 Thank you very much for joining us such early morning. Usually in Ukraine in this moment, the alarm is finished and all the missile attack is finished because they are attacking us in the night, so we could speak. And I wanted to start today's meeting. It's right now all Ukraine is keeping the minute of silence for those who are killed in this brutal war. So I suggest for us to take the minute to reflect and to remember all the victims of this war. Thank you. I'm Hannah Dovbach, Eurasian Harm Reduction Association. I'm very, very happy to facilitate this meeting and happy for you to come. Thank you very much for this support and for all tremendous support your countries, your citizens, everybody providing to Ukraine and to Ukrainian refugees. Today we will speak about the response, response of Ministry of Health, response of a civil society community. And I have absolutely tremendous panel to present this response which we all gave during this year of the full scale war. So the first, from the very beginning, I will give a floor to our absolutely heroic Ministry of Health who developed the response from the first minutes of the full scale invasion of Russia in Ukraine. So I am presenting Anna Shemet, Ministry of Health of Ukraine, the representative of Ministry with her presentation. Good morning, colleague. And I want to start our presentation. Elisa, please, next slide. Before down of February 24th, 2022, Russia launched a full scale invasion across Ukraine using land, sea, and air. By sunset, Russian special forces and airborne soldiers had sighted the nuclear site of Chernobyl after a bloody battle. And we are advancing into our skirts of the Ukrainian capital, Kiev. Ukraine is standing and is successfully fighting against the enemy. Intense battles and happening in a lot of cities and regions of our country. We have now that are protecting our native land, our relatives, and the future of our children. Elisa, please, next slide. Ukraine has been resisting a full scale invasion by the Russia Federation for more than a year now. During this time, the enemy completely revealed his face and showed that he is ready to destroy absolutely everything that can fall into the crosshair of his weapons. Even if these are patients of healthcare facilities and hospitals themselves, more than 22 million of people were forced to leave their homes. There were 8 million of refugees from Ukraine across Europe as of 27 February 2023. Elisa, please, next slide. As of 7 June 2022, the Ministry of Health of Ukraine reported that after 24 February 2022, Russia destroyed 739 healthcare facilities of which more than 118 were completely destroyed and cannot be restored. Just a few problems of what trace an aggressive nature left behind. Occupation of certain regions and territories. Regions have mostly been affected. The total front line is around 1,300 kilometers. Difficulties in the logistics of drugs, medicine, and other supplies within the regions. An image of destroyed healthcare facilities, medical personnel draining and fling to other regions and countries. Medical works facing overwhelming amount of work, shortage of drugs. Elisa, next slide. And next slide, please. OST program has been implemented in Ukraine since 2004. And significant development has been achieved. Namely, scientific advice-based standards of treatment have been implemented. Since 2007, OST drugs have been procured with the state budget funds covering 100% of the needs of the regions. Since 2020, the Medical Guarantee Program provides free OST services. Since 2020, OST has been implemented in detention facilities. More than 95% of HIV-positive patients receive ART treatment, progressive policies regarding OST. Ambitions, studies, and procedure for OST implementation. Elisa, effective intersectoral cooperation on OST issues has been established. The list of service providers has been expanding. Treatment can be provided by any trained doctor. A number of training courses has been reasoned. Large-scale prescription of OST drugs for self-administration more than 90%. Next slide. Yes, the organization of OST service has always been a complex process due to a number of reasons. In particular, the fact that patients have to take drugs daily and the drugs fall under the category of strictly accountable, there are individual and complex regulations regarding their storage, dispending and transpiration. As a result of military aggression, some healthcare facilities were destroyed. Since February 24, data has been received that in the result of military action, 16 healthcare facilities providing OST services has been damaged. The total number of patients' public healthcare facilities who dropped out of the OST program in 2022 is 66666 which is 2363. More patients than is 221. Next slide. Difficulties with logistics of OST drugs due to the uncertainty of the situation regarding the temporary occupation is the terrorist risk on the roads and the need to pass checkpoints. The logistics companies that deliver the drugs refuse to make the plan to deliver the drugs. In turn, the regions having used to walk under normal conditions where deliveries were made according to the schedule did not inform about the planned execution of the drug stocks while waiting for the delivery of all these created significant risk of treatment interruption. Since 2017, the OST drugs were procured with the state budget funds. In turn, the specific procurement including the timelines of its performance was put at risk in the result of a budget deficit caused by the invasion of the aggression country. The situation was also complicated by the fact that in the first month after the invasion, the national manufacturers from whom the drugs were procured in the recent years actually terminated their activities. Destroyed roads, shelling, suspension of public transport lead to the fact that medical walks, walkers and patients often could not get to health care facilities. The specific situation significantly increased the risk of treatment interruption by patients and termination of OST services provisioned by health care