The Direct Aid team visited this new venue in March 2025. 
The Rehabilitation Center for children with organic lesions of the central nervous system "Rosinka" has been operating as part of the Regional Children's Hospital since 1999. Currently, there is an urgent need to improve childhood medical healthcare, especially for children with nervous system disorders, by providing the Rehabilitation Center with the necessary newly built premises, expanding their area, and providing them with modern rehabilitation equipment. This would serve children, residents, and displaced children in the Transcarpathia region of Ukraine.
 
"Reconstruction of the rehabilitation center "Rosinka" (part of the wing in the building "Б") of the municipal non-profit enterprise"Regional Children's Hospital" of the Transcarpathian Regional Council at 41 Franka Ivana St., Mukachevo"
 
More about the situation
Since the beginning of the war, the municipal  “Regional Children's Hospital” of  Zakarpattia Oblast has been providing medical assistance not only for children of the Transcarpathian region (over 300.000 children), but also for children of internally displaced persons (about 140.000 children are in the region). During the war, up until dec 2024 more than 12,900 children received outpatient medical care, and about 2,500 children received inpatient treatment. All children who were displaced were hospitalized, with their mothers if necessary. 
 
The psychological state of these children, caused by illness, bombings, change of residence and educational institution, loss of friends, etc., leads to an anxious state and the need to work with a psychologist and other specialists. 
 
Such medical services are provided by the institution today, but the quality of the service and the provision of rehabilitation care need to meet the requirements of European standards. There is a significant increase in the number of procedures needed per day. To meet this demand will only be possible if and when a new, larger, and more equipped therapy and rehabilitation center is fully renovated and functioning. 
 
The purpose of this new wing 
The rehabilitation center would be part of the already existing childcare hospital. The new wing is designed to provide disabled and mentally challenged children with both outpatient and inpatient (polyclinic) services. Treatments would include early detection of problems in statokinetic, speech, psycho-emotional development of children, diagnosis, corrective and rehabilitation measures to eliminate identified problems, and to help socialize the child.
 
In addition, the basement of the rehabilitation center building section would include a bomb shelter for patients, mothers, and medical staff. In the event of an air raid, about 50 children would be housed there. The Center also needs a living area for the mother and child (for a comfortable stay, changing clothes, heating food and feeding, and resting between procedures).
 
Significance of early treatment 
Proper early rehabilitation treatment (rehabilitation or habilitation) will reduce the risk of complications and serious health disorders in the child in the future. Accordingly, the number of children with disabilities will decrease. 
 
More about the center, as it is today
The total area of all the Center's premises today is way too small to meet the needs: The team includes neurologists, physical rehabilitation doctors, teachers, psychologists, speech and language therapists, physical therapists, their assistants, and other specialists. Their therapy session rooms are jammed into a small area of 15-17 m2. The rooms for physiotherapy, mechanotherapy, occupational therapy, and massage are also very limited. The common areas (corridors) where parents with sick children wait to be seen by specialists are also small. 
 
The rehabilitation course for a child at the Rosinka Center lasts 18-24 days. It should be noted that 230-250 children receive rehabilitation treatment during the year. In addition, 600-700 children undergo outpatient treatment or consultations with specialists. About 60% of children are treated here in the first three years of life. The expected number of treatment sessions a year would reach 6.000 + occasions. 
 
EU help so far 
The Hospital successfully participated in a EU project "Development of Children's Rehabilitation", and implemented a number of initiatives, including staff training to learn more about new rehabilitation methods and activities. As part of the project new modern rehabilitation equipment has already been purchased from this European budget. This shopping list of equipments included:  orthopedic verticalizers, exercise machines, kinderballs, manual and gentle cycle ergometers, treadmills, rehabilitation gravity cage, computerized movement stimulators, massage tables, hydromassage bathtub, and more. All this expertise and these tools could find a new home when the additional space is ready. 
 
To conduct full-fledged rehabilitation treatment, appropriate areas for the work of the Center's specialists are necessary. If this project is successfully implemented, it would improve the curently existing services majorly:
 
✓ expanding the area will significantly improve the working conditions of the staff with sick children;
✓ expanding the list of medical services by introducing new methods for the proper rehabilitation of sick children undergoing treatment at the regional children's hospital;
✓ will significantly improve the conditions and comfort of the mother and the sick child.
 
Full project documentation is ready. Once funds are secured, this project is ready to go. Implementation would take 6-8 month, by the end we would have a brand new, fully functioning clinic.