Mrs. Therese Drammeh worked in The Gambia Civil Service for 25 years 1976-2001. Rose through the ranks to the position of Permanent Secretary. Worked as PS Personnel Management Office, PS Interior, PS Local Government and Lands and PS Ministry of Health and Social Welfare. Took early retirement from the civil service in 2001. Joined Riders for Health in 2002 and helped set up The Gambia country program and has been leading the program to date.