Aid from the primary European donor was cut off in May 2024 due to concerns over potentially illegal activity.

[1] The Kira Hospital is a three story building, and covers an area of 10,000 square metres (110,000 sq ft).

It offers 14 functional services including imaging, mammography, dental radio and hard drugs detoxification.

[3] Departments include cardiology, radiology (medical imaging), cancerology, coeliosurgery, anatomopathology, neurosurgery, allergology, visceral and orthopedic surgery.

Staffing was to include 11 full-time and 10 part-time specialist doctors, of whom more than half would be Burundians who had been trained in Europe.

[1] The hospital would provide specialized medical services that until then had not been available in Burundi, including cardiovascular surgery and treatment of cancer, at an affordable cost.

At that time the hospital was one of the best in Burundi, with 143 employees including 6 general practitioners and 21 speclialist doctors.

[14] In April 2022 Charles Ndagijimana, leader of a group of parastatal shareholders, boycotted a meeting of the board of directors, accusing the general manager Doctor Christophe Sahabo of mismanagement and fraud.

They complained of total mismanagement, payments to fictitious suppliers, overcharging for some supplies and misappropriation of funds.

[11] In August 2023 Radio Publique Africaine reported that almost all the medical equipment had broken down, and only one ambulance was still running.

[15] In May 2024 DEG Impulse terminated its agreement after the new management of the hospital failed to provide documents required before a second tranche of aid worth 1.6 million euros could be released.