Are there any particular health concerns? What is the quality of available medical care? What medical conditions typically require medical evacuation?

We have medical evacuation for a lot of different things. Generally the med unit or local docs can diagnose and recommend medevac if the care can't be provided locally. Doctors here are good but limited in what they can do with their facilities. For example a hospital may have a CT scanner but not have the fluid required to run the scan. As for major health issues--we take precautions agains malaria, cholera, and other water-borne illnesses. - Feb 2018

Hospitals are pretty terrible. Anything mildly serious gets medically evacuated to South Africa. Mostly tummy issues when eating out or not cleaning your produce properly. - Nov 2017

You should always wash your food in DI water and some sort of solvent (we use vinegar, others bleach). Airborne issues are common, given the poor air quality during the dry season, as are stomach bugs. Malaria is a big concern outside Lusaka (and recently within it, though on a very limited basis). The Health Unit stocks prophylaxis and can advise on medical care. Urgent care facilities are very poor; most people are medevaced to SA for serious issues. - Jan 2017

Medical care is not so great. Lusaka was considered malaria-free for a while but not any more. It's rare, but you can get it. Stomach bugs are common, especially for those just arriving. - Jun 2016

The health care available in the country is consistently bad. Even at the expensive hospitals, patients are not satisfied that they are receiving correct diagnoses. Anything more than routine care requires a medical evacuation to Pretoria. That being said, the embassy has an excellent health unit that helps staff and their families navigate the system. - May 2016

Local medical care is not up to western standards. - Mar 2015

Quality of medical care is low. - Aug 2014

Medical care is not good. We are sent to South Africa for anything serious. - Jan 2014

No particular health concerns, other than malaria outside of Lusaka, esp. during and right after the rainy season. The sun is very strong, so adequate protection is extremely important, especially for fair-skinned people. Some areas have tse-tse flies, whose bite is tremendously painful; avoid exiting your car when in a tse-tse fly area (you will see them on your car, moving vehicles attract them), and don't wear the color blue, as it seems to attract them. Most areas do not have tse-tse flies, they tend to congregate in belts and sections, but I am not sure under what conditions---I think elevation has something to do with it. Local medical care is not up to standard for serious medical conditions or accidents. - Apr 2013

Malaria and HIV are common. Good health care for basic stuff - surgery is sending you to South Africa. - Jul 2010

All medical care is through South Africa; the facilities here have terrible reputations of misdiagnosis and treatment. - Mar 2009

Medical care here is poor. Have all checkups done in South Africa. - Mar 2009

CFB is the best provider and they are mediocre at best. Most people fly to South Africa. - Oct 2008

Malaria isn't as bad here as it was in Ghana, but HIV/AIDs rate is very high, so don't fool around without thinking. There is good medical care here though, if you can pay for private care, and you can always fly over to Jo'burg for specialty care. most common prescriptions are available (except some psychotherapeutics) and there are lots of generics - although some are crap. - Aug 2008

Outside of the rainy season, most expats don't worry too much about malaria in Lusaka. At the same time, it makes sense even in Lusaka to sleep inside malaria nets. There are a few American doctors in private practice in Lusaka (lots more are involved in aid work), but most people go to South Africa for anything other than routine check-ups. - May 2008

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