Gambia

In brief

Health spending per person: $26 (2023). World rank 189 of 193; in Africa, 50 of 54. Doctors per 1,000 people: 0.1 (2023). World rank 170 of 180 (1 = best); in Africa, 42 of 51. Access to clean cooking fuels: 3% (2024). World rank 181 of 192 (1 = best); in Africa, 43 of 54. From 2015 to 2025: primary school enrolment 83.7% → 100%. Better than all its neighbours (Senegal): adult literacy, secondary school enrolment, nurses and midwives per 1,000 people, hospital beds per 1,000 people, and out-of-pocket health spending. Worse than all its neighbours (Senegal): higher education enrolment, doctors per 1,000 people, children vaccinated against measles, access to safe drinking water, and access to basic sanitation.