Hundreds of thousands of people have fled heavy fighting in eastern and south-eastern Ukraine, with many now staying in temporary accommodation in and around Dnipro and Zaporizhzhia. Local communities and authorities have transformed every possible place – homes, schools, churches, sports complexes, offices, administrative buildings and hotels – into shelters to offer a safe place to stay. MSF teams run mobile clinics offering medical and psychological support to vulnerable people and are expanding activities to meet the growing needs in more than 70 shelters. Each mobile clinic team is made up of a medical doctor, nurse, psychologist and health educator. People staying in the shelters are particularly vulnerable. MSF teams see many elderly, people with disabilities, and people who can’t afford to make the journey further west in Ukraine or abroad. As time goes on, people’s mental health is impacted by the growing uncertainty and loss of hope as it becomes less and less likely they will be able to return home.