Gambia will not achieve the three zero's by 2030 without accelerating the investment towards them, and the required level of investment will not happen without filling in the resource gaps and stepping up political commitment at all levels. This report will be useful as a financing tool to engage the Government and other stakeholders to mobilize the required investment for interventions aimed at improving maternal health, family planning, female genital mutilation and child marriage. It will also be useful as an advocacy tool to rally the cooperation and political patronage necessary for the transformations and eventually achieve the Sustainable Development Goals.