In Somalia, FGM C prevalence is nearly universal 98 among females aged 15 49 years, with infibulation prevalence at 77 . Whilst there is need to engage healthcare workers in the prevention and management of FGM C, minimal information exists indicating healthcare systems' capacity to fulfil this role. ...RESULTS: Healthcare workers reported understanding the adverse impact of FGM C on the health of girls and women. However, they faced multiple contextual challenges in their preventative and management roles at the individual level, e.g., they lacked specific formal training on the prevention and management of FGM C complications and its medicalization institutional level, e.g., many facilities lacked funding and equipment for effective FGM C management and policy level, e.g., no national policies exist on the management of FGM C complications and against its medicalization. ...