Adegey made the journey from her hometown, around 30 kilometres away, carrying the child she is still breastfeeding. Her older daughter had developed a high fever, body pain and swelling, and for weeks Adegey tried to treat her at home with traditional medicine before deciding to make the journey to hospital.

Somalia

We work across a number of states in Somalia, providing a wide range of medical care – especially to women and children – to both local communities and displaced people.

Consecutive failed rainy seasons and drastic cuts in humanitarian funding exacerbated the health and malnutrition crisis across Somalia in 2025. Health services scaled down just as admissions for severe malnutrition, measles, diphtheria, and acute watery diarrhoea increased. In response, MSF teams provided emergency obstetric and neonatal care, treated malnutrition, launched emergency water trucking, and installed solar panels to ensure reliable power during climate shocks.

 

In Baidoa, Southwest state, our teams continued to provide emergency obstetric care, neonatal services, and inpatient treatment for children with severe malnutrition at Bay regional hospital.

In August, we opened a 20-bed obstetric fistula unit at the hospital, offering surgery and comprehensive support to women living with fistula, a serious childbirth-related injury leading to incontinence and often severe social stigma. 

New Fistula Unit, MSF Supported Bay Regional Hospital

MSF Somalia Operational Map Explorer

Select a region or project to view local activities and 2025 highlights.

Image removed.

Somalia Operations

MSF First Worked: 1979 · FTEs: 101 · Expenditure: 16.6M

In 2025, consecutive failed rainy seasons and drastic funding cuts exacerbated the health crisis across Somalia. MSF provided lifesaving care for mothers and children amid worsening drought, malnutrition, and conflict.

304,200Outpatient consultations
26,500Hospital admissions
66,400Emergency room admissions
10,300Births assisted
Emergency Responses Regular Projects
Image removed.

Baidoa, Southwest State

Teams provided emergency obstetric care, neonatal services, and malnutrition treatment at Bay regional hospital. Mobile clinics reached outlying areas, while emergency water trucking supported displaced communities.

17Displacement sites with new water storage
20-BedObstetric fistula unit opened in August
Emergency WASH Maternity Care
Image removed.

Galkayo, Mudug Region

Operating in Galkayo North and South, MSF ran emergency, maternity, and paediatric services. Teams treated malnutrition and TB, and sent mobile clinics to communities displaced by climate shocks.

TB CareTreatment for TB & drug-resistant TB
Solar PowerPanels installed at Mudug regional hospital
Mobile ClinicsSent to remote displacement sites
Neonatal CareUnit operations sustained at hospital
Regular Project Green Initiative

Compounding climate shocks and funding cuts

Consecutive failed rainy seasons and drastic cuts in humanitarian funding exacerbated the health and malnutrition crisis across Somalia in 2025. Communities already displaced by conflict and climate shocks faced reduced access to food, water, and medical care. Health and nutrition services either closed or scaled down activities in many districts, just as admissions for severe malnutrition, and cases of measles, diphtheria, and acute watery diarrhoea, increased. Intensified insecurity and limited humanitarian access further hampered the scale and continuity of our response. 

Drought Emergency In Somalia
Emergency Response

Water Trucking

activities launched

Deployed immediate water trucking operations to deliver clean, safe drinking water as severe drought conditions worsened across the region.

Infrastructure

17

displacement sites

Set up dedicated water storage facilities to ensure reliable, continuous access to water for displaced communities heavily impacted by the climate shocks.

Protection

Lighting

installations completed

Installed proper lighting throughout the displacement sites to drastically improve overall safety and everyday living conditions for the residents.

"As drought conditions worsened, we launched emergency water trucking activities, and set up water storage facilities in 17 displacement sites. We also installed lighting to improve safety and living conditions."

Operational Highlight

Emergency WASH Response

Lifesaving care and solar power in Galkayo

In Galkayo North, Puntland state, and Galkayo South, Galmudug state, Mudug region, our teams ran emergency, maternity, and paediatric services. We treated children with malnutrition, tuberculosis (TB), and drug-resistant TB, ran the neonatal care unit at the hospital, and sent mobile clinics to displacement sites and remote communities. In these areas, access to healthcare had become increasingly limited as funding cuts reduced services and people had to move in search of pasturable land amid the ongoing drought and conflict.

Adegey made the journey from her hometown, around 30 kilometres away, carrying the child she is still breastfeeding. Her older daughter had developed a high fever, body pain and swelling, and for weeks Adegey tried to treat her at home with traditional medicine before deciding to make the journey to hospital.
msf.or.ke

As part of our green initiative at Mudug regional hospital in Galkayo North, we installed solar panels, reducing diesel use and emissions, while ensuring reliable power for essential services and strengthening the hospital’s resilience during climate shocks. 
 

READ THE WHOLE DOCUMENT HERE
Green Energy at Mudug Regional Hospital
 
Baidoa's Displaced Face a Worsening Water and Sanitation Crisis
Water and sanitation

As drought deepens, Baidoa's displaced face a worsening water and sanitation crisis

Article 23 Jul 2026
 
Deeqo Abdi Hassan comes from October Village, on the edge of Burao, the same village as Ubah Farhan. The two women did not arrive together, but they arrived with the same story. Deeqo brought a child from a household of five.
Measles

In Burao, MSF treats measles in patients the vaccine never reached

Article 30 Jun 2026
 
Patients wait to be seen at MSF’s Elbeti 1 health post in Elbeti IDP camp, Baidoa, Southwest State, Somalia. MSF runs seven health posts across IDP camps in Baidoa, providing primary healthcare including screening and treatment for acute malnutrition.
Malnutrition

Malnutrition admissions are overwhelming Baidoa Hospital in Somalia

Article 16 Jun 2026
 
Powering Care in Mudug Through Green Energy
Access to Healthcare

Powering care at the MSF supported hospital in Mudug, Somalia

Article 4 Jun 2026
 
 Fistula Treatment in In Jigawa State, Nigeria
Access to Healthcare

Two countries, one injury: care for women with obstetric fistula in Nigeria and Somalia

Article 28 May 2026
 
Ten Children, Two Jerrycans_Regay Ali_Somalia
Refugee, migration and displacement

Drought and displacement push millions to the brink in Somalia and Ethiopia’s Somali Region

Article 11 May 2026