An assessment of attributing public healthcare infrastructure damage in the Donbas five years after Euromaidan: implications for Ukrainian state legitimacy

From the onset of the conflict in Eastern Ukraine in 2014, significant damage has been wrought to the public health infrastructure of the Donbas region. To date however, the full extent of that damage which is substantial, has not been documented: attribution of blame for that damage has not been attempted; and the implications for the region’s residents in terms of access to clinics and hospitals has been difficult to assess. This paper presents a spatial database of damaged facilities and relates that to the fighting to assess whether the damage incurred was collateral or targeted. The concept of state capacity is used to frame a discussion of what the consequences are for those residents remaining and for the challenges this crisis presents to the legitimacy of the Ukrainian government.