You can write directly to the frame buffer, like a video game. You still need the UIKit import to publish, because it has to be bundled into a .ipa which requires an AppDelegate, a UIBundle, among other things.
If you want to “technically” avoid UIKit, you can drop one step lower. UIKit is implemented on CoreAnimation. A bare UIView is nearly a pass through wrapper around CALayer. It wouldn’t be hard to build your own custom UI on CALayers. The old CA tutorials for implementing a ScrollView from the ground up are still floating around out there.