Madina is Somalia's de facto war hospital and over the years it has become somewhat a barometer for Mogadishu's insecurity. In a year marked with simmering tensions due to the ongoing polls and Somalia's fractious government, the hospital's whiteboard of numbers serves as a bulletin board of emergencies.
Hospital staff still remember what marks four years since a huge bomb blast in the heart of the capital took the lives of hundreds.
"October 14, 2017 was a sad day. We can say it was the most difficult day and we couldn't cope with the number of patients. There were that many patients. About 50 to 80 patients received stomach surgeries with others receiving vascular surgeries. There were also a number of amputations. It was a tough day. It wasn't only just one day. We had to attend to the very serious patients first and delay the rest to the next day. It took us three to four days to get to all patients attended to." recalls Dr. Abdikadir Haji Maalim, a surgeon at the hospital.
Madina Hospital is one of the four hospitals that the International Committee of the Red Cross (ICRC) supports in Somalia. Keysaney Hospital, also in the capital, Bay Regional Hospital in Baidoa and Kismayo General Hospital in the southern region of Lower Juba are the other three. Combined, they have treated 231 weapon-wounded patients as of June this year. More than half of these cases were attended to in Madina.