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Somalia healthcare remains on life support
Despite a tense peace, hospitals remain in critical condition, needing injections of investment to begin their recovery.
Last Modified: 23 Mar 2013 11:44

Dr Omar Saleh first came to Kismayo General Hospital in 2007, after Ethiopian forces had stepped in to help the Somali interim government of the time.

But just a year later, Dr Saleh, the World Health Organisation's emergency co-ordinator for Somalia, found himself unable to get to the hospital, as the city fell under the control of the notorious al-Shabaab armed group.

When a coalition of Kenyan troops and Somali forces - the Somali National Army allied with the Ras Kamboni armed group - ousted al-Shabaab in September 2012, hopes for humanitarian access were raised.

Dr Saleh returned to Kismayo in October 2012, his first visit since the city's days under al-Shabaab's harsh rule. He found the hospital, built in 1931 under Italian colonialism, in a sorry state. Four years without adequate maintenance and supplies had taken its toll.

The security situation in the city, held together by a precarious armed peace, is not sufficient for most humanitarian agencies to operate. Many organisations have visited the hospital and have said that they would help, but so far there have been few promises fulfilled, one of the staff told Al Jazeera.

The World Health Organisation is supplying drugs to the hospital, and training teams of medical staff, but many of the rooms here are inaccessible, as crumbling walls and ceilings threaten to collapse at any moment.


Phil Moore/Al Jazeera
Following the liberation of Kismayo by African Union forces and Somali troops, limited access to the city has returned.


Phil Moore/Al Jazeera
The city, on the Indian Ocean around 500km south of the capital, Mogadishu, is a major source of revunue thanks to its shipping port.


Phil Moore/Al Jazeera
Somali troops and Kenyan forces, operating under the umbrella of the African Union Mission in Somalia (AMISOM), maintain an armed peace.


Phil Moore/Al Jazeera
An assortment of militia allied to the government effectively control the city, providing security to visitors.


Phil Moore/Al Jazeera
Much of the hospital has fallen into a state of disrepair, following years of neglect.


Phil Moore/Al Jazeera
Despite the peace, many civilians are admitted to the hospital with conflict-related injuries, with frequent grenade attacks and outbreaks of gunfire.


Phil Moore/Al Jazeera
The hospital is equipped with some functioning equipment, but has a very limited number of qualified medical staff.


Phil Moore/Al Jazeera
With the security situation in the city still precarious, only limited aid and support can reach the hospital. This man, whose throat was injured by shrapnel, awaits further treatment amid the most basic of amenities.


Phil Moore/Al Jazeera
A surgical table sits in a room of crumbling plaster, pockmarked by bullet holes.


Phil Moore/Al Jazeera
Nine-month-old Sumayah Ahmed lies on a mattress in the hosptial, after a bullet hit her stomach. Medics here managed to save her life.


Phil Moore/Al Jazeera
Dr Omar Saleh, Emergency Coordinator for the World Health Organisation, examines a patient on a visit to the hospital.


Phil Moore/Al Jazeera
An armed Somali allied with the national government stands guard on the outskirts of the city.