facilities. National drug manufacturers stopped walking, occupation of territories and stopping of OST programs. As a result of hostilities, some patients were forced to leave their homes and seek safe shelter in safer regions bought within the country and abroad. The world forces the majority of patients on the OST program to move within the country. Termination of activities on the private health care facilities, the party of OST patients abroad considering the fact that most of the patients of the OST program are men, they do not go abroad frequently. At the same time for those persons who expressed their intention to go abroad, there was an acute problem of obtaining information about places of treatment in other countries. In order to solve the situation, the specialists of the public health center collected information about where they could get OST services abroad. Panic lack of confidence that the program can continue to walk miscommunication. Next slide. Decrease in the number of patients under treatment was observed in some regions. Next slide, please. Responses right now. Doctors and nurses are one of our most valuable resources. Medical walks are having equally critical fights for life and the health of soldiers and civilians. Every day health care system services countries request from those who want to give a helping hand to Ukrainian clinical and hospitals. Next slide. The Ministry of Health of Ukraine, the public center of Ukraine, the international charitable funds, non-governmental organizations and partners began a non-stop walk to solve the problem of the field support doctors, medical workers and what is the most important patients. Even in the conditions of bombing, air raids and constant risk to their own lives, specialists continued to be faithful to the mission and stood on guard of tension and protect the health of the population of Ukraine. Next slide. Action were taken. Organization measures were implemented. Relevant information was collected about the availability of drugs in health care facilities, about the movement of patients and medical personnel, as well as their needs. The health care system also found solutions to logistical problems, the registration of displaced persons inside the country and abroad, in order to provide support not only to doctors but to patients as well. The health care system promptly established cooperation with the international organizations, state institutions, donors, patients, organizations, volunteers and clinics from all around the world. In order to resolve the situation, the center implemented the following response measures, manual monitoring of the consumption of the OST drugs, taking into account the mentioned risk from the first day after the invasion. The monitoring of the availability of the OST drugs was switched to manual mode. Employees of the PHC collected weekly information on the availability of OST drugs from the health care facilities. Due to the promptly implemented new mechanism, it was possible to prevent the treatment interruption in a number of regions. After the invasion and maintenance of both supplies were suspended for a certain time, time and separate orders were issued to renew them, regulating the delivery of drugs to the final recipients. It was decided that the delivery would be made not only to a designated health care facility on a farm or a pharmacy, the house at the level of the region as well usually the care but also to specific health care facilities that had difficulties in picking up the drugs in the regions by themselves. It was possible to distribute drugs to all recipients on time and to prevent treatment interruption. A mechanism for the delivery of OST drugs was developed and applied to using the measures of the ICP for public health. During this time, the alliance was able to deliver to a number of regions the drugs pursued with the funds of the state budget as well as those procured funds of the GFIM. Taking into account the risk of temporary occupation of certain regions, the risk of disruption of transport connection, the refusal of logistic companies to deliver drugs. One of the mechanisms for providing treatment interruption was the arrangement of buffer stocks of drugs in the regions in order to enable this activity, the order of the Ministry of Health of Ukraine on the storage of narcotic drugs, hydrocarbon substances, and sprecosas under the Martial Law condition was issued allowing the storage of the three months supply of drugs in health care facilities during the Martial Law. Previously, only the month supply was allowed to be stored in the health care facilities. In order to provide for buffer stocks of drugs, the ICP public health alliance and the charity organization 100% Life procured drug resides from the national manufacturer ALC InterChem. Thanks to all the measures taken, it was possible to deliver drugs to all regions in need. Next slide. In order to enable the procurement of the drugs, the APHC provided for prompt procurement of drug residues from the national manufacturers and negotiation with the international agencies and agreed procurement of OST drugs with the funds of international projects. The city of manufacturers ready to supply the drug for Ukraine. Next drugs we hand dispensing of OST drugs to patients for self-administration for a certain days. Drugs handed over for a period of up to certain days in case of risk of treatment interruption in regions with active hostilities. Before the introduction of the Martial Law, it was allowed to hand over OST drugs for self-administration for a period of up to days. The center took the following measure and sent it to the new flexible mechanism regions to help care facilities can apply for the amount of drugs they need taking into account to needs of the internally disposed persons rather than begin being limited by the existing schedules. The following has been improved information in exchange between doctors verification of data and the provisions treatment of the patients in the center or database of the health checking data on provision treatment in the Syracs