Medicine provides a shot of hope
Mobile health clinic welcomed in rural Ukrainian village
LEVKIVKA, Ukraine — Young mothers gather with baby carriages in the morning chill and exchange gossip while waiting to visit a mobile health clinic.
For eight months, the village of Levkivka in eastern Ukraine was under occupation by Russian troops, who cut off roughly 300 residents from the outside world. There was no running water or power, and Russian soldiers would often snatch their cellphones and stomp on them, fearful that locals would betray their locations, residents said. The only medical care was provided by two village nurses, who braved the constant shelling to make house calls with limited supplies.
Though Ukrainian forces recaptured Levkivka in September and power and water are back, medical care is still hard to come by. The medical truck, provided by the United Nations Population Fund and staffed with doctors from Kharkiv, 75 miles to the north, travels around the region, part of a continuing Ukrainian government effort to bring a semblance of normalcy to once occupied villages in the east.
With Russian troops dug in just 50 miles away and the occasional rumble of artillery in the distance, there is a sense of urgency. Ukraine’s military may have cleared the immediate area of Russian forces, but fully controlling territory means more than planting a flag. And in the villages of eastern Ukraine, where many locals speak a blend of Ukrainian and Russian, loyalty to Kyiv is not guaranteed.
Viktor Putyetin, 62, who came to the mobile clinic for a checkup, said
in a whisper that there was significant support for the Russian troops in Levkivka, though he strongly opposed the Kremlin’s designs on Ukraine. He said that under occupation he approached a 22-year-old Russian soldier operating an air-defense battery, who was wearing an arm patch with the Soviet hammer and sickle.
“I asked him, ‘Sonny, have you ever seen the Soviet Union?’ ” Putyetin said. “‘In the Soviet Union, you had to wipe your butt with newspaper because there was no toilet paper. Ask your dad about that.’ ”
While the war is not far from people’s minds, most in the village are preoccupied with concerns like renewing drug prescriptions and dealing with their hypertension and diabetes. Many who arrived for medical checkups
were women.
Halina Romashenko, 26, gave birth to a son, Sasha, just as Ukrainian forces were pushing Russian troops out of the area. For seven months, she received no prenatal care and said she had to hide in her cellar as rockets crashed around her home. She said her family had no money to move and nowhere else to go.
“So we had to stay here,” Romashenko said.
Valentina Kalashnikova, 66, her grandmother, accompanied Romashenko to the clinic, putting on sparkly pink lipstick for the occasion. The stress of the occupation had aggravated her high blood pressure. A shell destroyed her kitchen, and two of her cows were killed. She made an effort to smile brightly, but at times she could not keep the tears
at bay.
“I’m scared, of course, mostly for them,” she said, pointing to her grandchild and great-grandchild. “I’m a war granny.”
Levkivka, a village of tidy homes along the Siversky Donets River, is in a region mangled by vicious fighting. The carcasses of tanks and armored vehicles litter the farm fields. Whole villages have been wiped out.
Russian troops did not subject residents of Levkivka to the kinds of horrors endured in places like the Kyiv suburbs of Bucha or Irpin, where hundreds of civilians were killed. But their presence was still traumatic, locals said. Tatyana Budyanska, one of the two nurses in town, said she was on her way to a house call, her 3-year-old grandson in tow, when Russian troops
stopped her and accused her of passing information to Ukrainian forces. They put an automatic rifle to the boy’s head, she said, but ultimately let them go.
Compared with many neighboring villages, Levkivka appears relatively unscathed, a bit of good fortune that locals attribute to the Russian military’s decision to retreat before the arrival of Ukrainian troops. One morning, residents woke up and the Russian forces were just gone.
This has made Levkivka a refuge for people whose homes fared far worse. Halina Cherednichenko, who is almost 80 and walks with a pronounced hunch, recalled rushing for water when her daughter’s house caught fire in an attack on her nearby village. She now lives in Levkivka, where volunteers provide her with groceries as well as with seeds for a small garden. At the medical center, she said, she gets free pills.
“A lot of people like me died a long time ago, but I’m still moving,” she said.
Alina Okunyeva, an ultrasound specialist with the mobile medical unit, said she had made an expansive survey of the villages once under occupation in Ukraine’s northeast. Some villages still do not have power or water, she said, and telephone communications are spotty. Residents are isolated and suffering from the effects of stress. Hypertension is a major problem, she said, but, in general, people have held up well.
“I thought things would be much worse,” said Okunyeva, 27. “They’ll never beat our people.”