Follow Phil Moore on Twitter: @fil


images:
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captions:
Following the liberation of Kismayo by African Union forces and Somali troops, limited access to the city has returned.;*;The city, on the Indian Ocean around 500km south of the capital, Mogadishu, is a major source of revunue thanks to its shipping port.;*;Somali troops and Kenyan forces, operating under the umbrella of the African Union Mission in Somalia (AMISOM), maintain an armed peace.;*;An assortment of militia allied to the government effectively control the city, providing security to visitors.;*;Much of the hospital has fallen into a state of disrepair, following years of neglect.;*;Despite the peace, many civilians are admitted to the hospital with conflict-related injuries, with frequent grenade attacks and outbreaks of gunfire.;*;The hospital is equipped with some functioning equipment, but has a very limited number of qualified medical staff.;*;With the security situation in the city still precarious, only limited aid and support can reach the hospital. This man, whose throat was injured by shrapnel, awaits further treatment amid the most basic of amenities.;*;A surgical table sits in a room of crumbling plaster, pockmarked by bullet holes.;*;Nine-month-old Sumayah Ahmed lies on a mattress in the hosptial, after a bullet hit her stomach. Medics here managed to save her life.;*;Dr Omar Saleh, Emergency Coordinator for the World Health Organisation, examines a patient on a visit to the hospital.;*;An armed Somali allied with the national government stands guard on the outskirts of the city. Daylife ID:
1363622985655
Photographer:
Phil Moore;*;Phil Moore;*;Phil Moore;*;Phil Moore;*;Phil Moore;*;Phil Moore;*;Phil Moore;*;Phil Moore;*;Phil Moore;*;Phil Moore;*;Phil Moore;*;Phil Moore
Image Source:
Al Jazeera;*;Al Jazeera;*;Al Jazeera;*;Al Jazeera;*;Al Jazeera;*;Al Jazeera;*;Al Jazeera;*;Al Jazeera;*;Al Jazeera;*;Al Jazeera;*;Al Jazeera;*;Al Jazeera
Gallery Source:
Daylife
Daylife Raw Data:
Somalia's fight for healthcarehttp://aljazeera.smartgalleries.net/gallery/Somalia%27s-fight-for-healthcareen-usAl Jazeerafeedback@daylife.com10Mon, 18 Mar 2013 16:09:46 GMTMon, 18 Mar 2013 16:22:15 GMT http://aljazeera.smartgalleries.net/gallery/Somalia%27s-fight-for-healthcare?image_id=0bET8vb677dlcFollowing the liberation of Kismayo by African Union forces and Somali troops, limited access to the city has returned.Mon, 18 Mar 2013 00:00:00 GMThttp://aljazeera.smartgalleries.net/gallery/Somalia%27s-fight-for-healthcare?image_id=0bET8vb677dlcPhil MooreAl JazeeraAl Jazeera Upload ImagesFollowing the liberation of Kismayo by African Union forces and Somali troops, limited access to the city has returned. http://aljazeera.smartgalleries.net/gallery/Somalia%27s-fight-for-healthcare?image_id=042dfTM041gejThe city, on the Indian Ocean around 500km south of the capital, Mogadishu, is a major source of revunue thanks to its shipping port.Mon, 18 Mar 2013 00:00:00 GMThttp://aljazeera.smartgalleries.net/gallery/Somalia%27s-fight-for-healthcare?image_id=042dfTM041gejPhil MooreAl JazeeraAl Jazeera Upload ImagesThe city, on the Indian Ocean around 500km south of the capital, Mogadishu, is a major source of revunue thanks to its shipping port. http://aljazeera.smartgalleries.net/gallery/Somalia%27s-fight-for-healthcare?image_id=08OraTz2jG4krSomali troops and Kenyan forces, operating under the umbrella of the African Union Mission in Somalia (AMISOM) maintain an armed peace.Mon, 18 Mar 2013 00:00:00 GMThttp://aljazeera.smartgalleries.net/gallery/Somalia%27s-fight-for-healthcare?image_id=08OraTz2jG4krPhil MooreAl JazeeraAl Jazeera Upload ImagesSomali troops and Kenyan forces, operating under the umbrella of the African Union Mission in Somalia (AMISOM) maintain an armed peace. http://aljazeera.smartgalleries.net/gallery/Somalia%27s-fight-for-healthcare?image_id=0coU4zd3V843iAn assortment of militia allied to the government effectively control the city; providing security to visitors.Mon, 18 Mar 2013 00:00:00 GMThttp://aljazeera.smartgalleries.net/gallery/Somalia%27s-fight-for-healthcare?image_id=0coU4zd3V843iPhil MooreAl JazeeraAl Jazeera Upload ImagesAn assortment of militia allied to the government effectively control the city; providing security to visitors. http://aljazeera.smartgalleries.net/gallery/Somalia%27s-fight-for-healthcare?image_id=0fKa6zYeV5932Much of the hospital has fallen into a state of disrepair, following years of neglect.Mon, 18 Mar 2013 00:00:00 GMThttp://aljazeera.smartgalleries.net/gallery/Somalia%27s-fight-for-healthcare?image_id=0fKa6zYeV5932Phil MooreAl JazeeraAl Jazeera Upload ImagesMuch of the hospital has fallen into a state of disrepair, following years of neglect. http://aljazeera.smartgalleries.net/gallery/Somalia%27s-fight-for-healthcare?image_id=0ah49aK4VefKP

Despite the peace, many civilians are admitted to the hospital with conflict-related injuries, with frequent grenade attacks and outbreaks of gunfire.

