What is healthcare in Bhutan like?

Facilities and Health Information

Medical facilities in the populated areas in Bhutan such as Thimphu and Paro are available but may be limited or unavailable in rural areas. U.S. citizens in need of urgent medical care should try to get to the Jigme Dorji Wangchuck National Referral Hospital in the capital city, Thimphu. For emergency services in Thimphu, dial 113 for police or 112 for an ambulance. Medical services may not meet Western standards, and some medicines are in short supply. Certain emergency medical services are provided free of charge to all tourists. Visitors planning to trek in Bhutan should pay special attention to the risk of altitude illness. Altitude sickness is a risk above 8,000 feet and travelers to that altitude should consult an appropriate health care provider 4 to 6 weeks before their trip. Treks in Bhutan can take visitors days or weeks away from the nearest medical facility. Helicopter evacuation from remote areas in Bhutan is available through the registered tour operators at the U.S. citizen’s expense. The U.S. Embassy in New Delhi can also help arrange evacuations through private companies at the U.S. citizen’s expense. We strongly urge you to ensure that your medical insurance covers such evacuations, which can be extremely expensive.

The Government of Bhutan recommends that visitors obtain tetanus, typhoid, and hepatitis A inoculations before traveling to Bhutan. Hepatitis B, Japanese Encephalitis, and rabies vaccines are recommended for prolonged stays for people at risk. The influenza vaccine is also recommended.

Tuberculosis is an increasingly serious health concern in Bhutan. For further information, please consult the CDC's information on TB.

According to the Centers for Disease Control and Prevention (CDC), the risk of malaria exists in rural areas below 1,700m (5,577ft) in the southern belt districts of Bhutan (Chirang, Geylegphug, Samchi, Samdrup Jongkhar, and Shemgang) along the border with India. Dengue is also a risk; you should take measures to prevent insect/mosquito bites in the higher-risk areas in the south from July to December.

Although yellow fever is not a disease risk in Bhutan, the government requires travelers arriving from countries where yellow fever is present to present proof of yellow fever vaccination.

Drinking Water Source - % of rural population improved

97.3%

Drinking Water Source - % of total population unimproved

1.9%

Drinking Water Source - % of urban population improved

99.4%

HIV/AIDS - adult prevalence rate

0.2%

Hospital Bed Density - beds/1,000 population

1.8

People Living with HIV/AIDS

750

Physicians Density - physicians/1,000 population

.07

Sanitation Facility Access - % of total population unimproved

53.1%

Sanitation Facility Access - % of urban population improved

74.5%

Sanitation Facility Access - % of rural population improved

31.1%

Infectious Diseases - degree of risk

High

Food or Waterborne Disease (s)

Bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

Vectorborne Disease (s)

Dengue fever and malaria

Medical Insurance

Uninsured travelers who encounter medical emergencies overseas often face extreme difficulties. Most medical insurance plans do not include coverage outside one's country. Getting medical treatment and hospital care abroad can be very expensive, and, if you need it, a medical evacuation back to your country can cost more than $50,000!

Your local embassy may assist in locating appropriate medical services, informing family or friends, and may even assist in the transfer of funds from back home. But ultimately, payment of hospital and other expenses is entirely your responsibility.

Check the terms of your health insurance policy, whether it’s your own, under your parents' policy, or through your school. If you are not covered while out of the country, you may need to purchase additional coverage. Many travel agents and private companies offer plans that will cover health care expenses overseas including emergency services such as medical evacuations.

Mental Health

Traveling or studying overseas is not a cure for health conditions such as depression or attention deficit disorder. Sometimes going abroad may in fact amplify a condition. One may not have adequate access to prescription medication or mental health facilities. In addition, culture shock, language barriers, and homesickness can deepen isolation or depression.

Before traveling, create a workable plan for managing your mental health while abroad. The availability and quality of mental health services differ widely from country to country. In many countries, one will find it difficult — and sometimes impossible — to find treatment for mental health conditions. With your health services provider or your school, put together a workable mental health plan before you go overseas.

If you have a medical or psychological condition that may require treatment while you are abroad, discuss this ahead of time with your doctor. A vacation or study abroad is a great opportunity to try new things but this is not the time to experiment with not taking your medicine or mixing alcohol with medicine.

Research the social culture of your destination to learn about how mental illnesses are viewed. Attitudes toward mental health can greatly vary between countries.

If you are studying abroad through your university, talk to your university about access to mental health services at overseas programs. Your study abroad office can help you decide what program would be best for you.

If currently receiving mental health services — including prescription medication — find out if those services and/or medication are available at your destination.

Consider the support system you’ll have in place while abroad. If possible, know ahead of time who you can consult about your mental health.

Prescriptions

While you’re abroad is not the time to suddenly realize you ran out of your prescription!

If you have a condition that requires regular medication, bring an extra quantity with you and pack it in your carry-on, just in case your checked luggage gets lost. Just remember to keep it in its original container and clearly labeled — you don’t want to create the impression you’re carrying drugs that haven’t been prescribed to you. In fact, you should check with the local embassy to make sure that your medication is acceptable to carry into the country. Some countries may consider your prescription medication to be illegal. Bring a letter from your doctor listing your medications and explaining why you need them. Doing your research and having a letter can help prevent any misunderstandings along the way.

Bring extras of any medical necessities you need, like contact lenses or glasses. You might want to pack a pair in both your carry-on bag and your checked luggage, just to be safe.

If you have allergies to certain medications, foods, insect bites, or other unique medical problems, consider wearing one of those “medical alert” bracelets and carry a letter from your doctor explaining the required treatment if you become ill. It might not be the coolest piece of jewelry you wear, but it could save your life.

Vaccinations

How important is it to do your research about vaccinations? It might just save your life! Make yourself aware of the different types of vaccinations and which ones you may need to travel to your destination. Schedule an appointment with your doctor at least four to six weeks before you travel to ensure you receive all important shots.

Be sure that you and your family are up to date on your routine vaccinations.

Which vaccinations you need will depend on a number of factors including your destination, whether you will be spending time in rural areas, the season of the year you are traveling, your age, health status, and previous immunizations.