{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T09:16:34Z","timestamp":1785402994062,"version":"3.56.0"},"reference-count":8,"publisher":"AOSIS","issue":"1","license":[{"start":{"date-parts":[[2024,4,25]],"date-time":"2024-04-25T00:00:00Z","timestamp":1714003200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>According to the World Health Organizations (WHO) family medicine forms the bedrock upon for accessible, affordable and equitable healthcare for any country. The need for family doctors is more acute for low income countries like The Gambia. More so that The Gambian health infrastructure is suboptimal and appropriate health personnel is low. This is worsened by brain drain leading to poor health indices. Despite these challenges and more, the department of Family Medicine was accredited for training in the Gambia with improved infrastructure (at the training centre), with 7 residents. Though there are still challenges there are also opportunities and strengths. There is therefore hope that the right personnel will be produced for an improved Gambian health system.<\/jats:p>","DOI":"10.4102\/phcfm.v16i1.4446","type":"journal-article","created":{"date-parts":[[2024,4,25]],"date-time":"2024-04-25T18:58:07Z","timestamp":1714071487000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Strengthening healthcare through family medicine training in The Gambia: The journey so far"],"prefix":"10.4102","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7633-1661","authenticated-orcid":false,"given":"Abraham N.","family":"Gyuse","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05qderh61","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Calabar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9988-4501","authenticated-orcid":false,"given":"Iorfa","family":"Tor-Anyiin","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/026dr4n55","id-type":"ROR","asserted-by":"publisher"}],"name":"Federal Medical Centre"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1703-6670","authenticated-orcid":false,"given":"Joshua P.","family":"Mwankwon","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05qderh61","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Calabar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-4348-8528","authenticated-orcid":false,"given":"Ousman","family":"Nyan","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/039q00p63","id-type":"ROR","asserted-by":"publisher"}],"name":"Edward Francis Small Teaching Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-3180-1800","authenticated-orcid":false,"given":"Horeja","family":"Saine","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/039q00p63","id-type":"ROR","asserted-by":"publisher"}],"name":"Edward Francis Small Teaching Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2024,4,25]]},"reference":[{"key":"ref0","unstructured":"Clark AF, Enid RA, Gailey HA. The Gambia. Encyclopedia Britannica. [Homepage on the internet] [cited 2024 Mar 25]. Available from: https:\/\/www.britannica.com\/place\/The-Gambia"},{"key":"ref1","unstructured":"THE GAMBIA 2016 Official Country Guide. The Gambia Tourism Board 2016 official country guide [Internet] [cited n.d.]. Available from: https:\/\/www.visitthegambia.gm\/download\/Gambia-Official-Guide.pdf"},{"key":"ref2","unstructured":"Edward Francis Small Teaching Hospital [internet] [cited n.d.]. Available from: https:\/\/en.wikipedia.org\/wiki\/Edward_Francis_Small_Teaching_Hospital"},{"key":"ref3","unstructured":"The Republic of The Gambia. Ministry of Health annual statistics report 2021 [homepage on the Internet] [cited n.d.]. Available from: https:\/\/www.afro.who.int\/sites\/default\/files\/2022-07\/Final%20Service%20Statistic%20Report%2C%202021.pdf"},{"key":"ref4","unstructured":"Jallow A, Manneh S. Brain drain and its impact on The Gambia\u2019s health sector [internet] [cited 2024 Mar 25]. Available from: https:\/\/standard.gm\/brain-drain-and-its-impact-on-the-gambias-health-sector\/"},{"key":"ref5","unstructured":"The Gambia 2019 \u2013 2020 Demographic and health surveys summary report [homepage on the Internet] [cited n.d.]. Available from: https:\/\/dhsprogram.com\/pubs\/pdf\/SR268\/SR268.pdf"},{"key":"ref6","unstructured":"Prediction of infant mortality rate in Gambia using artificial neural networks \u2013 ProQuest [homepage on the Internet] [cited 2023 Jul 04]. Available from: https:\/\/www.proquest.com\/openview\/0c6b84e04afa980e6c8765eccf2f546d\/1?pqorigsite=gscholar&cbl=5314840"},{"key":"ref7","unstructured":"WHO. Operational framework for primary health care: Transforming vision into action [homepage on the Internet]. 2020 [cited 2023 Jul 06]. Available from: https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/337641\/9789240017832-eng.pdf?sequence=1&isAllowed="}],"container-title":["African Journal of Primary Health Care &amp; Family Medicine"],"original-title":[],"link":[{"URL":"https:\/\/phcfm.org\/index.php\/phcfm\/article\/viewFile\/4446\/7083","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/phcfm.org\/index.php\/phcfm\/article\/viewFile\/4446\/7084","content-type":"application\/epub+zip","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/phcfm.org\/index.php\/phcfm\/article\/viewFile\/4446\/7085","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/phcfm.org\/index.php\/phcfm\/article\/viewFile\/4446\/7086","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/phcfm.org\/index.php\/phcfm\/article\/view\/4446\/7086","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T06:40:38Z","timestamp":1776062438000},"score":1,"resource":{"primary":{"URL":"https:\/\/phcfm.org\/index.php\/phcfm\/article\/view\/4446"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,25]]},"references-count":8,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,12,21]]}},"URL":"https:\/\/doi.org\/10.4102\/phcfm.v16i1.4446","relation":{},"ISSN":["2071-2928","2071-2936"],"issn-type":[{"value":"2071-2928","type":"print"},{"value":"2071-2936","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,25]]},"article-number":"a4446"}}