Stroke care has become a priority in Ukraine. It is estimated that up to 130 000 people have strokes in Ukraine each year and mortality from stroke is higher than in most European countries. This document summarizes the findings of several WHO missions that took place from 2019 to 2021 to develop a situation analysis of stroke care in Ukraine and support further actions to improve the situation. The preliminary findings were discussed with national stakeholders in December 2021, leading to proposals for building a stroke agenda in Ukraine. While it reflects the situation before the invasion of Ukraine on 24 February 2022, it is an important contribution to health system reforms and rebuilding in Ukraine