The study aims to determine the capacity of hospitals and the impacts of leadership on service delivery in the health sector in Mogadishu, Somalia. Methods: The researcher conducted a survey health facility-based study and gathered data from four different hospitals in Wadijr and Heliwa districts, and 114 sample sizes were chosen using non-probability convenient sampling and 13 key informants, making 127 respondents in all. A self-administration questionnaire and key informant interviews were employed as part of the data collection approach. The general service capability evaluation from the Health Organization was used. To conduct the research, descriptive data analyses, frequency tables, descriptive statistics, and inferential statistics like non-parametric pairwise comparison and significance P value were employed. The data were coded in Excel and analyzed with IBM SPSS version 22. Result: The most common leadership styles in hospitals were discovered to be authoritarian, bureaucratic, and managerial, all of which have an immediate impact on the quality of care provided. Thus,theaveragemeanscorefortheauthoritarianleadershipstyle is 3.94, with a standard deviation of 1.214; the average mean score for the bureaucratic leadership style is 3.73, with a standard deviation of 1.177. The majority of healthcare experts believe that a leader’s activities have the greatest impact on quality, outcome, and patient-care services, with an average mean score of 4.0 and a standard deviation of 1.219. With the exception of four items—the pharmacy, the examination room, and fridges for medications and vaccines—the current level of general facility availability and operation reveals that all hospitals have complete functionality. Although all essential medicines were provided, there was a shortage, indicating that hospital supply was irregular. Recommendation: The study recommended that the management of hospitals provide an effective system of evaluating leadership styles, conduct periodic assessments of management activities, and conduct training workshops for the management of hospitals.
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