database sent to develop it in the identification mechanism. It was possible to prevent cases of drug abuse. Then patients tried to get drugs in several several places at the same time or cases without being able to identify the patients as the one who received treatment doctors start treatment home the induction stage. Information about OST sites is different countries was collected and the support was provided to patients traveling about in terms of insurance treatment continue. Payment among patients of health professional in consistently of efforts the following post carried out weekly meetings for patients and doctors from the first weeks of the war to inform them of the current situation weekly monthly status report of on the current situation which the OST program weekly meeting of state holders on OST issues as the operative decisions and activities a pilot project has been launched regarding video surveillance of the intake of OST drugs doses ensuring access to new OST drugs which had not been used in Ukraine before buprenorphine and the combined form of buprenorphine plus naloxon suboxone. A study has been launched to examine the effect of self-administration of OST drugs on them and herons to treatment and retention in regulation training of drug of doctors development of online courses to increase the leave of knowledge knowledge of doctors about OST. A number of studies were conducted assessment of change in the drug send assessment to the of the level of knowledge of provides of OST services prevalence of adverse reaction of OST drugs implementation of the medical information system the register of OST patients has been started. Implementation of pilot project on the treatment of HIV on the basic of OST sites in addition to ensure the transparency of decision making weekly meeting of the problem K stakeholders are held separately with the particular pacification of the World Health Organization CDC you know this is a global fund and I see here aliens for public health charity organization one person one hundred person live USAID at such meeting the current stage of provision of OST service and the fun functioning to the program it also discussed the transparency of decision-making communication partnership and the key principles to be currently follow when creating platform for decision-making as of one point one point 2023 the number of people with mental and behavioral disaster due to the use of opioids who were being treated of healthcare facilities was 20 28,523 of which 9,990 people receive service in public healthcare facilities eight thousand six hundred four people in private healthcare facilities in percentage terms in the increase in patients for 2020 2022 in public healthcare facilities was two thousand eight hundred seventy six patients in private five thousand eighty twenty two patients as one point one point twenty twenty three the total number of people who received OST drugs for self-administration outside the public healthcare facilities was 19 percent the number of patients who received drugs for self-administration through pharmacist decreases from 163 people at the beginning of the period to 114 it is difficult to describe all the pain experienced by the citizens of Ukraine we had the opportunity to talk with the doctors providing COST services ordinary people who is the face of a mortal to reach under daily air raids to enemy aircraft under artillery and missile attacks did not leave the city and continue to the resistance thank you for your attention thank you very much Anna and I need to say that that's absolutely unprecedented work which ministry of health and central public health and all our doctor nurses civil society organization together dead and I need I need to say that from the very first minutes of the war this commitment to support people who use drugs and their essential treatment OST treatment and you've heard about research innovations in this time so not only to fulfill the commitment to harm reduction to support civil society to support services but also to innovate to change the system to make it more efficient absolutely unprecedented response and thank you for this example and actually that was very good cooperation between communities who help support each other support their peers civil society who develop the flexible system of delivering drugs and delivering services uh evacuating widening the the range of services and actually I need to to give the floor to representative of people using drugs in the Ukrainian country coordination mechanism representing all Ukrainian Ukrainian network of people who use drugs volna and in the same time etg eights treatment group uh Anton basenka good afternoon so my name is Anton basenka and it's a great pleasure for me to speak after representative of ministry of health with such a detailed um presentation of issues of opioid substitution therapy because i'm one of the first opioid substitution therapy patients in ukraine since 2004 so for me it's really some kind of a personal honor let's say and of course thanks Anna for saving my time because she really presented well the majority of issues we as the community of people who use drugs at least those who are opioid substitution therapy patients were the problems which we faced with um due to this um war um issue so i will speak as Anna mentioned on behalf of two organizations um i will start from a Ukrainian network of people who use drugs next slide please um so it's a network of uh 1500 uh individual members and 28 organizations uh we are doing work on the national level and uh we have our a vaulting seat in in the cabinet of ministers national council on hava it's in tuberculosis which is also ccm country coordination mechanism for the global fund in in the country we have 24 representative offices in on the regional level supporting initiative groups we are doing certain advocacy capacity building we of course advocating and helping to open new service points new opioid substitution therapy sites um we're doing advocacy around legal changes to to have really progressive instead of a regressive