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




We live in a community with a complex "sexual system" largely built on faith and belief coupled with religious leaders occupying a highly influential place in society.

Aja Maimuna Savage -
Religious Leader

In this regard, BAFROW believes that one way of combating fervent opposition of condom use and encourage more HIV/AIDS prevention strategies is through ongoing religious conferences, religious teachings for attitudinal change, and GAMOS organized by trained influential religious leaders.

Over 10,000 people have benefited from this initiative. The offering of psycho-social support through prayers, and the passing on of the teachings of the Holy Qur'an and the Holy Bible also play an important role in producing the desired attitudinal change.


The training of and raising awareness in influential persons such as District leaders (top), Community leaders (centre), and Youth leaders (bottom) is important in drawing the attention of communities towards concerning yet controversial health matters such as HIV/AIDS.




The importance of men's role in the prevention and control of HIV/AIDS cannot be emphasized enough. That is why BAFROW is training men as community mobilizers and health promoters. The support and commitment displayed by the male health promoters strengthen the campaign and inspire other men and women to play their part.

Their involvement has also strengthened their relationship with their spouses, and has improved partner management services, including couple membership in PLHIVsupport groups. SEE EMPOWERING MEN AS PARTNERS IN ENGENDERING DEVELOPMENT EFFORTS


The BAFROW Youth Advocacy Group (B-YAG) works with other young people, both in and out of school, on issues pertinent to their lives such as HIV/AIDS and other STIs, teenage pregnancy, early/forced/arranged marriages, substance abuse, and other related health, social, developmental, and cultural issues including FGMC and wife inheritance. Emphasis is especially placed on child rights issues, e.g. education, child abuse as some of these aspects have a strong link to the HIV.

Group discussions and other activities are usually carried out at the Youth Centre for Information and Counselling based in the Mandinaba Model Village Camp.

Sub-groups of B-YAG in some secondary schools and in the model village have been active in mobilizing of other young people to join the group in marathons, friendly football matches, the development of IEC materials, and other innovating activities.SEE YOUNG PEOPLE & CHILDREN


Since the establishment of BAFROW, one of the integral strategies employed by the organization to encourage positive behavioral change is the use of IEC materials (both print and audio-visual), and BCC.

Some of these materials include instructive videos for both young people and adults in communities, and the translation of relevant texts, poems, and songs such as thePhillip Lutyre song. Thanks to sponsorship from the HARRP, equipment has been purchased which now enables BAFROW to produce a good part of its publications.SEE PUBLICATION GALLERY

  • TV and Radio Spot

As part of BAFROW's campaign against the epidemic, the electronic media has been adopted, using influential persons in our society to deliver short, pertinent messages on selected HIV/AIDS issues, both on national television and community radios. Plans are being made to set up women community radios.

  • SMS Messages and Two HIV/AIDS Hotlines

Quarterly SMS messages on VCT, short but powerful, are sent out to all registered clients of 2 out of 4 GSM operators (each with over 50,000 clients nationwide) at intervals. Complementing the SMS messages are two 24-hour hotlines, put in place to deal with any queries concerning the epidemic. So far, positive responses have been coming through as a result of both the messages and the availability of hotlines. BAFROW is convinced that the messages are making significant changes in the lives of people vis-à-vis realizing the existence and gravity of HIV/AIDS as well as acquiring information about it.



  • Condom Distribution Program
Some committed Community Based Mobilizers (CBMs) as well as facilitators and other selected distributors in various villages are being continually trained on condom use so that they can ensure its correct, responsible, and consistent employment in their respective communities. Thousands of condoms were distributed in the last 3 years by BAFROW as well as other distribution centres.

BAFROW's condom program is decentralized, and therefore presents a good part of the population with access to condoms. Monitored supplies are collected by trained facilitators and CBMs either from the BAFROW's WWFHCs or from selected CBCs who are situated in the various districts catchments.

Distributors are selected based on certain criteria which include having an obliging and confidential personality so as not to dissuade young adults from seeking condoms from people they might otherwise feel embarrassed to approach. Products can also be acquired throughout VCT activities as well as from BAFROW's clinic staff during their monitoring visits.

With the help of community artisans, models have been made and used to demonstrate the correct use of condoms to communities and individuals, including their management. As a result, BAFROW has leant through its monitoring activities that attitude and practice towards the acceptance, usage, and proper disposal of condoms is improving.
  • Attitudinal Change
To monitor attitudinal change in the various communities in which VCT has been conducted, BAFROW's team revisits four of these communities a year or two later to redo the test and ascertain whether the prevalence has stabilized since its last visit, or whether it was on the increase.



Having been analyzed by an expert nutritionist, BAFROW's high protein cereal (prepared with locally available ingredients) was introduced into the Gambian community, and is now a household name, benefiting both adults and children including PLWA nationwide.

