Country: Ukraine Source: Health Cluster Please refer to the attached file. Ukraine saw an escalation in aerial attacks compared to the first two months of the year, with over 3,500 air and drone strikes recorded in March alone by ACLED. Between 23 and 24 March, 948 drones were launched in a single 24-hour period – the largest such attack since February 2022, according to ACLED. Civilian casualties in March 2026 rose sharply, with 211 killed and 1,206 injured. The UN HRMMU reported a 49 percent increase from the previous month and the highest toll since July 2025. Overall, the first quarter of 2026 saw civilian casualties rise 20 percent compared to the same period in 2025. As of 31 March 2026, 9 health partners reported reaching more than 500 people with primary health care and MHPSS and prepositioned medical supplies to cover the treatment of 200 patients. WHO SSA verified 42 attacks on health care in March, including a drone strike on a clearly marked vehicle to a health partner’s mobile medical team operating in a frontline area. In a separate incident, an evacuation minibus was struck by an FPV drone while evacuating civilians in Donetska oblast, killing two people and injuring two others. Attacks on energy infrastructure continued to disrupt electricity, heating and water supply, affecting both health service delivery and humanitarian operations. UN HRMMU also reported an increase in strikes targeting railroads and other transport infrastructure. Despite these challenges, the October 2025 – March 2026 winter response concluded at the end of March with 17 Health Cluster partners providing winter-specific assistance to 66,017 people, reaching 67 percent of the 98,058 target. Based on an ACAPS scenario analysis for Ukraine in 2026, there are three possible trajectories: continued war, partial de-escalation, and escalation, each associated with consistent high health risks. Across all scenarios, infrastructure damage, weakened health system capacity, and reduced international funding are expected to widen the gap between needs and response, particularly in frontline and hard-to-reach areas.