Anita and community standing in front of Bansang Hospital

Improving Lives

Since 1992, The Bansang Hospital Appeal’s founder, Anita Smith, MBE MRG, has dedicated her life to reversing the once terminal decline of the Bansang Hospital. Built in 1938, Bansang Hospital is the main referral hospital for over 45 rural health clinics to include two in Senegal as well as serving a population of over 600,000 people, mainly subsistence farmers. Bansang Hospital today is vibrant, cohesive and incredibly effective. It has near 100% staff retention - an unparalleled accomplishment in Sub-Saharan Africa.

Anita recieving MBE for her services

Helping Communities

Anita and the staff of Bansang Hospital want to continue building a brighter and more assured future for all those who depend on this incredibly important healthcare resource. The development model, which focuses wholly on retaining and motivating staff, has already delivered unprecedented successes and garnered numerous awards, including an MBE from Her Majesty the Queen which was awarded by HRH Prince Charles to Anita in 2008 for Services to Overseas Development.

Local village communities have donated farming land to support patient feeding. This is a combined effort that has resulted in increasing land that can be farmed with the loan of the two Massey Ferguson tractors that BHA provided. BHA has also provided a sewage tanker for the vital needs in the region, this is helping to support cleaner environments and reduce life threatening diseases. It is also in the process of developing the first Fish Farm within the grounds of the hospital, the first known project of its kind.

Impact Results

Bansang hospital childrens unit playing games

Children's Unit

The original Children’s Ward in the 90’s had a very high mortality rate. The highest mortality rate was under four-year-olds and in one month alone 337 children died from Malaria in the most distressing conditions imaginable.

Staff back then were faced with the impossible task of treating and providing medication as they navigated by candlelight or kerosene lamps due to constant electrical failures that could last for weeks. Up to four children shared mattresses contaminated with every imaginable body fluid. Rats and cockroaches vastly outnumbered the patients.

Fundraising enabled a new 80 bed Children’s Unit to open in June 2007. To include Premature and Neonatal Unit, Intensive Care, Dressings, Malnutrition, Burns and Play Therapy treatment rooms. In 2022 the unit was upgraded to include plaster board ceilings hardwearing porcelain tiles on the floor, ceiling fans, and LED lighting throughout the Unit. In 2022 1,889 children were admitted for treatment.

Maintenance of Bansang Hospital

Nearly 50% of equipment that’s shipped to Africa lays gathering dust as it is inappropriate for low resource countries.

The Bansang Hospital Appeal (BHA) has funded a plumber and two electricians to be trained at the Gambian Technical Training Institute and the hospital also has its first female electrician! Toilets and hand basins have been installed into every department and the whole hospital has been rewired with the addition of LED lighting throughout; safety is taken very seriously and fire extinguishers are provided throughout the hospital and staff quarters.

Staff Retention

The BHA has sponsored over 60 state enrolled Nurses, covering community, travel and living expenses whilst doing their final year practical assignments in hospitals and clinics around the country. The BHA also sponsor 34 staff working in the hospital.

The BHA has reversed what was a grave problem in Bansang Hospital, migration. This was going to lead to the closure of the hospital in 1997, leaving 600,000 people with no health care, this remains a global problem today. Staff are now happy to work in rural Bansang Hospital that serves a population of over 600,00 people, mainly subsistence farmers. The BHA has extended and renovated 72 accommodation units for medical staff to include two bedroomed homes for Gambian doctors who are now happy to leave the comfort and amenities of the coast to work in Bansang. The continuation of extending and upgrading dilapidated one room blocks into homes is a key element to securing key medical staff.

Nutrition

Every quarter Form Nutrition donate a percentage of its profits from on-line sales to the Form Feeding Fund at BH. The fund is used to feed a patient’s family member, many arrive with no funds to support their feeding as nearly 96% of the population we serve are subsistence farmers. In the past, escorts have absconded with their loved ones against a doctor’s advice.