or repressive drug policy next slide please um and as you can see we are united and it's a good entry point to the largest key population in Ukraine so estimate number of people who inject drugs it's only who inject drugs estimate number 350 000 people in Ukraine so nobody really tried uh to to calculate properly the the number of people who use drugs i think it's definitely a lot less than a million people um and yeah of course for us our life experience and it's it's the most motivation and of course the peer-to-peer support especially when we are let's say accustomed to live in the war mode let's say i mean the war on drugs mode but when the real war comes into your country and you kind of morally prepared you just of course you just mobilize yourself more and more and you try to find some resources to to you know maybe build some new networks of of help and that's why i want to to show you how how this help could look like in such a critical times next slide please so we were actually one of the first communities who organize and start this support of people who use drugs next slide of course so besides all those issues which which was presented by Anna from Ministry of Health of course people who use drugs as the citizens of Ukraine they faced with the same the same problems as as the common people i mean the houses were destroyed they were in the need of moving to other regions or being evacuated and that's where we as a network of course helped of course we we had certain resources from different organizations but more than two thousands of people who use drugs and their families it's not just people who drugs but their families and relatives they were evacuated with the help of our network next slide please we understand that when your house is destroyed after bombing on shelling and you just or you are moving to another regions of course the first the basic need is where where you live where where would you live so and of course the need of provisions certain temporary residents whether it's a certain shelter or kind of rental rented apartment so more than 400 people received this support from our network as well next slide please of course another basic need is the food and of course we provided we helped with the provision of food sets and more than almost seven thousands of people who use drugs received food assistance from our network thanks next slide please we also realize that it's not just about you know food and and and housing but also certain material aid and some small funds you know for some other needs people really need it as well and almost two thousands of people received certain material aid as well next slide please but what we also of course we are also involved in the we assisted in the delivery of enteroviral therapy and OST drugs because as Anna said when logistics chains were interrupted and of course we were trying to find alternative you know solutions to to to avoid interruptions of life-saving treatment for people in the regions we we we have some opportunity with transport and of course it's our personal commitment as well because it's not only people who use drugs and also personally with HIV and for me and for meaningful part of of people who use drugs let's say in Ukraine of course it's a matter of daily receiving of two medications it's not just opioid substitution therapy it's also ARV interruption of which is is really risky for your life next slide please and of course we support in the system organizing harm reduction programs and access to overdose prevention and here you can see the delivery of harm reduction supplies to one of the regions of Ukraine next slide of course we should always say thanks to organizations who supported us and it would it could be possible without funding and other resources support from the organizations you can see on this slide as well as we always thank you for all who you know who politically supports our community and helps us to to resolve the our issues next slide please yeah I will be really fast so but the first part was about the people in Ukraine so mostly internally displaced people but as representative of European AIDS treatment group it's an oldest network of people living with or affected by HIV and we are based in Brussels in Belgium we celebrated 30 years so of course once first people started to fleeing from Ukraine and the people whose drugs or other communities representatives appeared in EU countries of course it was our also organizational commitment next slide please to start helping them on this side as as as refugees or as the migrants and you can see on these slides what what work we are doing so we had a we organized a separate focal point to coordinate with the different stakeholders and our members and organizations on the local level in the EU member states we contributed to help now UA initiative which my other colleague will will tell more about direct financial support of partner organizations of course we were working with media to raise awareness about what's happening in Ukraine and of course we were collecting donations next slide some policy and advocacy you can also see these specials civil society forum on HIV viral hepatitis in tuberculosis but as a coordination platform for Ukraine and of course we were other events we use for raising the needs of Ukrainian key populations in this emergency context and we've been involved in you know development of certain you know technical documents for Ukrainian refugees and different publications so that's next slide I think that's it from my side thanks a lot for thank you Anton and actually that that's what that was important that how all the country supported and and we all were united and that that's very important to understand the needs and to respond immediately and now I will give a floor to Sergei Filipovich from Alliance for Public Health Ukraine and I hope that Sergei will be fast I will presenting one of the one one of several biggest organizations working in Ukraine how civil society responded Sergei so we described the period which start on February 24 2022 so already already