A/HRC/53/26/Add.1
exceptions, will be obliged to pay for accommodation in collective shelters after the initial
120-day period.
36.
It is necessary to assess the sustainability of the current housing model, particularly
regarding the financial and social pressure on individual hosts. Social tensions are increasing
amidst a rise in rental market prices, increasing inflation and perceived hindered access to
social services and health care for Polish nationals. It still remains challenging for the most
vulnerable to find proper shelter, including those with physical or mental disabilities, older
persons, single mothers with children, persons belonging to ethnic minority groups, as well
as Roma, and refugees of certain nationalities, such as Russians and Belarusians, owing to
the role of their countries of origin in the war. Without any concrete plan or alternatives,
some refugees stay for several months at reception centres designed as transit places for short
stays of two days.
Health care
37.
The Polish health-care system has made tremendous efforts to address, accommodate
and improve the physical and psychological conditions of refugees, including the most
vulnerable. Ukrainian citizens are entitled to medical care, including health-care services. It
is worth mentioning that Polish authorities have coordinated free medical treatment for
Ukrainian refugees not only in Poland but also for Ukrainian patients relocating to other
countries members of the European Union/European Economic Area for the purpose of the
continuation of medical treatment.
38.
However, the process of receiving and providing health care to the refugee population
has revealed issues with some pre-existing features of the Polish system. Specifically, the
Special Rapporteur expressed his concern about the very restricted access to legal abortion
for refugee victims of rape in the current context of an ongoing armed conflict in Ukraine,
making it virtually non-existent in practice and has exchanged views with relevant authorities
and members of the Parliament in this regard.
39.
Under the Act on family planning, human embryo protection and conditions of
permissibility of abortion of 1993, abortion is illegal in Poland with the exception of two
circumstances: when the pregnancy endangers the life or health of the woman; and when the
pregnancy results from a crime, such as rape. In addition to this restrictive legal framework,
the Special Rapporteur was also concerned that practical and other obstacles prevent refugee
women from accessing safe and legal abortion. These obstacles include the stigma associated
with abortion, conscience-based refusal by doctors, ineffective procedures and difficulties in
obtaining formal authorization from prosecutors, which is a requirement to access legal
abortion procedures under the second exception. Understanding that the abortion law is
applicable to all women in Poland, in the current context of the armed conflict in Ukraine,
refugee women, particularly refugee victims of rape, may be particularly affected by such
limitations in law and in practice.
Access to the labour market
40.
With an increasing number of Ukrainians joining the labour market, more and more
refugees are becoming financially independent and able to cover housing and other expenses
on their own. According to official statistics, as at August 2022, approximately 75 per cent
of adult Ukrainian citizens residing in Poland have taken up legal gainful employment.
41.
To facilitate the effective integration of Ukrainian refugees into the Polish labour
market, the Government recognizes university diplomas obtained in Ukraine as equivalent to
corresponding Polish diplomas. Several professions, including drivers and seafarers, have
also benefitted from facilitated procedures to allow them to work in Poland; and the Ministry
of Health, under a simplified system, has authorized health professionals who hold specialist
diplomas issued outside the European Union to work in a number of health professions in
Poland. To enable teachers from Ukraine to work in Polish schools as teaching assistants,
intensive preparatory courses in the Polish language are provided by a designated national
teacher training institute. Other services, programmes and training opportunities are made
available to enable the best possible matching of skills and professional qualifications of
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