Facilities and Health Information
Medical care is very limited, particularly outside of Managua. Basic and emergency medical services are available in Managua and in many of the smaller towns and villages. However, treatment for many serious medical problems is either unavailable or available only in Managua. Ambulance services, where available, provide transportation and basic first aid only. More advanced medical equipment, and some medications and treatments, are not available in Nicaragua. Physicians and hospital personnel frequently do not speak English, and medical reports are written in Spanish.
In an emergency, individuals are taken to the nearest hospital that will accept a patient. This is usually a public hospital unless the individual or someone acting on their behalf indicates that they can pay for a private hospital. Payment for medical services is typically done on a cash basis, although some private hospitals will accept major credit cards for payment. U.S. health insurance plans are generally not accepted in Nicaragua, however, the Embassy has been informed that Hospital Metropolitano in Managua accepts Blue Cross Blue Shield and Tricare.
Tap water is not considered potable in Nicaragua. All persons should drink only bottled water.
Individuals traveling to Nicaragua should ensure that all their routine vaccinations are up to date. Vaccinations against Hepatitis A, Hepatitis B, rabies, and typhoid are strongly recommended. A yellow fever vaccination is not required to enter Nicaragua unless the traveler has recently visited a country where yellow fever is endemic. Travelers taking prescription medications should bring an adequate supply with them when coming to Nicaragua. Many newer combination medications are not available in local pharmacies.
In July 2013, the Nicaraguan government declared an alert based on an increase in cases of Dengue Fever, H1N1 flu, and leptospirosis. We advise U.S. citizens to take appropriate precautions and consult with your medical professional for advice before you visit Nicaragua.
Drinking Water Source - % of rural population improved
Drinking Water Source - % of total population unimproved
Drinking Water Source - % of urban population improved
HIV/AIDS - adult prevalence rate
Hospital Bed Density - beds/1,000 population
People Living with HIV/AIDS
Physicians Density - physicians/1,000 population
Sanitation Facility Access - % of total population unimproved
Sanitation Facility Access - % of urban population improved
Sanitation Facility Access - % of rural population improved
Infectious Diseases - degree of risk
Food or Waterborne Disease (s)
bacterial diarrhea, hepatitis A, and typhoid fever
Vectorborne Disease (s)
dengue fever and malaria