Edward Francis Small Teaching Hospital

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Edward Francis Small Teaching Hospital (EFSTH), located in Banjul, The Gambia, is the principal public hospital in the country. It plays a critical role in the Gambian healthcare system, serving not only as a primary location for patient care but also as a key site for medical education and training.

History[edit | edit source]

The hospital was established in the early 20th century, originally named the Royal Victoria Hospital. It was later renamed in honor of Edward Francis Small, a prominent Gambian journalist, trade unionist, and nationalist who played a significant role in the country's struggle for independence. Over the years, EFSTH has expanded its facilities and services to meet the growing healthcare needs of the Gambian population.

Facilities and Services[edit | edit source]

EFSTH offers a wide range of medical services, including general medicine, surgery, pediatrics, obstetrics and gynecology, and emergency services. The hospital is equipped with diagnostic facilities, including laboratories and imaging services, to support its clinical functions. It also houses specialized units for tuberculosis, HIV/AIDS, and other infectious diseases, reflecting the health challenges prevalent in the region.

Education and Training[edit | edit source]

As a teaching hospital, EFSTH is affiliated with the University of The Gambia's School of Medicine and Allied Health Sciences. It provides practical training and clinical experience to medical students, nursing students, and other healthcare professionals in training. The hospital is a crucial component of The Gambia's efforts to develop its healthcare workforce and improve the quality of medical care in the country.

Challenges[edit | edit source]

Despite its central role in the Gambian healthcare system, EFSTH faces several challenges. These include limited resources, overcrowding, and the need for modernization of facilities and equipment. The hospital also grapples with the task of retaining skilled healthcare professionals, many of whom seek opportunities abroad for better compensation and working conditions.

Future Directions[edit | edit source]

The Gambian government and international partners have recognized the need for substantial investment in EFSTH to enhance its capacity to provide quality healthcare services. Plans for the future include infrastructure development, upgrading of medical equipment, and training programs for staff. These efforts aim to transform EFSTH into a modern healthcare facility that can meet the evolving health needs of the Gambian population.


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Contributors: Prab R. Tumpati, MD