I was speaking to some of the women today and some of the staff about the In-Patient Department (IPD). They were telling us about their experience when the shelling occurs. A number of them look at me blankly when I ask if they left Mogadishu when the fighting was at it worst a few months ago. I am beginning to understand this look, it is something like... "lady where do you think we can go? It is not like we have spare change to just take the bus and go"... ok, so it is not their words, but sometimes I wonder if they think these questions are ridiculous. The answer is no, they didn’t move, they just moved into a building with a concrete roof that was in their camp as they knew the mortars would rip through their makeshift shelters. One of the staff who was working last Tuesday when there was fighting close to the clinic tells us of how all the women with their children in the In Patient Department scrambled across the compound to the Out Patient Department which is a larger more solid structure. I look up in the IPD, and see the tin roof, and can only imagine it would provide little protection from heavy artillery. At least the OPD has a concrete roof. It actually puts it into perspective. Even where MSF can try and assist, and offer some level of protection not even the clinic is safe from the level of violence that exists here right now.