the many women and children who are becoming displaced within Ukraine or fleeing to other countries.

“This is like nothing we’ve ever seen before—the speed of displacement is unprecedented and the humanitarian needs are soaring each day, especially for women, children and the elderly that make up the majority of those displaced,” says Heather Macey, ̽����ѡ emergency team lead in Poland. “We’ve seen that people are arriving at the Polish border, with goodwill and intent, offering homes and transport to people who have fled the crisis, but this of course poses a massive security risk for vulnerable people who could fall victim to crime, exploitation or trafficking.”

We are calling on world leaders to prioritize support and protection services for them in what has become the worst humanitarian crisis Europe has seen in decades.

Skyrocketing health needs

Attacks on health care facilities, ambulances, and health workers—more than 60 in just four weeks—are limiting access to lifesaving services and supplies in Ukraine. Mothers are expected to give birth to 80,000 babies in the next three months without access to adequate health care.

The ̽����ѡ's experience shows that when people are trapped and health and sanitation facilities are targeted, diseases like cholera spread and preventable deaths skyrocket.

How is the ̽����ѡ helping inside Ukraine?

The ̽����ѡ is working with local partners like Right to Protection in Ukraine to provide information on registration for displaced people, housing, employment and refugee rights, as well as psychological support, through a dedicated hotline. Together we’re also providing emergency assistance—including cash, groceries, cook stoves, warm clothes, sleeping bags and blankets—to people displaced from their homes.

We’re also providing evacuation services for people trying to leave besieged areas. “We collect information [on] how they can reach safer places and then provide it through our Facebook, through our hotline,” says Sasha Galkin of Right to Protection. “People call and ask various questions ...  How I can actually leave Dnipro? …  If I go to Poland, what I can expect there?”

How is the ̽����ѡ helping Ukrainian refugees?

Of the more than 4 million people from Ukraine who have become refugees, over 2 million have fled to Poland.

“People are arriving freezing cold and exhausted and traumatized,” says Bob Kitchen. “And organizations like the ̽����ѡ are there to welcome them to give them basic supplies, warm clothes, blankets, and … start giving the information and the trauma counseling that they need to make decisions about where they’re going to go next and what they’re going to do.”

The ̽����ѡ’s teams on the ground in Poland are working with local partners to provide psychological support and legal counseling, and have also distributed medical supplies, sleeping bags and other essentials. Our partners are also providing refugees arriving from Ukraine with vital information through an existing hotline and—with support from social workers, interpreters, and cultural assistants—connecting them to the services they need.

“It is difficult to describe how scary it is to hear sirens all the time," Iryna, who fled to Poland with her daughter and her sister's family, told the ̽����ѡ. "We had to go to basements and shelters several times a day."

Photo: Francesco Pistilli/̽����ѡ

After crossing the border, many refugees are heading to Poland’s largest cities and finding their Ukrainian currency has become so devalued they are unable to afford to buy the things they need.

“The scale of humanitarian assistance that’s required is huge and it is gaining pace in cities like Warsaw and Krakow where … we’re starting to get programs in place to distribute cash so people can make their own decisions about what their needs are and how to fulfill them,” says Kitchen.

“The whole system is gearing up, bracing for impact with so many more people on the way.”