A daily food allowance has stopped this fateful move and patients will stay in the hospital until they are ready to be discharged. Milk formula for orphaned babies’ and for babies whose mothers are unable to breast feed is always in demand. Funding from Form Nutrition provides regular formula for approximately 120 babies each year as well as prescription medicines that are not available in the hospital and transportation and living costs should the patient needed to be referred to the Teaching Hospital, a minimum 500 mile round trip!

The BHA, through the generosity of donors has been able to donate a 25kg sack of rice to all of its 557 members of staff for the past three years.

Female Ward

The original Female Ward was originally up a long flight of stairs making it very difficult for sick women and those with mobility issues to access. BHA has converted the wards into a new Administration Unit and a large Conference/Training Centre.

Following the refurbishment of the old Children’s Unit, the Female Ward is now on the ground floor. Refurbishments included an increased ceiling height to markedly reduce the high temperatures and make it more bearable, LED lighting, durable porcelain floors and large aluminium windows for improved ventilation and light.


The Labour Ward in 2022 recorded 2,252 women giving birth in Bansang Hospital. Many of the patients had been referred from the 45 referral clinics that the hospital serves which includes three in neighbouring Senegal. BHA has funded a new Obstetric Theatre. Plans are being considered to combine all the Obstetric, and Gynae departments into one area of the hospital, this will improve the care and efficiency in this unpredictable department that receives many critical cases that have been referred to the hospital.

Bansang hospital female ward

Fundraising Campaign

The transformation of the Bansang Hospital since 1992 has been quite remarkable and has only been made possible due to the extraordinary generosity of friends of the Bansang Hospital Appeal charity and the extraordinary Management Team and all the staff. However the transformation is not yet complete as there are still many critical areas that we still need addressing.

During the autumn of 2023 we are targeting one of the biggest challenges we have ever confronted, to raise the necessary funds to install a new Accident and Emergency (A&E) unit.

The present A&E is a small room that also doubles up as the hospital’s outpatients’ clinic and is always overwhelmed with patients. It has four examination beds, two doctor’s tables, one oxygen cylinder, and a defibrillator. The preliminary assessment for all patients and casualties is in this small room that has no privacy with the doctor’s assessment areas only a metre away from each another. This can be a very real problem, especially for female patients who are too embarrassed to disclose their problems in close proximity to male medical staff.

The new A&E unit will be situated at the front of the hospital, allowing ambulances direct and easy access from the road. The cost to build and equip this new A&E unit is approximately £300,000.

This is the initial plans for the new A&E unit and these proposals will be undergoing extensive testing and analysing before the final plan is confirmed, to view the new proposed A&E unit at Bansang Hospital please click here.

If you are interested in investing in this remarkable initiative please contact Anita

Donate on Bansang Hospital Website

Sponsor Packages

The Bansang Hospital Appeal has several exciting sponsor packages which all support the fantastic work Anita and her team do every day. Anita says: ‘The hospital we see before us today is a truly remarkable place, an oasis of hope that’s sprung from a scene of absolute despair. This brilliant and inspiring transformation simply would not have been possible without the support of people just like you. If you are yet to be a part of the Bansang story, we hope you'll consider joining us. You will be helping to safeguard the lives of 600,000 acutely vulnerable people. You will also be helping us to demonstrate that effective healthcare can be delivered to everyone - even in environments as challenging as Bansang.’

  • Introducing the Fish Farm

    Introducing the Fish Farm

    Due to overfishing by foreign trawlers off the coast of West Africa the seas are almost devoid of fish.

    Introducing the Fish Farm

    Due to overfishing by foreign trawlers off the coast of West Africa the seas are almost devoid of fish.

  • Our Maternity Ward

    Our Maternity Ward

    Before... I can only describe the existing Maternity Ward as a feeling of being inside a giant oven.

    Our Maternity Ward

    Before... I can only describe the existing Maternity Ward as a feeling of being inside a giant oven.

  • About Bansang Hospital

    About Bansang Hospital

    Bansang Hospital was built in 1938 and stands deep in the African bush, 200 miles from the coast.

    About Bansang Hospital

    Bansang Hospital was built in 1938 and stands deep in the African bush, 200 miles from the coast.

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