The cereal, called Dundal Njobot in Wolof and Dimbaayaa Balundoo (The Family's Nurturer) - locally known as "Munko" - is made by women from Mandinaba support groups who have now moved on from "cottage industry" to large-scale production with the help of machines, making the work faster and doubling the quality and quantity of production.

The women who produce the cereal have been empowered economically with income generating skills; they earn monthly salaries and are encouraged to save. As a result of such empowerment, they are now less susceptible to HIV/AIDS.

BAFROW's clinic records have shown an increase in weight for most of its clients who were taking the supplement.

In line with health policies, BAFROW offers Vitamin A supplements to mothers and infants, as well as Multivitamins to PLHIV patients and malnourished children.

  • Sensitization of Communities to Prevent Stigma, and the Formation of Support Groups

Home Visits to different families, and Home Based Care (HBC) are being conducted to include all chronically ill patients in communities instead of just targeting PLHIV.

BAFROW encourages the setting up of PLHIV support groups in the various communities in which it works. BAFROW's first PLHIV Support Group, "JAMORAI" (which means UNITY in Jola) was fully established in 2006.

To complement the support group, BAFROW offers PLHIVs nutritional, economic, psychological, and social support. In addition, counselling is provided for them while educational and other social supports are offered to OVCs.

More programs are also being developed in order for those in the group to live in dignity and respect.


BAFROW conducts continual in-house training for both its staff members and other partners. Apart from training carried out as part of the literacy and economic empowerment programs for communities, BAFROW, in collaboration with other institutions, also provides, participate and/or sponsors training courses in gender, communication skills, IT, management, and biomedical sciences.

Training of trainers is often organized for staff members on different health issues so that they in turn can empower communities with their knowledge. They are also motivated in different ways which encourages them to perform at their best.

BAFROW's infrastructure is frequently being strengthened to improve the services offered.


Empowering women through functional literacy is also a key to fighting HIV/AIDS because prevention efforts can only be effective if woman are able to understand and exercise control over their sexual and reproductive lives, as well as appreciate how their bodies work.

The functional literacy program also address women and child rights issues. These programs encourage the empowerment of women in areas such as making informed decisions on reproductive health rights, e.g. family planning and the choice to marry. The participation of women at national level in the designing and formulation of policies to improve the status of women and children are also addressed by the program. Documents such as the

Constitution and other legal documents are translated into local languages to help the women better understand them.

Women constitute 66.5% of the total population.

The Total fertility rate is 5.6 births per woman.

Subsequently, women from these classes are trained to become trainers and facilitators. The program has strengthened their characters in the sense that they are now capable of better communication such as formal letter writing and the use of mobile phones. Some have gone to the extent of becoming VDC members and women councillors. In some communities, certain women are identified as focal points for different reproductive health issues such as HIV/AIDS, STIs, HTPs, and FP.

2 Literacy classes, of 500 students, were conducted in 17 communities of which NAS sponsored 7, during the project's 1st phase.


Gender based beliefs are gradually changing. BAFROW is convinced that gender based beliefs and practices have direct effects on the vulnerability of women to HIV/AIDS thus the need to readdress the imbalances disparities in gender roles, social and cultural norms such as education and economic empowerment.

One of the main constraints is adequate and continuous training. BAFROW, over the years, has recognized that mainstreaming HIV/AIDS into poverty reduction efforts is an effective means of reversing the epidemic. Economic empowerment has increased confidence, and brings about independence and dignity among women. Economic empowerment enables women to take command of their health rather than depending wholly on their spouses for much of their needs.

Due to the changes occurring in households, as a result of economic independence, women can now better negotiate for their reproductive rights and a change of attitude of their men-folk towards sexuality

  • Establishment of a VCT Mobile Service
  • The implementation of BAFROW's VCT service program has been a great success in target areas. Owing partly to the mobile VCT team, just under 40,000 VCTs have been done, which is 80% of the 100 target villages, while almost all positive patients have received post counselling and offered ART.
  • BAFROW's model village, co-funded by the HIV/AIDS project, illustrates the interface between poverty, gender and HIV/AIDS.
  • The establishment of 3 mobile clinics. 2 other WWFCs have also been set up, making it a total of 5 base clinics, one of which holds an operating theatre
  • An active HIV/AIDS couples support group called Jamorai established and micro credit savings scheme offered
  • Establishment of the first cryosurgical service in the Gambia, and the offer of pap smear to all women including HIV/AIDS clients
  • BAFROW's 3-Step Approach, is being implemented fully and with much success in most target areas, in over 8 districts, but especially in Kiang Central
  • The participation of young people and men is progressively increasing
  • Because of the voluntarism of CBCs, sustainability of community programs is very encouraging
  • Sustainable outcome of the literacy program


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