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Sirrah and family lives in kombo central district in the west coast region of the Gambia. They live together in an extended family system with other relatives. The house they live is not in good condition but due to family low income they cannot afford to repair it. Her parents are subsistence farmers and their total combined income is not sufficient enough to provide basic needs of this child and other family members as well as payment of their medical bills. She is currently going to nursery school but lacks educational supplies needed for her education because her parents cannot afford the cost involve. She is a happy child and enjoy playing with other children in the neighbourhood.