Full-Scale Russian Invasion of Ukraine Has Created ‘Psychological Terror,’ Warns Top Aid Coordinator

Ukraine Crisis Deepens as Civilian Casualties Rise

Ongoing Conflict and Escalating Humanitarian Needs

Speaking from Kyiv after another night of air raid sirens and explosions, Mr. Schmale highlighted that the Ukrainian crisis began in 2014 with Russia’s annexation of Crimea. As a result, children born after that year—those now 11 years old or younger—have never known a Ukraine at peace.

The UN Office for the Coordination of Humanitarian Affairs (OCHA) reported a 30% rise in civilian casualties in 2024 compared to the previous year. The humanitarian situation continues to deteriorate, particularly in frontline areas, with 12.7 million people—36% of Ukraine’s population—requiring urgent assistance.

“There are strong offensives by Russian forces, and evacuations are ongoing,” said Mr. Schmale. “We are providing essential supplies, including cash assistance, to help displaced individuals as they move to transit centers and collective shelters.”

Rising Child Casualties and Attacks on Civilian Infrastructure

Toby Fricker, UNICEF’s chief of communication in Ukraine, reported that over 2,520 children have been killed or injured since the start of the full-scale invasion.

“The real number is likely much higher, and the situation is only worsening,” Mr. Fricker stated. “Child casualties increased by more than 50% in 2024 compared to 2023. No place is safe: schools, maternity wards, and children’s hospitals have all been attacked.”

The World Health Organization (WHO) also highlighted the extensive damage to public infrastructure, reporting that 780 health centers and over 1,600 schools have been damaged or destroyed. A recent attack in Odesa severely damaged a health clinic serving 40,000 children and a kindergarten caring for 250 young children.

Women Bearing the Burden of War

Beyond the battlefield, Ukrainian women play a crucial role in sustaining their communities. Geneva Director of UN Women, Sofia Calltorp, emphasized the devastating impact on women, noting that in 2024 alone, 800 women were killed and more than 3,700 injured.

With the majority of Ukrainian refugees and displaced individuals being women, 6.7 million of them require urgent humanitarian assistance.

Funding Uncertainty Threatens Humanitarian Response

Concerns have grown over the impact of the U.S. funding freeze on humanitarian aid efforts in Ukraine. Mr. Schmale acknowledged the uncertainty, noting that U.S. funding accounted for 30% of humanitarian spending in Ukraine last year.

“We remain hopeful that funding will be restored, but as of now, there are no funds flowing despite some exemptions being granted,” he said.

Psychological Toll of Constant Bombardment

The mental health crisis in Ukraine is worsening, according to WHO. Millions endure relentless psychological distress, including a young mother in the Kharkiv region who lives in constant fear amid air raid sirens and drone attacks.

“When children’s hospitals are bombed, when schools are shelled, when power grids are destroyed—children suffer even when they survive,” said Dr. Jarno Harbicht, WHO’s Country Representative in Ukraine.

Rising Civilian Death Toll

The UN Human Rights Monitoring Mission (HRMMU) has verified that since 24 February 2022, over 12,654 civilians—including men, women, and children—have been killed, with nearly 30,000 injured. The vast majority (84%) of these casualties occurred in areas controlled by the Ukrainian government, while 16% took place in Russian-occupied territories.

“Three years of full-scale war in Ukraine have led to persistent and escalating human rights violations,” said Danielle Bell, Chief of HRMMU. “As civilian suffering intensifies, human rights must remain central to any peace negotiations.”

With the war showing no signs of abating, the humanitarian impact continues to grow, deepening the crisis for millions of Ukrainians.


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