Provision of coordinated multi-sectoral humanitarian assistance to the most vulnerable communities in eastern and northern Ukraine. ltpgtltspangtSince February 24, 2022, the war between the Russian Federation and Ukraine caused death, destruction, displacement, and suffering on a large scale. Russia's war against Ukraine represented a major escalation from the previous eight years of conflict, with missile attacks in cities across the country and ground troops moving in from the north, east, and south. The systematic destruction of key infrastructure resulted in exacerbated needs of the conflict-affected population hindering their access to essential services, especially in Eastern and Northern Ukraine. As of April 2023, the Office of the High Commissioner for Refugees (UNHCR) recorded a total of 22,734 civilian casualties across the country: 8,490 dead and 14,244 injured. lt/spangtltbrgtlt/pgtltpgtAccording to the HRNP 2024 there are about 14.6 million people in need of assistance in different sectors including Health, Protection, Education, WASH, Shelter/NFI and Livelihood. ltbrgtAs for the Water, Sanitation, and Hygiene (WASH) sector, the conflict has negatively affected the provision of key services and availability of resources resulting in disruption of drinking water supply and worsening quality of water due to damages to the existing water network and energy infrastructure that feeds pumping stations and treatment plants. These negative impacts further exacerbate the pre-existing vulnerabilities of populations residing in Eastern and Northern oblasts where the drinking water infrastructure suffered from degradation and poor quality already before the the conflict. Health facilities (hospital, clinics, ambulatories) in these areas have reported difficulties in providing support to the conflict-affected people due to the lack of water supply, problems with wastewater management and structural damages of buildings caused by missile strikes and shelling. According to the World Health Organisation (WHO), 288 health facilities were damaged as of June 2023, mainly in the East and North of the country. Out of these, 47 are in Kharkiv and 50 in Donetsk oblast (HeRAMS Ukraine Baseline Report 2023).  ltbrgtMoreover, although knowledge of safe hygiene practices is widespread in Ukraine, the disrupted access to WASH services and poor water quality increase the risk of water-borne diseases among the most vulnerable people and those chronically ill. ltbrgtAs for the Shelter/NFIs sector, damages to housing infrastructure have contributed to sharp increase in basic shelter needs of the Ukrainian population. Around 7.9 million people are in need of Shelter/NFI support including equipment and materials for repairs (HRNP 2024). According to the Ukrainian government and the World Bank Rapid Damage and Needs Assessment (RDNA2, 2023), the recovery and reconstruction needs are estimated at 411 billion USD with the housing sector alone accounting for 69 billion USD. Across Ukraine, 1.4 million housing units are reported destroyed or damaged (HRNP 2024). One-third are damaged beyond repair and the remaining ones are partially damaged. Housing damage is among the leading causes of displacement in Ukraine: IDPs often leave without the resources required to cover their living expenses, thus exposing themselves to the risk of eviction or resorting to negative coping mechanisms.  ltbrgtThe conflict has also negatively impacted access to livelihoods and severely affected market stability. Even though food and other basic commodities are available in the regions of Ukraine that have now passed back under the government control, without liquidity and assistance through financial or in-kind support (NFIs), these items are not accessible to the most conflict-affected population groups. ltbrgtVulnerability is highest among households (HH) that are left with damaged homes and no means of livelihood. The situation appears particularly critical in the Donetsk and Kharkiv oblasts where, according to RDMA2, HH shelter needs amount to 19.9 billion USD and 17.8 billion USD respectively. lt/pgt