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.
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.
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.
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.