The first health care facility in Djibouti was opened in 1897 by the Ethiopian Railways Company, which was later purchased by the state in 1901. It was expanded to include a facility for tuberculosis patients and included 12 new beds for the medically indigent. In 1949, the number of beds increased to 330. Additionally, a laboratory and the ability to treat patients with pulmonary diseases was added. The facility was expanded again in 1953, adding a surgical unit named after Guibert Germain and a blood transfusion unit. The hospital was renamed in 1955 after General Peltier to commemorate his service as a chief physician for 25 years. Additional operating theaters were added the same year. The facility expanded again in 1968 to include a 35 bed maternal ward and 30 beds for eye and ENT.
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