Expat medical facilities: Afromed, which you can find online as Africmed, which also has maternal  and pediatric programs, and the Westfield clinic. It is a good idea to lean French if you are in WEst Africa in general because not knowing will put you at a disadvantage. Nursery school I recommend Daina Mariam, which is a bilingual French-English program. Shopping: not much, but there are shops in Senegambia and Fajara at Sabina junction. There are also some clubs and restaurants in that area, but of course Senegambia is where most of the clubs and restaurants are. Food market: the market in Serrekunda is best, although, you will find nice vegetables in the corner market just below the "Traffic Light" intersection at Standard and Chartered in Fajara-Serrekunda.