Gambia (population 1.55 million people) is a country in Western Africa that covers an area of 11, 300 km2. Just one organization provides palliative care services in Gambia, Future Care Hospice. It was officially registered as a charitable organization in October 2004. In April 2005, Abel Iqbe (hospice co-ordinator) reported that the hospice provided home care and day care services. Future Hospice Care is a charity and relies on fundraising and voluntary donations for its income. Patients within travelling distance of Future Care Hospice are covered. In 2004, it opened with four nurses, one chaplain, five auxiliary nurses and three voluntary workers. The public health context, health care system, and political economy are reviewed.
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