West Coast Division (Gambia) births. The poverty gap ratio was 22.4 per cent and literacy rate was 69.7 per cent as of 2003. The Gambia is the smallest country in Africa and the width of the strip-like structure never exceeds . It is bordered by the Atlantic Ocean to the west, and otherwise surrounded by Senegal. The Gambia River flows throughout the country and is the principal source of water and a transport route. The banks of the river have swampy beaches, while it has alluvial soil in all other parts, which is conducive for the growth of rice. Peanuts are the major cash
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