Introduction: As nursing student, during my gap year, I went to The Gambia to do elective clinical training at Kanifing General Hospital. The Gambian health system does not achieve desired results based on the organization of health care. Access to health care is limited, high mortality is due to low quality of health services, especially inadequate clinical practices, lack of knowledge among health professionals and experience, and insufficient medical equipment and aids for diagnosis and treatment. Purpose: The purpose of the diploma work is to determine the specifics of the organization of health care and the work of a graduate nurse in The Gambia, compared to Slovenia. In the diploma work we asked ourselves two research questions: what are the differences regarding the organization of health care between the Gambia and Slovenia and what are the differences in the work of a graduate nurse in The Gambia and Slovenia. Methods: A descriptive method of work was used with a review of Slovenian and foreign literature, which regulates the field of health care organization in Slovenia and the Gambia. We searched for relevant literature in Slovene and English. Results: Slovenian government took care of the appropriated distribution of public health service providers at the primary, secondary and tertiary levels in the territory of the state and in the areas of individual municipalities. The goal that the Gambia wants to ensure for its people is access to the necessary medical care, including disease prevention, treatment and rehabilitation. In the Gambia people are dying from diseases that are completely curable in Slovenia and with which we can live a quality life for years to come. The life expectancy of Gambians is also about 20 years lower than that of the Slovene population. Discussion and conclusion: Slovenia strives for an efficient health care system, that provides fair, solidary and accessible health care. Morbidity and mortality rates from infectious as well as non-infectious diseases are high in The Gambia, especially among infants, children and women. The most endangered population in The Gambia are the people living outside the big cities. In order to improve the general health situation in the Gambia, preventive action should be taken in the areas that are the most crucial for such high youth mortality and have very low average life expectancy. People should be made aware of the benefits of low-count families, as most families are unable to provide their children with adequate nutrition, education and health care.
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