Day to day healthcare is mainly carried out by nurse practitioners located in your neighborhood, and they generally are moonlighting to supplement their income on their regular jobs. Otherwise, there are a small number of clinics with qualified doctors; state-run clinics provide competent care, but are overwhelmed with patients. The MRC is only really interested in studying epidemics, and the promised primary care in their facility is usually not dispensed, or dispensed after the patient waits all day (having arrived before 6am).
   I recommend coming with international medical insurance, and seeking care at the Westfield Clinic in Westfield or at Afromed in Senegambia. My husband and I have been operated on an in-patient and an out-patient basis at Afro-med, and the doctors are quite competent and the medical staff is caring. Nonetheless, they will evaluate if you need to be medically evacuated to Senegal or some other point abroad for the best care when the situation warrants it.
  ALl drugstore items are approximately double the price because they are imported--gauze, bandages, iodine, etc. One definitely needs money and a well-built house to stay healthy. I recommend treated mosquito nets, double-screened windows, and mosquito repellant to prevent malaria.