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MOHSW Contact Office Details:
Min. of Health in Gambia
Banjul capital office
The Quadrangle
The Gambia
West Africa

Telephone no:  4227605
Fax:                  4223178


Directorate of Planning & Information
Telephone:  4225 712
                    4225 379
Fax:             4225 873

Social Welfare Department
Marina Parade, Banjul

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The public health service delivery system in The Gambia is three tiered, based on the primary health care strategy.

Provision of quality health care services in Gambia within an enabling environment, delivered by appropriately and adequately trained, skilled and motivated personnel at all levels of care with the involvement of all stakeholders to ensure a healthy population.
Management & Organisation:
Management of resources for health care, both human, financial and material, still remains centralised at the health headquarters. Divisional health systems are weak with no clear operational linkages with the central level, the community and the other providers in the private and traditional healing systems.

There is need for improving efficiency and effectiveness in the organisation and management of the health sector through (a) Management reform (b) creation of popular structures (i.e. Hospital board and local public health committees ) for re-enforcing community participation in decision making, and (c) devolution of responsibilities, authority and resources to the Hospital and Divisional Health Management Teams and village development committee. Linkages between and functions of all the management structures should be clearly defined to ensure harmony, promote self-management (autonomy) and re-enforce the decentralisation process.

To ensure client satisfaction a quality assurance system will be developed. The following structures will be developed to monitor service delivery in order to maintain quality and standards in health care.

Medical & Dental Council:
This will be re-organised and strengthened to better monitor:
Registration of medical and dental officers
Medical and dental practice
Training of medical officers (Provide guidelines for training)

Nurses and Midwives Council:
This will be re-organised and strengthened to better monitor:
Registration of nurses and midwives
Nursing practice

Pharmacy Council:
This will be established to monitor:
Registration of pharmacists
Pharmacy practice

Provision would be made for the establishment of other regulatory bodies e.g. Medical Laboratory Technologist/Scientist Council

Clinical Audit Units:
Clinical audit units to be established in all the hospitals and at divisional levels to strengthen routine assessment of adherence to set standards.

Board of Health:
The Gambia Board of Health to be established by an Act of Parliament and to comprise of representatives of the Councils, Clinical Audit Units, policy makers of Health and to include other experienced health professionals outside the Department of Health in Banjul.
The Board will have the following functions:
To review the health standards
To monitor quality of health services
To certify health facilities for service delivery


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