Sibanor health centre is a small clinic about 100 km from Banjul. We provide mainly primary health care services, but also have a specialist HIV clinic and an inpatient ward. We aim to serve the people of our two neighbouring rural districts (Foni Bintang Karanai and Foni Berefet). People do also come to us from further afield — including the area of Senegal just across the border. Our work is divided between the general clinic where the focus is primary health care, the CARE centre which provides specialist HIV care, the ward and maternity. We also run a nursing school. The clinic is very busy during the rainy season, when we see a significant increase in malaria cases as well as other infections. This season also coincides with the period just before the harvest, when there is less food available to families in the villages around us. In 2013, the clinic recorded 34,383 consultations with patients. This number includes patients seen in the general outpatient clinic, antenatal clinics, infant welfare clinics, community outreaches, the HIV service and all emergencies. We admitted 936 patients to the ward.