This is a huge L for beesha sade. Every village, town, and major city of Puntland has an MCH. Your health development is so behind, you don't even have general hospitals and general surgeries let alone specialist facilities. Puntland is heading towards specialist health services so we can deliver health outcomes to our locals who will not need to use overseas doctors while your ass was getting flighted to Mogadishu for basic maternity services, this reminds of PL ack in the 50-60's of era, you are the new 'gaari waa' regions.
PS - I would expect this type of development for some 'tuulo' not a regional town. They are playing catch up as 'saaxo' Puntland is developing so fast by joining the development race in PL, rather then being in stuck in GAL MURANS.