The Primary Health Care System of the Gambia : A Primary Health Care Performance Initiative Assessment

The results of the assessment point to four policy recommendations to address challenges related to governance, availability of medicines and supplies, comprehensiveness of services, and ability to deliver adolescent sexual and reproductive health (ASRH) services and promote universal and effective PHC coverage in The Gambia: 1. Establish a PHC-specific policy focused on improving coordination across governmental and non-governmental actors, quality of care, and monitoring and evaluation. 2. Increase the availability of medicines and supplies by leveraging. existing purchasing mechanisms and strengthening supply chain management.3. Implement a people-centered model of PHC focused on delivering comprehensive infectious and NCD services. 4. Increase capacity for adolescent sexual and reproductive health service delivery