Trans-Gambia Highway Trans-Gambia Highway The Trans-Gambia Highway is the most important road in The Gambia, running across the centre of the nation in a north-south direction. The road is also economically important for Senegal, in which it is designated as the N4 road. The Gambia is an elongated state forming a country that is almost surrounded by Senegal (but not an enclave, as it also borders the Atlantic Ocean). The Gambia almost separates the Casamance region from the remainder of Senegal. The Trans-Gambia Highway provides the most important connection between the two parts of Senegal. As the N4, it runs from Kaolack
Health in the Gambia births, is 106 and the neonatal mortality, as a percentage of under-5 mortality, is 31. In Gambia, the number of midwives per 1,000 live births is five and the lifetime risk of death for pregnant women is one in 49. In October 2012, it was reported that the Gambia had made significant improvements in polio, measles immunisation, and the PCV-7 vaccine. The Gambia was certified as polio-free in 2004. "The Gambia EPI program is one of the best in the World Health Organization African Region," Thomas Sukwa, a representative of the WHO, said, according to the "Foroyaa" newspaper. "It is