Connect with us

The Dictatorship

Somalia’s crumbling hospitals show the toll of aid cuts and war

Published

on

Somalia’s crumbling hospitals show the toll of aid cuts and war

MOGADISHU, Somalia (AP) — To save the life of his badly malnourished 3-year-old son, farmer Yusuf Bulle had to travel from a remote area of southern Somalia to the capital, Mogadishu, where a rare health unit presented the only hope.

After 15 days at Banadir Hospital, the child was deemed out of danger.

“Where I come from, there is no hospital,” Bulle said. “That’s why I am here.”

One of the world’s poorest countries faces a crisis of health care exacerbated by the Trump administration’s dismantling of the U.S. Agency for International Development this year. The loss of USAID funding has disheartened many Somalis who believe they can’t depend on their own government, which focuses mostly on defeating the al-Qaida-linked al-Shabab.

Somalia’s deputy health minister, Mohamed Hassan Bulaale, told The Associated Press that the U.S. cuts led to over 6,000 health workers losing their jobs while up to 2,000 health facilities were affected — a massive hit in a country that the Center for Global Development this year said was among the world’s most likely to suffer as donors draw back.

Bomb and gun attacks by the militants — including against health centers — have reduced in frequency and intensity in recent months, leading some to see success in President Hassan Sheikh Mohamud’s “total war” against al-Shabab.

But hospital administrators, civic leaders and others say the latest push to defeat al-Shabab has come at the expense of health care and other public services.

Relying on outside money

Somalia’s Ministry of Health was allocated $91 million of a national budget exceeding $1 billion this year, with those funds tied mostly to projects backed by outside groups. That’s a significant improvement from last year’s $52 million, but almost all of that increase came from donors, said Mahad Wasuge, who runs the Somali Public Agenda think tank.

And as the United States has shown, donor money comes and goes.

Even with major setbacks in overall foreign support this year, including from other key benefactors such as Britain, “security remains the first priority” for Somali authorities, Wasuge told the AP.

Many areas outside Mogadishu don’t have functioning public hospitals, he said, with people forced to trek through often insecure areas to receive care at the ones still functional.

Such facilities in the capital include Banadir Hospital, built with Chinese support in 1977, and De Martino Hospital, established in 1922 by Italian colonialists.

During an AP visit, officials at those hospitals said much of their work would stop without assistance from the United Nations and international groups.

Even at Banadir, Mogadishu’s main public referral hospital, expectations of the Somali government aren’t high. The unit looking after malnourished children depends entirely on donor funds channeled through the humanitarian group Concern Worldwide, said supervisor Dr. Mohamed Haashi.

After 37 people employed in the unit lost their jobs with this year’s U.S. aid cuts, Concern Worldwide still pays the salaries of 13 others in addition to milk and food for mothers and babies, Haashi said.

‘Donors are fatigued’

At De Martino Hospital, director Dr. Abdirahim Omar Amin said he worries what will happen when contracts with two other humanitarian groups expire at the end of 2025.

The hospital was looking after dozens of children suffering from diphtheria, an infectious disease of the throat preventable by vaccination but now spreading in rural areas. Parents are not taking their kids for routine vaccinations because they are afraid of militant attacks, Amin said.

In the medical lab, Amin pointed to the equipment and said everything was acquired with donor funds.

“Now it looks like donors are fatigued,” he said.

Most services at the hospital are provided free of charge, thanks largely to funding from the International Rescue Committee and Population Services International. Patients with conditions not deemed urgent are asked to cover some costs.

“The Ministry of Health is supposed to give support to this hospital because this hospital belongs to the Ministry of Health,” Amin said. “I hope, even if (the humanitarian groups) left, the Ministry of Health will replace their position.”

Bulaale, the deputy health minister, said the government is working with some partners in “developing a contingency plan” after the loss of USAID funding. He didn’t elaborate.

In some ways, De Martino Hospital’s history mirrors Somalia’s scars. It once sheltered displaced people after the fall in 1991 of Siad Barre, a dictator whose removal triggered fighting by warlords from different clans. Many public facilities across Somalia were destroyed in years of civil war.

Somalia’s federal government, now based in a heavily fortified area near the airport in Mogadishu, struggles to assert itself despite support from African Union peacekeepers, U.S. airstrikes targeting al-Shabab and security consultants from nations jockeying for influence in a country with strategic access to the Indian Ocean and Gulf of Aden.

