Previous attempts to put the facility back into operation have failed. Last year, however, local doctors asked the ICRC to do a feasibility study on its future. But it is the local community that is responsible for actually running the hospital. The administrators are appointed by community leaders and draw up the budget and conduct fundraising. ICRC is merely one of the donors and advises on training and budget planning.
Local leaders are also in charge of maintaining security around the buildings.
It remains the main surgical referral facility in southern Somalia.