FIFTH SECTION CASE OF YAMSHCHYKOVA v. UKRAINE (Application no. 1574/25) JUDGMENT STRASBOURG 8 October 2026 This judgment is final but it may be subject to editorial revision. In the case of Yamshchykova v. Ukraine, The European Court of Human Rights (Fifth Section), sitting as a Committee composed of: Andreas Zünd , President , Vahe Grigoryan, Sébastien Biancheri , judges , and Viktoriya Maradudina, Acting Deputy Section Registrar, Having deliberated in private on 17 September 2026, Delivers the following judgment, which was adopted on that date: PROCEDURE 1. The case originated in an application against Ukraine lodged with the Court under Article 34 of the Convention for the Protection of Human Rights and Fundamental Freedoms (“the Convention”) on 30 December 2024. 2. The applicant was represented by Mr A.V. Yolkin, a lawyer practising in Kryvyy Rig. 3. Notice of the application was given to the Ukrainian Government (“the Government”). THE FACTS 4. The applicant’s details and information relevant to the application are set out in the appended table. 5. The applicant alleged that she did not receive adequate medical care in detention. She also raised other complaints under the provisions of the Convention. THE LAW ALLEGED VIOLATION OF ARTICLE 3 OF THE CONVENTION 6. The applicant complained principally under Article 3 of the Convention that she had not been afforded adequate medical treatment in detention. 7. The Court notes that the applicant suffered from serious medical conditions, as indicated in the appended table, which affected her everyday functioning. Therefore, she could have experienced considerable anxiety as to whether the medical care provided to her was adequate. 8. The Court reiterates that the “adequacy” of medical assistance remains the most difficult element to determine (see Blokhin v. Russia [GC], no. 47152/06, § 137, ECHR 2016). It has clarified in this context that the authorities must ensure that diagnosis and care are prompt and accurate (see, for example, Gorbulya v. Russia , no. 31535/09, § 62, 6 March 2014, with further references, and Pokhlebin v. Ukraine , no. 35581/06, § 62, 20 May 2010, with further references) and that ‒ where necessitated by the nature of a medical condition ‒ supervision is regular and systematic and involves a comprehensive therapeutic strategy aimed at successfully treating the detainee’s health problems or preventing their aggravation (see, inter alia , Ukhan v. Ukraine , no. 30628/02, § 74, 18 December 2008, with further references, and Kolesnikovich v. Russia , no. 44694/13, § 70, 22 March 2016, with further references). The Court stresses that medical treatment within prison facilities must be appropriate and comparable to the quality of treatment which the State authorities have committed themselves to providing for the entirety of the population. Nevertheless, this does not mean that each detainee must be guaranteed the same level of medical treatment that is available in the best health establishments outside prison facilities (see, for instance, Sadretdinov v. Russia , no. 17564/06, § 67, 24 May 2016, with further references, and Konovalchuk v. Ukraine , no. 31928/15, § 52, 13 October 2016, with further references) 9. Having examined all the material submitted to it, the Court has identified the shortcomings in the applicant’s medical treatment, which are listed in the appended table. The Court has already found a violation in respect of issues similar to those in the present case (see Nevmerzhitsky v. Ukraine, no. 54825/00, §§ 103-05, ECHR 2005 II, Melnik v. Ukraine, no. 72286/01, §§ 104-06, 28 March 2006 and Logvinenko v. Ukraine, no. 13448/07, §§ 68-78, 14 October 2010). Bearing in mind its case-law on the subject, the Court considers that in the instant case the applicant did not receive comprehensive and adequate medical care whilst in detention. 10. These complaints are therefore admissible and disclose a breach of Article 3 of the Convention. OTHER ALLEGED VIOLATIONS UNDER WELL-ESTABLISHED CASE-LAW 11. The applicant submitted other complaints which also raised issues under the Convention, given the relevant well-established case-law of the Court (see appended table). These complaints are not manifestly ill-founded within the meaning of Article 35 § 3 (a) of the Convention, nor are they inadmissible on any other ground. Accordingly, they must be declared admissible. Having examined all the material before it, the Court concludes that they also disclose violations of the Convention in the light of its findings in the case set out in the appended table. APPLICATION OF ARTICLE 41 OF THE CONVENTION 12. Regard being had to the documents in its possession and to its case ‑ law (see, in particular, Logvinenko , cited above, §§ 89-95), the Court considers it reasonable to award the sums indicated in the appended table. FOR THESE REASONS, THE COURT, UNANIMOUSLY, Declares the application admissible; Holds that this application discloses a breach of Article 3 of the Convention on account of the inadequate medical care in detention; Holds that there has been a violation of the Convention as regards the other complaints raised under the well-established case-law of the Court (see appended table); Holds that the respondent State is to pay the applicant, within three months, the amounts indicated in the appended table, to be converted into the currency of the respondent State at the rate applicable at the date of settlement; that from the expiry of the above-mentioned three months until settlement simple interest shall be payable on the above amounts at a rate equal to the marginal lending rate of the European Central Bank during the default period plus three percentage points. Done in English, and notified in writing on 8 October 2026, pursuant to Rule 77 §§ 2 and 3 of the Rules of Court. Viktoriya Maradudina Andreas Zünd Acting Deputy Registrar President APPENDIX Application raising complaints under Article 3 of the Convention (inadequate medical treatment in detention) Application no. Date of introduction Applicant’s name Year of birth Principal medical condition Shortcomings in medical treatment Other complaints under well-established case-law Amount awarded for pecuniary and non-pecuniary damage per applicant (in euros) [1] Amount awarded for costs and expenses per application (in euros) [2] 1574/25 30/12/2024 Yevgeniya Volodymyrivna YAMSHCHYKOVA 1978 cancer lack of/delay in consultation by a specialist, lack of/delay in medical examination, lack of/delay in medical testing 08/01/2022 to 15/03/2025 3 year(s) and 2 month(s) and 8 day(s) The medical care provided to the applicant, who suffered from breast cancer and underwent surgery, cannot be regarded as fully adequate. Despite continuous hormone therapy and periodic examinations, her specialised oncological follow-up was irregular and interrupted for approximately one year and eight months. During that period, she was monitored mainly by non-specialised doctors, while domestic courts had to intervene repeatedly to secure access to appropriate oncological examinations (see Fernandez Iradi v. France , no. 23421/21, 4 December 2025) . Art. 3 - inadequate conditions of detention - (see Sukachov v. Ukraine , no. 14057/17, 30 January 2020). The applicant has been held in Kyiv Pre-Trial Detention Facility from 08/01/2022 to 15/03/2025 (then transferred to Kamyanska Detention Facility). She complained that she had only been afforded 2.5 ‑ 2.7 sq. m. of personal space. As regards other material conditions of detention, she also complained of lack of fresh air, inadequate temperature, lack of natural and electric light, restricted access to running water, no access to warm water in cells, lack of toiletries, restricted access to shower, mouldy and dirty cells, poor quality and insufficient quantity of food, insufficient physical exercise in fresh air, lack of privacy for toilet, Art. 13 - lack of any effective remedy in domestic law in respect of inadequate conditions of detention (see Sukachov v. Ukraine , no. 14057/17, 30 January 2020) 9,750 250 [1] Plus any tax that may be chargeable to the applicant. [2] Plus any tax that may be chargeable to the applicant.