The countries include Turkey, which bankrolls a hospital with intensive care capabilities in Mogadishu.

“Even the limited number of public hospitals that started functioning properly lately are heavily dependent on donor money,” said Wasuge, the civic leader. “They don’t get direct government budget that allows them to provide better health care services.”

‘No national health care plan’

The Banadir and De Martino hospitals are where the most needy people are referred for care. De Martino, Mogadishu’s main referral hospital for COVID-19 patients during the pandemic, receives the “most vulnerable” wherever they come from, director Amin said.

Amina Abdulkadir Mohamed, a jobless woman who was at De Martino recently to give birth, said she went there because she knew she would not be asked for money.

“I was told there is free medication,” she added.

Mohamed Adam Dini, who represents Somalia’s Puntland state in the national assembly, described the federal government’s priorities as “deficient” because of its overwhelming focus on ending “anarchy.”

“A lot of diseases have been spreading” unchecked, Dini said, adding: ”There is no national health care plan, as we don’t have a national political plan.”

___

For more on Africa and development: https://apnews.com/hub/africa-pulse

The Associated Press receives financial support for global health and development coverage in Africa from the Gates Foundation. The AP is solely responsible for all content. Find AP’s standards for working with philanthropies, a list of supporters and funded coverage areas at AP.org.

Read More

Continue Reading
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

The Dictatorship

Trump says he’ll release MRI results

Published

on

Trump says he’ll release MRI results

WASHINGTON (AP) — Donald Trump’ s doctor says the president had MRI imaging on his heart and abdomen in October as part of a preventative screening for men his age, according to a memo from the physician released by the White House on Monday.

Sean Barbabella said in a statement that Trump’s physical exam included “advanced imaging” that is “standard for an executive physical” in Trump’s age group. Barbabella concluded that the cardiovascular and abdominal imaging was “perfectly normal.”

“The purpose of this imaging is preventative: to identify issues early, confirm overall health, and ensure he maintains long-term vitality and function,” the doctor wrote.

The White House released Barbabella’s memo after Trump on Sunday said he would release the results of the scan. He and the White House have said the scan was “part of his routine physical examination” but had declined until Monday to detail why Trump had an MRI during his physical in October at Walter Reed National Military Medical Center or on what part of his body.

“I think that’s quite a bit of detail,” White House press secretary Karoline Leavitt said Monday when announcing the memo’s release.

The Republican president said Sunday during an exchange with reporters as he traveled back to Washington from Florida that the results of the MRI were “perfect.”

“If you want to have it released, I’ll release it,” Trump said.

Trump added Sunday that he has “no idea” on what part of his body he got the MRI.

“It was just an MRI,” he said. “What part of the body? It wasn’t the brain because I took a cognitive test and I aced it.”

Doctors typically order an MRI to help with diagnosing symptoms or to monitor an ongoing health problem. So-called “preventive” cardiac and abdominal MRIs are not part of routine screening recommendations. What Trump’s doctor called an “executive physical” generally refers to adding extra, non-routine tests including MRIs to pricey and lengthy exams, not covered by insurance, that are marketed to wealthy people.

Read More

Continue Reading

The Dictatorship

Trump commutes prison sentence for private equity executive

Published

on

Trump commutes prison sentence for private equity executive

HALLANDALE BEACH, Fla. (AP) — President Donald Trump has commuted the prison sentence of former investment manager David Gentile, who was convicted of defrauding investors — the latest in a series of clemency actions Trump has taken in white-collar criminal cases.

Gentile had reported to prison on Nov. 14, just days before Trump commuted his sentence, according to a White House official who requested anonymity to provide details of the clemency action. Gentile had been the CEO and co-founder of GPB Capital, which had raised $1.6 billion in capital to acquire companies in the auto, retail, health care and housing sectors.

He had been sentenced to seven years in prison after an August 2024 conviction for his role in what the Justice Department at the time described as a scheme to defraud more than 10,000 investors by misrepresenting the performance of three private equity funds.

But the White House official said GPB Capital had disclosed to investors in 2015 that their capital might go to pay dividends to other investors, which the White House said undercut claims that the company had engaged in a “Ponzi” scheme in which new investments are used to reimburse previous investors.

The government has agreed to no restitution in the criminal case, though various civil cases are handling repayments and damages to investors.

