U.S. citizens are advised to keep themselves informed of regional developments and to register with the U.S. Embassy in Djibouti City upon arrival in Djibouti. U.S. citizens should avoid large crowds, political rallies, and street demonstrations and maintain security awareness at all times. Petty crime occurs occasionally in the capital and elsewhere in the country. The loss or theft abroad of a U.S. passport should be reported immediately to local police and to the nearest U.S. embassy or consulate. A Safe Trip Abroad and Tips for Travelers to Sub-Saharan Africa provide useful information on safeguarding valuables and personal security while traveling abroad and on travel in the region in general.
Medical facilities are limited, and medicines are often unavailable.
U.S. medical insurance is not always valid outside the United States. U.S. Medicare and Medicaid programs do not provide for payment of medical services outside the United States. Doctors and hospitals often expect immediate cash payment for health services. Uninsured travelers who require medical care overseas may face extreme difficulties. Please check with your own insurance company to confirm whether your policy applies overseas, including provision for medical evacuation and for adequacy of coverage.