North Macedonia

Legal status and visa requirements for those who were forced to leave Ukraine

Ukrainians coming to North Macedonia as refugees receive a protection status or can apply for asylum.

Check the Red Cross of North Macedonia to know more about the registration within North Macedonia. The process can take up to 30 days.

ckrm.org.mk/en

Ukrainian citizens can enter North Macedonia without a visa using their passports.

Important numbers and contacts for Ukrainians in North Macedonia:

Refugee status/ asylum seeker status/ temporary protection status

Application procedure information can be obtained through the Red Cross.

For those who arrive and stay in Skopje

Helpful is the Red Cross of North Macedonia, there is also a Ukrainian embassy
Red Cross of North Macedonia, Koco Racin street 13, 1 000 Skopje, skopje@redcross.org.mk +389 70 250 054

Embassy of Ukraine in North Macedonia

Learn more about staying in North Macedonia:

Access to the healthcare services

Legal prerequisites for healthcare services and fees

Asylum seeker (AS) card or registration card (RC) and Ministry of Interior (MOI) card, to be obtained through

Ministry of Health; “50 th Divisions 14” 1 000 Skopje contact@zdravstvo.gov.mk +389 (02) 3112-500

Only acute treatment is available, other services e.g. screening, testing, and vaccination depend on the individual assessment. Acute treatment is provided at all state health hospitals.

Below are the public health institutions where the Ukrainians can go. They are located at a university clinic in Skopjie, 17 Vodnjanska Street (17 Mother Theresa Street):

The HAP (Humanitarian assisted persons) get status to stay in the country and the access to healthcare services in emergencies.

Where can the Ukrainians who were forced to leave Ukraine go for the following healthcare services?

It is adviced to contact first the Ministry of Health; “50 th Divisions 14” 1 000 Skopje contact@zdravstvo.gov.mk +389 (02) 3112-500.

Only acute treatment is available, other services e.g. screening, testing, and vaccination depend on the individual assessment.

Check also with Red Cross of North Macedonia:

Services for People Living with HIV

In general, most services are available at:

University Clinic for Infectious Diseases and Febrile Conditions;

Address: Mother Theresa 17

1 000 Skopje;

Phone no: +389 (0)2 3228 224;

ukinfektivna@zdravstvo.gov.mk

Furthermore, there is an NGO supporting the issue:

“Stronger Together”

St. Vasil Karajanov 2/4

phone no. +389 2 3129 200

+389 78 235 632

 kontakt@zp.mk

HIV-testing

HIV testing is available free of charge if asylum and/or humanitarian status has been awarded.

Testing is available at University Clinic for Infectious Diseases and Febrile Conditions

Address: Mother Theresa 17

1 000 Skopje;

Phone no: +389 (0)2 3228 224;

ukinfektivna@zdravstvo.gov.mk

If a Ukrainian citizen tests positive, they should get registered at University Clinic for Infectious Diseases.

Antiretroviral treatment (ART)

It is advisable to contact the University Clinic for Infectious Diseases and Febrile Conditions. It is also advisable to bring a Ukrainian prescription if available, and the medication that was previously prescribed.  Testing of minors is free and available at the University Clinic for Infectious Diseases and Febrile Conditions. For treatment, just like with the adults, the possibility of free service or the prices should be clarified:

University Clinic for Infectious Diseases and Febrile Conditions

Address: Mother Theresa 17

1 000 Skopje;

Phone no: +389 (0)2 3228 224;

ukinfektivna@zdravstvo.gov.mk

Pre-exposure prophylaxis (PrEP)

Pre-exposure prophylaxis is only available if asylum status and/or temporary protection has been awarded.

Moreover, it is only provided for men who have sex with men as an ongoing project at University Clinic for Infectious Diseases and Febrile Conditions.

How long should /can HIV pre-exposure prophylaxis be taken?

The decision to take PrEP and when to stop it is individual and depends on the client’s needs.

