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A visit to Somalia's crumbling hospitals shows the toll of aid cuts and war

U.S. aid cuts led to job losses for over 6,000 health workers and impacted 2,000 facilities, worsening healthcare amid Somalia's focus on security over public services.

  • This year, an Associated Press visit found Somalia's public hospitals crumbling and heavily dependent on donor funding at Banadir Hospital, Mogadishu, and De Martino Hospital, Mogadishu.
  • The Trump administration's dismantling of USAID this year worsened Somalia's health funding gap, while Somali officials say their security focus on a 'total war' against Al-Shabab has hurt public services.
  • Officials say U.S. aid cuts caused over 6,000 health workers to lose jobs and affected up to 2,000 facilities, while Somalia's Ministry of Health received $91 million allocated this year, mostly tied to donor-backed projects.
  • Many people outside Mogadishu now lack functioning public hospitals, forcing patients from rural southern Somalia to travel insecure routes; parents avoid vaccinations as diphtheria spreads, while Banadir and De Martino hospital staff warn services may halt without United Nations and international humanitarian groups.
  • With attacks reduced in recent months, Somalia's Ministry of Health is developing a contingency plan after USAID funding loss while De Martino Hospital director warns contracts with two humanitarian groups expire at the end of 2025.
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Las Vegas Sun broke the news in Las Vegas, United States on Thursday, November 27, 2025.
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