To help give an insight into the impact that the Jappineh Hospital and new ambulance are having on every day life in rural Gambia, this account of just one day has come in from Kira Dalton:
"Last week brought the busiest, and most rewarding day ever for our team.
"In the middle of the usual queue of daily patients, word came that a bush taxi (shared public transport) carrying 22 people had overturned on the main road nearby.
"The ambulance immediately transported Ansumana and his team there. On assessment there were 12 casualties who required urgent transport to larger hospitals.
"The 4 most seriously injured passengers were immediately taken to Soma where they were then stabilised and referred onwards to Banjul RVTH.
"The ambulance immediately returned for two more trips with 4 patients each who were taken to Faraffeni APRC Hospital and Soma Major Health Centre respectively. Meanwhile, the walking wounded were treated on site and then transported in various other vehicles, including donkey cart, to Jappineh Health Centre for observation by the remaining staff there. Most were later released.
"If our team and the ambulance had not been nearby - it doesn't bear thinking what would have happened to all of these seriously injured people."
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The news diary is written by a number of people close to the work of the African Oyster Trust, including founder James Holden, his co-directors, trustees and volunteers.