Edward Francis Small Teaching Hospital (EFSTH) is the largest and most significant tertiary referral hospital in The Gambia, serving as a national centre for advanced medical care. Located in Banjul, it traces its roots back to the 19th century and is essential to the country’s public health infrastructure. It provides a comprehensive range of services spanning general medicine, surgery, maternal and child health, and emergency care. The hospital also plays a pivotal role in medical education, operating as a teaching facility affiliated with the University of The Gambia. With departments such as paediatrics, maternity, and internal medicine, EFSTH handles complex medical cases and feeds into training the next generation of Gambian healthcare professionals. It also operates a blood bank and various specialised units.

EFSTH is vital for both routine and critical healthcare needs, and serves patients from across the country. Its broad service range makes it a primary destination for emergency cases, obstetric services, and referrals from smaller clinics and regional hospitals. Patients benefit from a full spectrum of care under one institution.