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Gambia's Health Care System

Introduction:
The healthcare system in Gambia is built around 3
levels which are Primary, Secondary and Tertiary. There
are to date 4 referral hospitals which are operated by
the government. In addition there are 8 main health
centres and a further 16 smaller centres, 200 plus
mobile clinic unit teams as well as the Medical
Research Council which is funded by the UK
Government.

There are also a number of privately run clinics as well

as a few health focused NGOs operating in Gambia.

Primary Health Care:

This is focused on villages with a population of over
400 individuals where a Village Health Worker and
Traditional Midwife would be initially trained then
assigned to deliver primary health care to their village of
responsibility. They are responsible for providing out-
patient care, community health education, ensuring
there is a sufficient level of essential medicines and
home visitations. Apart from the assisting mothers to
be in home births the mid-wife would refer any mothers
who seem to be at risk to the local health centres.

Secondary Health Care:

At this level medical care is provided by the large and
small health centres. There is around 7 main
government-run / private health centres, 12 smaller
centres and 19 pharmacies, with each providing in-
patient and out-patient treatment. Each has its resident
nurses, doctors and ancillary staff.

Tertiary Health Care:

At this 3rd level health services are delivered by 4 main
referral hospitals, the Medical Research Council (MRC),
several private clinics and NGO operated clinics. The
main referral hospital is at the RVTH in the capital on
Independence Drive. The other 3 are located at
Bansang, Farafenni and Bwiam.

Facilities:
Health care facilities are relatively sparse in The
Gambia though new health clinics are being built up
country.

The centrepiece of the Gambian health care system is

the Royal Victoria Teaching Hospital in Banjul.

The Gambia has a medical school called the American

International University West Africa whose courses
includes a Doctor of Medicine Degree, pharmacology,
dentistry, nursing / midwifery, and a Health
Professionals course (MLT).

List of Health Centres:

• Bakau
• Banjulinding
• Basse
• Brikama
• Fajikunda
• Farafenni
• Gunjur
• Jammeh Foundation Hospital
• Janjanbureh
• Leman Street (Banjul)
• Mansakonko
• Polyclinic (RVH Banjul)
• Serrekunda
• Sibanor
• Sukuta
• Sulayman Junkung Hospital, Bwiam

Clinics & Hospitals:

• AfricMed Ltd.
• Bijilo Medical Center
• Kololi Clinic
• Lamtoro Medical Center
• Royal Victoria Hospital
• Swedent Clinic (Dentists)
• Westfield Clinic
 
 
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