Where we work


Where we work


Nagorno-Karabakh, an enclave in the South Caucasus, has existed under a fragile ceasefire for twenty years. A situation of 'no war, no peace' has become the status quo, leaving the area economically and politically isolated. Despite this, the pioneering Rehabilitation Centre, supported by HART, has become an internationally recognised medical facility and is challenging the stigma associated with disability.

About Nagorno-Karabakh

During the 1920s the Nagorno-Karabakh region was assigned to Azerbaijan by Stalin. Armenians and Azerbaijanis lived together relatively peacefully until conflict broke out in 1988, as the USSR was dissolving. The conflict included the attempted ethnic cleansing of the Armenian population of the region. In May 1994 a ceasefire was brokered, but a formal peace treaty has never been agreed.

The ceasefire has been violated regularly throughout its twenty-year history, with around 30-40 deaths annually. These occur mainly along the 160km front line, where opposing military forces are permanently situated in close proximity. These clashes pose a serious threat to peace, with potential for escalation and miscalculation high. Clear measures are needed to prevent further casualties, including the withdrawal of snipers by both sides, as advocated by the NKR Government. In April 2016 tensions sparked into full conflict in what is sometimes referred to as the 4 Days War, resulting in the deaths of over 200 soldiers and several civilians.

Increasingly divisive and aggressive rhetoric, the proliferation of arms and the harassment of individuals promoting cross-border dialogue pose further threats to peace. International Crisis Group reported in September 2013 that “terms like “Blitzkrieg”, “pre-emptive strike” and “total war” have gained currency with both sides’ planners”. Nagorno Karabakh can no longer be considered a “frozen conflict”.

Efforts to foster a lasting peace, including greater international engagement, increased dialogue and confidence-building measures, are urgently needed.

In April 2020, a temporary ceasefire was agreed by the Azerbaijani and Armenian governments in response to the COVID-19 pandemic in a move which has encouraged those seeking peace in the region.

In the same month, the region has seen political change in the shape of a new President of Nagorno Karabakh, elected alongside 33 National Assembly members.

In September 2020, tensions between Armenia and Azerbaijan exploded over Nagorno-Karabakh and shelling began in the disputed territory on the morning of Sunday 27th September. The conflict is ongoing.

A team from HART visited Nagorno Karabakh in August 2019. You can read the report from our visit below.


Click here for an accessible history of Nagorno Karabakh (Artsakh).


Our Partner

The Lady Cox Rehabilitation Centre



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