colleagues mentioned that it's create a big challenges to all Ukraine the whole citizens for health care system also many buildings were destroyed the territory occupied and people I need to play or in science country or outside the country so it's about two weeks after was started and you see already near two millions of refugees in neighboring country and then it's up to eight thousand refugees and additional seven seven million so yeah internally displaced people and many health care facilities were destroyed or damaged so all these factors create many challenges for home reduction program for substitution therapy which works from public health center already described and how we manage these issues also many of innovation like transportation logistic of drugs using the alliance in vans mobile ambulance vans and other but starting from first of May 2022 we developed or started developed this service because we start help now I mean we start from chatbot and then date developed services which include chatbot and online case management online medical consultation also we create hubs in Poland and Germany where the biggest number of refugees were allocated very resources and don't mention I want to mention many international partners and national also which without their help it will be difficult to organize services in such short time we put together all information in neighboring country where it's possible to get IRT, OST, other services but I want to mention again that in the beginning first two weeks we mainly or 50% are ended on request in Ukraine because people in Kiev as in hierarchy also ask what shall they do what where they can obtain services or drugs which side function which side not function so and we provide also the information and contact our colleagues at public health center also to provide information navigate patient and organize the possibility for them to receive necessary treatment and services so we describe challenges which particularly in OST area our people face in countries German others I don't want to describe there in detail but it's different system and we use our colleagues our partners organization in these countries also colleagues who have been in these countries to help help our clients to to get this treatment and because only information on site was not enough so and sometimes they need social support they sometimes or frequently when they ask for translation so and we also support them with this uh in serious delivery for us in Ukraine also many uh since happened particularly new priorities for patients appears like humanitarian needs for food shelters uh and we also like our partner organization work on this so land supported city three shelters during one year in January just open a new one in the hostel format and we plan to open so I want to mention international support and international communication we share experience of civil society in Ukraine we describe how civil society react and face this crisis and also we have received support from regional drug policy commission this commission due media briefings also bring attention to the war in Ukraine and the challenges health system faced in this time so about OST we actually had from each presentation but again it was in March 2022 decrease of number of patients due to acupuncture due to some patient migrated or go to other sites but after all we even managed to increase during the year number of patients so it's public health sectors and also we need to add those who receive treatment from private so actually figures already presented in conclusion so it's clear that community-based services prove the effect effectiveness to sustainability response during the war managed to provide immediate response to urgent needs and challenges provide quick and life-saving services also civil society organization organized operations from the war zones fast need services provided and with this important important lessons with the story with the discontinuation of the life saving services like it was in Crimea occupied and passed as in Ukraine in 2014 repeat again the newly occupied territories so an immediate termination of home reduction services and life saving treatment for people who live with HIV and for people with drug dependency so history represents sanction thank you Sergei and thank you to your team of for this resilient and for this support actually what war is is showing that the true network and true support and true community in the pure meaning and that's what we saw in our Eurasian network Eurasian Association of Harm Reduction we saw how in the first days all around the Eastern Europe Central Asia all our community organizations stand up with Ukraine to support Ukraine and that was 24 seven support never paid by the by the local countries or municipalities never expected like this and we are grateful to Polish colleague Moldova Lithuania Estonia Latvia everybody were mobilized and from our partners Poland became the first stop and first location for millions of Ukrainian and I will give the floor to Magdalena Barknik from precursor foundation for social policy from Poland to share the story of the support and solidarity good morning so after the invasion started in February and March there were 2.4 million entries to Poland and what we saw was the mass solidarity movement of families neighbors local communities and non-governmental organization and enormous grassroots spontaneous mobilization not sorry next slide sorry yeah not counting on state and not waiting for the response private and institutional activists activities overlapped town mayors and community members were transporting those fleeing the war helping them materially and hosting them in the cities everyone helped state involvement was then criticized at that point for being too late insufficient interfering with much more effective spontaneous action next slide please March 12th the act on assistance to citizens of Ukraine was signed giving access to social benefits public health care education and labor market according to European Union agency for fundamental rights