Medicines and diagnostics
Forecasting, stock-out prevention and distribution optimization.
Case Study: The Gambia Health Sector
Comprehensive assessment, priority delivery programs and AI enablement for sustainable health system strengthening.
Situation assessment
Key constraints identified: underfunding, high out-of-pocket payments, health worker shortages, variable facility readiness, weak referral systems, fragmented health information systems, and regulatory capacity challenges in oversight of traditional medicine.
Priority delivery programs, 2026 to 2030
| Program | Focus | Timeline |
|---|---|---|
| PHC service readiness | Reliability of essential services | 2026 to 2027 |
| Referral and emergency transport | Time-sensitive conditions | 2026 to 2028 |
| Financial risk protection | Universal health coverage pathway | 2026 to 2030 |
| Health data integration | Performance management | 2026 to 2027 |
| Traditional medicine regulation | Safety and integration | 2027 to 2029 |
AI enablement
Reporting automation
Digitize paper records and reduce administrative burden.
Financial governance
Anomaly detection, procurement oversight and transparency.
Predictive maintenance
Equipment uptime, ambulance reliability and cold chain.
Target outcomes
85%
Medicine availability for essential drugs
90%
Referral completion and emergency transport reliability
50%
Reduction in out-of-pocket spending
95%
Health information data quality
These are program targets, not results.
Implementation phases
- 2026, Foundation: readiness standards, KPI dashboard, pilots for forecasting and maintenance.
- 2027 to 2028, Scale: national rollout, purchasing reforms, data interoperability, regulation.
- 2029 to 2030, Consolidate: institutionalize improvements and continuous quality improvement.