Medical facilities are very limited. Nouakchott boasts the country's best medical facilities with many doctors, most in private practices or clinics, and plenty of chemists stocking most existing French medicines. Health insurance, to include cover for emergency repatriation, is essential.
There are decent medical facilities in all main cities, including emergency pharmacies (see postings in pharmacy windows listing the nearest pharmacie du garde, or after-hours pharmacy) and clinics in major hotels outside normal opening hours. Government hospitals provide free or minimal charge emergency treatment.
Namibia faces a number of challenges providing health care to its citizens. The country has a dual system of public (serving 85% of the population) and private (15%) health care providers. In the financial year 2006/07, Government and private health expenditure combined accounted for 8.3% of the country's Gross Domestic Product.
Healthcare in Niger suffers from a chronic lack of resources and a small number of health providers relative to population. Some medicines are in short supply or unavailable. Close to half of Niger's population of over 11 million people do not have access to healthcare. For those that do, it can be expensive and in many cases unaffordable.
There was a resurgence of malaria in the country in 2010, but the exact cause is unknown.Female life expectancy at birth was 65.1 years in between 2005 and 2010, and male life expectancy at 62.8 for the same time period. Healthy life expectancy at birth was at 64.7 years in 2011.
There is a large general hospital in Victoria and there are clinics elsewhere on La Digue, Mahe and Praslin, but medical facilities are limited. Visitors may obtain emergency treatment for a basic consultancy fee. Additional medical insurance is advised, including emergency repatriation; the number for medical emergencies is 151. There are several pharmacies in Victoria, and on other islands, government clinics are used. There are dental clinics on Mahe, Praslin and La Digue. Prices vary according to whether they are government clinics or private ones. Many hotels offer a 24-hour doctor on call services for guests.