Travellers are recommended to take out full medical insurance before departure. Tuvalu's only hospital is in Funafuti; the outer islands only have trained nurses. More serious and complicated problems may require medicinal evacuation to Fiji or Australia.
Education in Tuvalu is free and compulsory between the ages of 6 and 15 years. Each island has a primary school. Motufoua Secondary School is located on Vaitupu.Students board at the school during the school term, returning to their home islands each school vacation. Fetuvalu High School, a day school operated by the Church of Tuvalu, is on Funafuti.
The country's population has more than doubled since 1980 with a growth rate of 0.702%. The population at the 2002 census was 9,561,and the population at the 2012 census was 10,837 (2012 Population & Housing Census Preliminary Analytical Report). The population of Tuvalu is primarily of Polynesian ethnicity with approximately 4% of the population being Micronesian. The net migration rate is estimated at −7.02 migrant(s)/1,000 population (2011 est.)