Post-exposure prophylaxis (PEP)

PEP is taken for 28 days, is free of charge, and its administration depends on the HIV status of the person and the nature of the possible exposure (i.e. it is only available for medical professionals and victims of sexual abuse).

University Clinic for Infectious Diseases and Febrile Conditions  

Address: Mother Theresa 17

1 000 Skopje;

Phone no: +389 (0)2 3228 224;

ukinfektivna@zdravstvo.gov.mk

Also through

University Clinic for Gynaecology and Obstetrics

Address: Mother Teresa 17, Skopje 1000

Phone no +389 (0)2 322 8440

Services for People Living with Hepatitis B and C

Hepatitis B and C testing, hepatitis B vaccination, and hepatitis B and C treatment availability

Hepatitis B vaccination is available at the public health centres in the country.

Hepatitis B and C testing can be done in public health institutions as well as in the private laboratories in the country.

University Clinic for Infectious Diseases and Febrile Conditions

Mother Teresa 17, Skopje 1000

Phone no: +389 (0)2 3228 224;


University Clinic for Gastroenterohepatology, Skopje

Mother Teresa 17, Skopje 1000

Phone: +389 (0) 2 3147 130

Email: klinikagastro@gmail.com


Institute for Public Health

50-ta Divizija, Skopje, N. Macedonia

02/3125-044 local 205

Email: zkaradzovski@gmail.com

Testing costs: Free of charge

Diagnosis and treatment of hepatitis B is possible in the following facilities:

Hepatitis B and C treatment is provided only at the University Clinic for Infectious Diseases and University Clinic for Gastroenterohepatology.

University Clinic for Gastroenterohepatology, Skopje

Mother Teresa 17, Skopje 1000

Phone: +389 (0) 2 3147 130

Email: klinikagastro@gmail.com

The indications for treatment of hepatitis B and C depend on individual assessment which includes:

  • Clinical presentation
  • Previous hepatitis B/C infection
  • High risk groups (e.g., people with hypertension and hearth disease, HIV coinfection)
  • Laboratory tests results (serology tests, genome sequencing)
  • Fibrosis staging

Treatment options available for hepatitis related liver diseases

Follow up is possible in the treatment centres through

  • Clinical examinations
  • Laboratory tests plus confirming serology
  • PCR tests
  • Abdominal echotomography
  • Fibrosis staging (elastography)

Support systems (harm reduction/safer use, social support, or psychosocial support) available for the Ukrainians undergoing therapy for hepatitis C or related liver diseases

In addition to the diagnostic and treatment centres, there is an NGO:

Hepar Centar Bitola

St. Car Samoil 197, Bitola

phone 00389 78 368557

Tuberculosis services

Most services on TB screening and treatment (including continuous treatment) are available at:

Institute for Lung Diseases and Tuberculosis

Address: Mother Theresa 17

1 000 Skopje

instituttbc@zdravstvo.gov.mk

Bacille Calmette-Guérin (BCG) vaccination for children

It is recommended to ask at the following health care facilities:

Institute for Lung Diseases and Tuberculosis

Address: Mother Theresa 17

1 000 Skopje

instituttbc@zdravstvo.gov.mk

Opioid Agonist Treatment (OAT) Services

In general, most services are available at:

Psychiatry Clinic, the Department and Treatment of Drugs dependence unit

Address: Mother Theresa 17

1 000 Skopje

psihijat@gmail.com;

People arriving from Ukraine should check the following information on OAT:

  • Medication rules on take-home OAT doses
  • What OAT drugs are available in the country and what are the treatment fees

Methadone and Buprenorphine are available.

The minimum age for people who use drugs to receive OAT is 15 years old. More information on the treatment for minors can be obtained at the Department and Treatment of Drugs dependence unit directly.

Ukrainians with humanitarian protection status cannot get treatment for OAT free of charge. If they get asylum status, they can have all benefits with health services like Macedonian people and can receive OAT free of charge at Psychiatry University Clinic.

Sources

General requirements and access to healthcare

HIV

Hepatitis B/C

TB

OAT