Nutrition country profile: Republic of the Gambia 2010
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The Republic of The Gambia, situated on the western coast of Africa, forms a narrow enclave in the Republic of Senegal except for a short seaboard on the Atlantic coastline. The population, very young, is now predominantly urban. Nevertheless agriculture remains a key sector of The Gambia’s economy and is the source of livelihood for more than three-quarters of the population. Economic performance has improved, but as yet, this has not translated into reduced poverty, which remains widespread an d severe, with about 60% of the population below the poverty line. Although a slight improvement has been observed since 2000, infant and under-five mortality rates remain high. A high maternal mortality ratio is also observed. Access to health facilities is relatively good, but poor quality of services reduces the effectiveness of the health system. Nevertheless, immunization coverage among children is expanding.