Read More

Continue Reading

The Dictatorship

Lawmakers voice support for congressional reviews of Trump’s military strikes on boats

Published

on

Lawmakers voice support for congressional reviews of Trump’s military strikes on boats

WASHINGTON (AP) — Lawmakers from both parties said Sunday they support congressional reviews of U.S. military strikes against vessels suspected of smuggling drugs in the Caribbean Sea and eastern Pacific Ocean, citing a published report that Defense Secretary Pete Hegseth issued a verbal order for all crew members to be killed as part of a Sept. 2 attack.

The lawmakers said they did not know whether last week’s Washington Post report was true, and some Republicans were skeptical, but they said attacking survivors of an initial missile strike poses serious legal concerns.

“This rises to the level of a war crime if it’s true,” said Sen. Tim Kaine, D-Va.

Rep. Mike Turner, R-Ohio, when asked about a follow-up strike aimed at people no longer able to fight, said Congress does not have information that happened. He noted that leaders of the Armed Services Committee in both the House and Senate have opened investigations.

“Obviously, if that occurred, that would be very serious and I agree that that would be an illegal act,” Turner said.

Meanwhile, President Donald Trump on Sunday evening while flying back to Washington from Florida, where he celebrated Thanksgiving, confirmed that he had recently spoken with Venezuelan President Nicolás Maduro.

The U.S. administration says the strikes in the Caribbean are aimed at cartels, some of which it claims are controlled by Maduro. Trump also is weighing whether to carry out strikes on the Venezuelan mainland.

Trump declined to comment on details of the call, which was first reported by The New York Times.

“I wouldn’t say it went well or badly,” Trump told reporters aboard Air Force One, when asked about the call.

The Venezuelan communications ministry did not immediately respond to a request for comment about the call with Trump.

Turner said there are concerns in Congress about the attacks on vessels that the Trump administration says are transporting drugs, but the allegation regarding the Sept. 2 attack “is completely outside anything that has been discussed with Congress and there is an ongoing investigation.”

The comments from lawmakers during news show appearances come as the administration escalates a campaign to combat drug trafficking into the U.S. On Saturday, Trump said the airspace “above and surrounding” Venezuela should be considered as “closed in its entirety,” an assertion that raised more questions about the U.S. pressure on Maduro. Maduro’s government accused Trump of making a ”colonial threat” and seeking to undermine the South American country’s sovereignty.

After the Post’s report, Hegseth said Friday on X that “fake news is delivering more fabricated, inflammatory, and derogatory reporting to discredit our incredible warriors fighting to protect the homeland.”

“Our current operations in the Caribbean are lawful under both U.S. and international law, with all actions in compliance with the law of armed conflict—and approved by the best military and civilian lawyers, up and down the chain of command,” Hegseth wrote.

Trump said on Sunday the administration “will look into” the matter but added, “I wouldn’t have wanted that — not a second strike.” The president also defended Hegseth.

“Pete said he did not order the death of those two men,” Trump said. He added, “And I believe him.”

Republican Sen. Roger Wicker of Mississippi, chairman of the Senate Armed Services Committee, and its top Democrat, Rhode Island Sen. Jack Reed, said in a joint statement late Friday that the committee “will be conducting vigorous oversight to determine the facts related to these circumstances.”

That was followed Saturday with the chairman of the House Armed Services Committee, Republican Rep. Mike Rogers of Alabama, and the ranking Democratic member, Washington Rep. Adam Smith, issuing a joint statement saying the panel was committed to “providing rigorous oversight of the Department of Defense’s military operations in the Caribbean.”

“We take seriously the reports of follow-on strikes on boats alleged to be ferrying narcotics in the SOUTHCOM region and are taking bipartisan action to gather a full accounting of the operation in question,” Rogers and Smith said, referring to U.S. Southern Command.

Rep. Don Bacon, R-Neb., asked about the Sept. 2 attack, said Hegseth deserves a chance to present his side.

“We should get to the truth. I don’t think he would be foolish enough to make this decision to say, kill everybody, kill the survivors because that’s a clear violation of the law of war,” Bacon said. “So, I’m very suspicious that he would’ve done something like that because it would go against common sense.”

Kaine and Turner appeared on CBS’ “Face the Nation,” and Bacon was on ABC’s “This Week.”

Read More

Continue Reading

Trending