Immunisation is recognised as one of the most cost-effective interventions to prevent morbidity and mortality caused by infectious diseases (WHO, UNICEF).

The Gambia is a small country in West Africa, among the worlds poorest, and with few natural resources except its people. Most are subsistence farmers, although the cities and townships are growing.

Children in The Gambia today are more likely to have a healthy start in life than they did two decades ago.