Mon, 18 Mar 2013 00:00:00 GMThttp://aljazeera.smartgalleries.net/gallery/Somalia%27s-fight-for-healthcare?image_id=0ah49aK4VefKPPhil MooreAl JazeeraAl Jazeera Upload Images

Despite the peace, many civilians are admitted to the hospital with conflict-related injuries, with frequent grenade attacks and outbreaks of gunfire.

http://aljazeera.smartgalleries.net/gallery/Somalia%27s-fight-for-healthcare?image_id=04Qu5FMbxDfvwThe hospital is equipped with some functioning equipment, but has a very limited number of qualified medical staff.Mon, 18 Mar 2013 00:00:00 GMThttp://aljazeera.smartgalleries.net/gallery/Somalia%27s-fight-for-healthcare?image_id=04Qu5FMbxDfvwPhil MooreAl JazeeraAl Jazeera Upload ImagesThe hospital is equipped with some functioning equipment, but has a very limited number of qualified medical staff. http://aljazeera.smartgalleries.net/gallery/Somalia%27s-fight-for-healthcare?image_id=0f1a8UNcYC5nlWith the security situation in the city still precarious, only limited aid and support can reach the hospital. This man, whose throat was injured by shrapnel, awaits further treatment amid the most basic of amenities.Mon, 18 Mar 2013 00:00:00 GMThttp://aljazeera.smartgalleries.net/gallery/Somalia%27s-fight-for-healthcare?image_id=0f1a8UNcYC5nlPhil MooreAl JazeeraAl Jazeera Upload ImagesWith the security situation in the city still precarious, only limited aid and support can reach the hospital. This man, whose throat was injured by shrapnel, awaits further treatment amid the most basic of amenities. http://aljazeera.smartgalleries.net/gallery/Somalia%27s-fight-for-healthcare?image_id=0e6z20t9Ju7ozA surgical table sits in a room of crumbling plaster, pockmarked by bullet holes.Mon, 18 Mar 2013 00:00:00 GMThttp://aljazeera.smartgalleries.net/gallery/Somalia%27s-fight-for-healthcare?image_id=0e6z20t9Ju7ozPhil MooreAl JazeeraAl Jazeera Upload ImagesA surgical table sits in a room of crumbling plaster, pockmarked by bullet holes. http://aljazeera.smartgalleries.net/gallery/Somalia%27s-fight-for-healthcare?image_id=09fC0Sk6cPdXyNine-month-old Sumayah Ahmed lies on a mattress in the hosptial, after a bullet hit her stomach. Medics here managed to save her life.Mon, 18 Mar 2013 00:00:00 GMThttp://aljazeera.smartgalleries.net/gallery/Somalia%27s-fight-for-healthcare?image_id=09fC0Sk6cPdXyPhil MooreAl JazeeraAl Jazeera Upload ImagesNine-month-old Sumayah Ahmed lies on a mattress in the hosptial, after a bullet hit her stomach. Medics here managed to save her life. http://aljazeera.smartgalleries.net/gallery/Somalia%27s-fight-for-healthcare?image_id=0dxn6xk1TtaryDr Omar Saleh, Emergency Coordinator for the World Health Organisation, examines a patient on a visit to the hospital.Mon, 18 Mar 2013 00:00:00 GMThttp://aljazeera.smartgalleries.net/gallery/Somalia%27s-fight-for-healthcare?image_id=0dxn6xk1TtaryPhil MooreAl JazeeraAl Jazeera Upload ImagesDr Omar Saleh, Emergency Coordinator for the World Health Organisation, examines a patient on a visit to the hospital. http://aljazeera.smartgalleries.net/gallery/Somalia%27s-fight-for-healthcare?image_id=0859a3f5cF295

An armed Somali allied with the national government stands guard on the outskirts of the city.

Mon, 18 Mar 2013 00:00:00 GMThttp://aljazeera.smartgalleries.net/gallery/Somalia%27s-fight-for-healthcare?image_id=0859a3f5cF295Phil MooreAl JazeeraAl Jazeera Upload Images

An armed Somali allied with the national government stands guard on the outskirts of the city.



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