survey from published this year among very important data we need to underline that health conditions of refugees residing in Poland are alarming 20% assess it as bad 44% as average the most common barriers to getting medical care is lack of knowledge of language and not understanding the functioning of medical system as of March yes as of March 6th there were more than 1.5 million million people registered for temporary protection in Poland 85% women and children and 15% men next please according to MCDDA transporter breathing an estimated number of people who inject opioids from Ukraine in Poland is between two thousand and eight and a half thousand and OAT patients 120 to 500 before war there were the estimated number of Polish citizens using opioids in injection was between 15 and 70 thousand and there were 3000 OAT patients and that is since 1992 there were around 2500 clients of harm reduction services the current situation of Ukrainian people who inject drugs 120 around 120 OAT patients 380 contacts but that includes also HIV testing so harm reduction services and opioid agonist treatment programs had around 100 people sorry like without the patient so around 100 people of harm reduction services next please when you look at the pre-existing conditions the harm reduction and OST coverage is really low you see the map the blue points are opioid agonist treatment programs substitute a medication is not prescribed by doctor and these three red cities there are harm reduction programs being run there a couple of few needle and surgeries exchange programs in other parts of of Poland OAT and HIV clinics are in urban settings OST is a high high threshold programs with with sobriety regime low access to HIV and hepatitis C really low access to social help no access to self self to safe housing and shelters for people who use drugs and lack of gender sensitive programs next please so in the our project founded by AIDS funds and Mercy Corps supporting people who use drugs coming from Ukraine we're working through outreach online and in-person assistance in assistance in accessing and maintaining treatments emotional support and material aid since 2017 we've been running harm reduction mobile unit with the foundation for social education providing HIV hepatitis C and STI testing and middle syringe program and there were also many Ukraine clients reaching that service next slide please what are the barriers in accessing treatment language and communication providing information is not enough people need to be assisted every stage of the treatment entry process there are different working hours of OST programs and HIV clinics doctors who admit the treatment were for example for two two hours in a week so it's not just an information of address and contact but the people what we when needed really to arrange and schedule the meetings and find out all requirements needed like medical records sometimes translated medical records and so on logistics it's when you're a woman being hosted in the eastern part of Poland because people were taking refugees all around the country and the nearest OAT program is 200 kilometers away and our HIV clinic it is really difficult to reach these facilities if you have a child it's even more challenging and when you realize the situation of people being hosted small virgins and towns far away from urban settings and lack of ability to really communicate whereas harm reduction services can navigate system really well this is really important to to underline the assistance and being with someone at every stage there are also of course unmet needs child care and social help we also helped we also provided material aid of course stigma and fear so we try to ensure the sense of security and offering emotional support once again harm reduction was the place of of safe ground and safe environment there were people saying that we were the only ones they could display their drug use and health status and not talking about this with their host families or any other organization and this is crucial when you think of reaching to people and really getting the getting in touch with them and access and and helping them to get to treatment the barriers and challenging in providing access to treatment administrative issues it's a question of legal requirements in excessive treatment but also a question of ability of addiction facilities to ease treatment restrictions giving patients bigger doses one time for example in for two weeks and not to have patients to come to program every day national program capacity is also in issue as we know that there are already waiting lists for patients to want to enter the treatment lack of psychosocial support safe housing social assistance and employment within the programs and lack of female sensitive approach we we also have to take into account people and move and the continuity of care barriers in accessing harm reduction services not knowing about services not a new environment different needs and of course stigma but the challenge is connected with harsh drug law and a lack like lack of life-saving medications we do not have naloxone available in Poland and people do ask ask for it methodically in liquid form and and it's really I mean it it impacts people and increases risk when it's injected and people on the move and being contact with them this was also was also a challenge so building relationship with the community based on peer work and trying to meet the needs that was our main focus thank you thank you very much for this actually he wrote and what I need to say this war and this this disaster bring us to the real true meaning of harm reduction which is solidarity providing help support employment food place to shelter to stay mental health and unfortunately this would be the systematic problem and we are facing it as a systematic problem which catalyze problems in harm reduction in European country in hosting countries in Central Asia but I believe that in solidarity we really succeed to to do the better systems for Europeans for Ukrainians not together we will win thank you very much