The Gambia is located in West Africa and forms a narrow enclave into the Republic of Senegal; the Atlantic Ocean forms its western boundaries. The country is divided into five administrative regions: Western, North Bank, Lower River, Central River and Upper River,l it also includes two municipalities: Banjul and Kanifing.
The population is estimated at 1,663,000 (2006 census) and has a growth rate of 4.2%, which is considered a great concern, and anticipated to have a serious implication on the population health. The Gambia ranks as number 151 of 179 on the HDI in the group of low human development.
Within the health sector there is estimated to be 1 physician to a population of 100,000, the child mortality rate is 94 pr 1000 and the HIV prevalence 0.02%. Maternal mortality rate is considered unacceptably high. (Socio-economic status of the Gambia)