A surgery that couldn’t wait: Oleksandr’s story from Kraków

This story shows how timely support, proper referrals, and persistence can make a crucial difference. It also highlights how important it is to have someone by your side in a complex system — someone who helps you not give up after the first refusal.

Oleksandr (name changed) lives in Kraków. He is a person living with HIV, has an officially recognized disability in Poland, and has long needed urgent joint replacement surgery. Delaying the procedure was dangerous: each month the pain increased, mobility worsened, and doctors warned that postponement could significantly affect the outcome. There was a real risk that the surgery might no longer bring the expected results, and his quality of life could deteriorate to the point where he might lose the ability to walk independently.

At the beginning of the year, before March 5, Oleksandr learned that he could not proceed with the planned surgery — the healthcare system did not recognize his UKR status as valid health insurance coverage. For a person with a disability and urgent medical needs, this was not just a bureaucratic issue but a serious threat to his health.
“When I was told I couldn’t have the surgery because of my status, it felt like complete hopelessness. I understood that if nothing changed now, it might soon be too late,” he says.

That’s when he reached out to Fundacja HelpNowHUB. A consultant assessed his situation and started exploring possible solutions. First, he was advised to contact the employment office, but he was refused there. The next step was to apply to MOPS as a low-income person with a disability. In such cases, individuals may qualify for both social support and state health insurance. Oleksandr went there on his own — and was refused again.

“After the second refusal, I felt like giving up. It seemed like the system was completely closed, and no one even wanted to understand my situation,” he says.

However, the story did not end with another “no.” With the support and guidance of Fundacja HelpNowHUB, he continued searching for a solution. During this time, he was also supported by a Polish man who explained that the refusal had been unjustified and accompanied him to the institution again. This time, the situation finally started to move forward.

As a result, Oleksandr received state health insurance, which allowed him to undergo surgery on one leg. He is currently in rehabilitation. The next stage of treatment is ahead — surgery on the second leg is planned in a few months. He is concerned about whether the insurance will remain valid, but now he knows he is not alone.

“For me, this was not just about paperwork or formalities. It was a chance to move normally again and live without constant fear that I might not be able to stand on my feet tomorrow. I am truly grateful for the support and for not being left alone with this problem.”

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This publication was prepared by Fundacją HelpNow HUBwithin the framework of the project “From heart to heart” in partnership with Fundacja Step by Step and Fundacja Res Humanae, with financial support from the Elton John AIDS Foundation.

More than 50 organizations call on the Polish authorities to guarantee access to healthcare for Ukrainian refugees

Following legislative changes that came into force on 5 March 2026, some Ukrainian refugees lost access to social benefits that had effectively ensured their health insurance coverage. This situation is already causing serious concern, as it directly affects access to medical treatment for those who need it most.

That is why Fundacja HelpNowHUB, together with more than 50 civil society and expert organizations, signed a joint appeal to the Polish authorities, calling for an urgent response to this issue.

The aim of the appeal is simple but critical: to ensure uninterrupted access to healthcare for people whose treatment is, in many cases, literally a matter of life and death.

In practice, these legislative changes mean that older people, persons with disabilities, and people living with serious illnesses have effectively been left outside the public healthcare system — without adequate protection and without guarantees of continued treatment.

Organizations and medical professionals are already receiving numerous requests from people who lost their insurance coverage in the middle of treatment. This means a risk of interrupted oncology care, loss of access to dialysis, and other life-saving medical procedures. In such cases, this is not a matter of comfort — it is a matter of survival.

This situation contradicts basic human rights principles. The state has an obligation to ensure access to healthcare, especially for those in the most vulnerable situations.

In the joint appeal, the signatory organizations call on the Polish authorities to take concrete action:

  • restore access to long-term social assistance for people who are unable to work;
  • guarantee health insurance coverage regardless of access to social benefits;
  • establish transitional mechanisms so that people do not lose treatment in the middle of a medical process.

Since the beginning of the full-scale war, Poland has been an important source of support for Ukrainians forced to flee their homes. That is why it is especially important now to preserve this level of support — particularly for those who are most vulnerable.

If this issue matters to you, please sign and share the appeal – https://www.naszademokracja.pl/petitions/apel-w-sprawie-dramatycznej-sytuacji-uchodzcow-z-ukrainy-po-5-marca-2026-r.

Together, we can draw attention to the problem and help change the situation.

HelpNowHUB and international partners align strategic steps for the “United for Health & Life” project during a two-day meeting in Warsaw

At the end of March, Warsaw hosted a two-day meeting of partners involved in the United for Health & Life project, which brings together organizations from Sweden, Ukraine, Germany, and Poland. Representatives of HelpNowHUB Foundation, 100% Life, 100 Percent Life Germany, and Noaks Ark Mosaik came together to align their shared vision for the project, strengthen cross-country coordination, and lay the groundwork for practical next steps in the HIV response.

The discussions focused on the key building blocks of the future collaboration: how the project model should function in practice, which interventions are likely to be most effective, how responsibilities should be distributed among partners, and what common approaches are needed to support people and communities affected by the HIV epidemic. The strategic session also addressed partner roles, expected results, risks, and the next stages in developing the initiative.

The first working day also included a visit to one of Warsaw’s clubs that serves as a safe social space for the LGBTIQA+ community. In an open and welcoming environment, participants had the opportunity to observe how a peer-support model works in practice — from HIV and STI testing to counselling and follow-up support.

The following day was dedicated to a meeting with Polish NGOs, in particular the organization FES. During the exchange, participants discussed the local context and approaches that have already proven effective in Poland, as well as international good practices that have demonstrated strong results abroad. For the international team, this was an opportunity not only to better understand the Polish experience, but also to identify solutions that may be relevant and adaptable in other partner countries.

“For us, this meeting in Warsaw was not only a platform for strategic planning, but also a space for strengthening trust between partners. It is through this kind of cooperation that we can develop solutions that respond to the real needs of communities and help countries address the challenges of the HIV epidemic more effectively,” said Anna Ariabinska, President of HelpNowHUB Foundation.

The meeting in Warsaw marked another important step toward stronger international partnership and the development of innovative practices that will help participating countries respond more effectively to HIV-related challenges.

The project is implemented with the support of the Swedish Institute (Svenska institutet) within the framework of the Baltic Sea Neighbourhood Programme.

Study for migrants living with HIV in Poland

Fundacja HelpNowHUB, within the framework of the project “From Heart to Heart”, in partnership with Step by Step Fundacja and Fundacja Res Humanae, with financial support from the Elton John AIDS Foundation, invites you to participate in the study “HIV + Barriers and Stigma in Poland.”

The study aims to explore the barriers and stigma faced by migrants living with HIV in Poland.

The goal of the research is to improve access to services, support, and treatment for people in migration.

Study period: April 1 – July 30, 2026
Duration: approximately 45 minutes
Format: online or by prior arrangement
Participation bonus: a 70 PLN voucher for purchases in a popular Polish grocery chain
Confidentiality: participation is fully anonymous; no personally identifiable data will be collected
Limited number of participants: up to 400 people

If you are a migrant living with HIV in Poland, your experience is extremely important. It will help identify key challenges and improve access to essential support.

To participate, please contact:
+48 786 640 460
+48 721 752 114
+48 575 023 612
(daily from 8:00 to 18:00)

Or email: helpnowua@gmail.com

Join the study — your voice can make a difference!