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Sainey lives in the western part of the Gambia with his parents. He has a brother. His father does local petty business. He depends on the activities to feed the family. His mother is a house wife and she does petty trading at their village local market. Their combined annual income is relatively very low to meet the basic needs of the family especially health education. Their annual income is approximately $350.00. The family lives in a rented house made of cement block. The house is one room and parlor. The family fetches water from a tap. Sainey is attending the nursery school. External support would be of great help to him. He likes playing with toys and football with other children of his age. He health is reasonably good.