The goal of the project is to create a sustainable, integrated and scalable system of medical, rehabilitation and psychosocial care for children affected by the war in Ukraine. The project is aimed at overcoming the critical shortage of specialized services caused by the sharp increase in injuries, surgical interventions and mental disorders among children, as well as at forming a continuous patient route - from emergency care to full rehabilitation. The achievement of the set goal will be ensured through the implementation of 3 interconnected components, which together form a single ecosystem of care. 1. Creation of a multidisciplinary children's medical center (5 floors, 7 clinical departments), which will provide services in pediatrics, surgery, intensive and emergency care, diagnostics, rehabilitation and mental health. The capacity of the center is up to 140 thousand applications per year, about 5 thousand surgical interventions, 102 beds. This will significantly reduce the shortage of specialized care for children with combat and indirect injuries, as well as reduce waiting times and waiting times for treatment. 2. Formation of a research center / Center of Excellence focused on rehabilitation, trauma treatment and research on the impact of conflict on children's health, with a focus on the implementation of evidence-based approaches and training of personnel. This will contribute to improving the quality of medical services and creating a basis for long-term systemic transformation of the industry. 3. Implementation of a virtual medical center that will ensure access to mental health services for children and families throughout Ukraine, reducing regional disparities and the burden on the inpatient system. The financial and institutional sustainability of the project will be ensured by a combination of state funding, donor support and cost optimization through the joint use of infrastructure and resources, which creates the basis for scaling the model in other regions of Ukraine.

1. Overload and fragmentation of the pediatric healthcare system Problem. As a result of the war, the number of children requiring surgical treatment, intensive care, and rehabilitation has significantly increased. The existing infrastructure is operating at capacity and does not provide a continuous patient route, which leads to delays in treatment and a decrease in its effectiveness. Project implementation result. The creation of a multidisciplinary children's hospital will provide an integrated model of medical, rehabilitation, and psychosocial care, which will allow servicing up to 140 thousand applications per year, performing about 5 thousand surgical interventions, and significantly reducing the waiting time for medical services. 2. Insufficient capacity of the pediatric rehabilitation system Problem. Existing rehabilitation facilities are limited and not adapted to work with children with complex injuries, which leads to incomplete restoration of functions and long-term social consequences. Project implementation result. The introduction of a specialized rehabilitation unit will ensure early and continuous rehabilitation, reducing the risk of disability and increasing children’s chances of full physical and social integration. 3. The crisis state of children’s mental health Problem. More than 2 million children are at risk of developing mental disorders, while access to specialized care is limited, especially for remote and affected communities. Project result. The creation of a Mental Health Support Center and a virtual medical center will ensure scalable access to psychosocial care, early intervention and a reduction in the need for inpatient treatment. 4. Lack of modern infrastructure and evidence-based approaches Problem. Outdated medical infrastructure and limited opportunities for scientific research hinder the implementation of modern clinical protocols and the development of human capital in the field of pediatric medicine. Project result. The establishment of the Center of Excellence will allow for the implementation of evidence-based practices, training of personnel and formation of national expertise in the treatment of injuries and rehabilitation of children. 5. Limited accessibility and inequality in the provision of services Problem. Children from remote communities, internally displaced persons and vulnerable groups have limited access to highly specialized care. Project result. The combination of stationary and virtual models of service provision will reduce regional disparities and ensure equal access to quality medical and psychosocial care.