Bafrow Medical Centre

Providing quality,affordable and accessible health care services.

Bafrow Medical Centre

Mandinaba Model Village

Bafrow's Model Centre in Mandinaba showcases our holistic,comprehensive and human centered approach to sustainable development.

Female Genital Cutting

BAFROW's comprehensive and integrated FGMC prevention program advocates for a restructured rites of passage of girls that excludes cutting

Fistula Prevention and Management

The first Fistula treatment and rehabilitation centre in The Gambia has increased treatment of Fistula patients.

'Dundal Njoboot' High Protein Cereal

Bafrow's campaign on nutritional re-orientation has made significant progress in the reduction of malnutrition in The Gambia. Dundal Njoboot is now a household name in The Gambia

Women's Empowerment

Through functional literacy, communities and women in particular have been empowered with knowledgde and skills that enables them to make their own decisions including protection of their sexual and reproductive rights


When children from certain ethnics reach the ages of 6 to 7 and above, they will go through the passage rite ceremony.
It is also within the context of this program that a longitudinal study was carried out on children 0 and above to monitor their growth and development while educating their family members on the negative aspects of harmful traditional practices so that the children would grow up free from practices such as FGMC and child marriages.


The village of Laminkoto in the Central River Region was the first community to embrace the concept of the Alternative Rite of Passage ceremony for girls, other communities followed suite. To data over 30 communities have embraced the alternative rites of passage.

2006 marked eight years since  parents of these communities had their daughters registered at age 3 months to 3 years and reassured  BAFROW that they were determined not to have their daughters cut. The communities remained true to their word, and to intensify the campaign in their region an Alternative Rite of Passage was organized at the request of the communities.

Prior to the ceremony, which was held in June 2006, a planning committee was formed to look at all the preparatory aspects of the ceremony. 150 girls from ages 7 to 17 years were chosen from 6 communities in the Central River Region to go through the rites of passage during which the girls were to be trained in seclusion for 15 days using the curriculum for the restructured rite of passage. The curriculum focused on three main areas: Health, Culture and religion. The content and sessions were designed to suit different age groups. The ex-circumcisers took turns to train the girls on the following issues:


  • How to maintain personal and environmental hygiene
  • How to cook and serve food under hygienic conditions
  • FGMC as a harmful tradition practice due to its severe health complications
  • The importance of healthy nutrition and its functions in the body
  • Discouragement of food taboos
  • The psychosocial and physical effects of early marriage and teenage pregnancy.
  • Location and functions of vital body organs
  • Mother and child health
  • Issues of child rights and child abuse
  • Sign language is also taught to accommodate those that are impaired in language and hearing.
  • Traditional songs depicting women and girls empowerment



  • Duties of a Muslim woman,
  • Rights and Responsibilities of Muslim women and men.
  • Religious requirements for religious ceremonies.





  • Respect for elders 
  • Responsible womanhood.
  • Gender stereotyping, gender biasing, and myths.

To mark the end of the event, a graduation ceremony was held and the girls were acknowledged as renowned initiates. Entertainment and social events that were organized during the period of the passage rite and at the end of the period involved the traditional masquerade, traditional dancing and singing. 

On the day of the graduation, the initiates were all dressed in a similar traditional outfit. Parents had prepared traditional beads, hair and feet ornaments for their daughters. The ornaments were worn on the girls, as they sat elegantly in a pavilions carpeted with colorful homemade mats.

The graduation ceremony was attended by family members, friends and invitees from the surrounding communities. Such ceremonies are open to everyone. District chiefs and Village Heads also attended. Many speeches were delivered, and all of them expressed appreciation for the initiative and called for the adoption of the restructured initiation rites for girls by all communities. The celebrations continued with singing, dancing and dining, and exhibition of various types of traditional masquerades, and drumming.  


Photo Gallery

Visit of IDB President to BAFROW’s fistula Centre EGDC Director to Bafrows Fistula Centrre  First baby of 2016 at BAFROW Clinic

Presentation of gifts to parents of the  first baby

Show of gratitude and appreciation Awareness raising in communities Friends of BAFROW