The Gambia of 2018 and a two-term limit and other changes required to enhance the governance structures are expected. The Gambia followed a formal policy of non-alignment throughout most of former President Jawara's tenure. It maintained close relations with the United Kingdom, Senegal, and other African countries. The July 1994 coup strained the Gambia's relationship with Western powers, particularly the United States, which until 2002 suspended most nonhumanitarian assistance in accordance with Section 508 of the Foreign Assistance Act. After 1995 President Jammeh established diplomatic relations with several additional countries, including Libya (suspended in 2010), and Cuba. The People's Republic of China
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