Average Health Services Manager Salary in Gambia for 2026

How much does a health services manager make in Gambia?

A typical health services manager working in Gambia brings home around 32,041 GMD a month before tax. Entry-level pay starts near 185,100 GMD, and the top of the ladder reaches roughly 605,700 GMD for the most experienced and specialised people in the role.

The wide gap between low end and top end reflects how much pay can vary inside the same job title. A junior health services manager working at a small local employer earns very different money from a senior at a multinational. Skills, employer, city and years in the seat all push the number around.

How health services manager pay ranges in Gambia

A good way to think about salary in Gambia is to look at the distribution rather than the headline average. Half of all health services managers in Gambia earn less than 399,900 GMD a year, and the other half earn more. That middle number is the median, and it is usually more useful than the average for answering "is my pay normal here".

Looking at the quartiles fills in the picture. A quarter of earners take home less than 263,900 GMD (the 25th percentile), and a quarter clear 524,400 GMD (the 75th percentile). The middle 50% of health services managers sit somewhere inside that band, which is where the typical reader of this page probably lives.

The very lowest reported salaries sit around 185,100 GMD. The highest stretch to 605,700 GMD, though only a small fraction of earners ever reach that level. If you are deciding whether your own offer or current pay is reasonable, work out which of those four bands you would fall into and use that as your reference point.

Health services manager pay by experience in Gambia

Years of experience is the single biggest lever on pay for a health services manager in Gambia, ahead of education and almost any other single factor. The longer you have been in the role, the more your employer can trust you to handle complexity, mentor others and act independently, all of which command higher pay. The chart below shows how the typical health services manager salary changes as you move through the career ladder.

The single largest jump on the ladder is from 0 - 2 Years to 2 - 5 Years, where pay rises by about 42%. That is the point at which a health services manager typically goes from "competent in the role" to "the person other people in the team learn from", and the market pays well for that step.

Health services manager pay by education in Gambia

Education sits alongside experience as one of the biggest factors driving health services manager pay in Gambia. Higher qualifications consistently pull higher salaries, but the size of the gap tends to be smallest at junior levels and widens as people move up. Two people in the same role with the same years of experience but different degrees can end up earning very different money once they reach mid-career.

Below is the average health services manager salary in Gambia broken down by the highest level of education a worker has completed.

Health services manager gender pay gap in Gambia

The gender pay gap is a stubborn feature of almost every labour market, and Gambia is no exception. Male health services managers in Gambia earn an average of 407,300 GMD a year, while female health services managers earn around 376,800 GMD. That works out to a 8% gap in favour of men, even when comparing people doing the same work.

A pay gap of this size has a real long-term cost. Over a typical thirty-year career it can add up to several years of pay, and it compounds through pensions, retirement contributions and bonus-linked stock. Some of the gap is explained by women being more likely to work part-time, take career breaks, or be steered toward lower-paying specialisations. Some of it is straightforward unequal pay for the same job, which is harder to defend.

Pay raises for a health services manager in Gambia

Most countries hand out at least some kind of pay raise every year, typically when an employee's contract is reviewed or as a cost-of-living adjustment to keep wages roughly in step with inflation. The rhythm and size of those raises varies hugely between industries.

A typical worker doing this role in Gambia sees a raise of about 8% every 29 months, which works out to roughly 3% on an annual basis. That figure is the typical underlying rate; in years where inflation runs high you can usually expect a bit more, and in flat-economy years a bit less.

Across all jobs in Gambia, the national average raise is around 4% every 29 months.

By industry

Industries with the highest pay raises in Gambia:

By experience level

Experienced workers tend to see larger raises. Retaining a senior is cheaper than replacing them, so employers fight harder for them.

Health services manager bonus rates in Gambia

Bonuses are the other half of total compensation, and they vary a lot between jobs and industries. Some roles are paid almost entirely in base salary; others lean heavily on bonus structures tied to revenue, project completion or company performance. Whether a job pays a bonus, how big it is, and how often it lands all factor into whether the headline salary is actually a good offer.

Which careers pay bonuses in Gambia

Revenue-facing roles tend to pay the biggest bonuses. Operational and support roles tend toward smaller, more predictable ones.

Health services manager: public vs private sector pay

Public-sector pay in Gambia is about 11% more than private-sector pay for similar work. The private sector typically offers stronger upside and bigger bonuses; the public sector typically offers better benefits and stability.

Similar jobs to a health services manager

Other jobs in the same category as a health services manager in Gambia.

Health Services Manager in Gambia: FAQs