Hepatitis A and E are widespread. Hepatitis B is hyperendemic. Epidemics of menigococcal disease may occur, particularly in the savannah areas and during the dry season. Immunisation against diptheria is sometimes recommended. Doctors and hospitals often expect immediate cash payment for health services.
Health insurance is essential.
Most doctors work in the public service and have their private clinic in the afternoon and evening. There are few specialists. Several foreign aid agencies have their own doctor and medical facilities, including the French Mission and the Swedish Embassy. There is also a UN clinic. All these clinics will receive visitors in an emergency, but none of them have surgical facilities.