Verified Facts

Official NameTokelau
CapitalFakaofo
Population2,608
Area12.0 km²
LanguagesEnglish, Samoan, Tokelauan
CurrencyNew Zealand dollar ($)
TimezoneUTC+13:00
RegionOceania / Polynesia
Drives onLeft
Source: REST Countries API

Healthcare in Tokelau is a relatively basic system with limited access to specialized care, relying heavily on support from New Zealand for advanced medical services.

Quick Facts

Healthcare SystemMixed
Quality Rating2/5
Emergency Number112
Hospital StandardBasic
Insurance Requiredrecommended
Pharmacy Accesslimited

Healthcare Overview

The healthcare system in Tokelau is a mixed model, combining public and private services, though the public sector plays a dominant role. The system is overseen by the Tokelau Department of Health, which is responsible for providing healthcare services to the population. However, due to the territory's remote location and limited resources, the quality of care is generally considered basic, and advanced medical services are often not available. Patients requiring specialized care are typically referred to New Zealand for treatment.

Access to healthcare in Tokelau can be challenging, particularly in rural areas, where facilities and personnel may be scarce. The territory has a small number of healthcare providers, including nurses, midwives, and a limited number of doctors. Despite these challenges, the government has made efforts to improve healthcare services, including the introduction of new health programs and the upgrading of existing facilities.

The healthcare system in Tokelau faces significant challenges, including a lack of resources, limited access to specialized care, and a shortage of healthcare professionals. However, the territory has made progress in recent years, with improvements in areas such as maternal and child health, and the control of infectious diseases.

Hospitals & Clinics

FacilityLocationTypeSpecialtiesEnglish-Speaking
Tokelau HospitalNukunonuPublicGeneral medicine, midwiferyYes
Atafu Health ClinicAtafuPublicPrimary care, emergency servicesYes
Fakaofo Health ClinicFakaofoPublicPrimary care, dental servicesYes
Nukunonu Health ClinicNukunonuPublicPrimary care, maternal healthYes
Atafu Dental ClinicAtafuPrivateDental servicesYes
Nukunonu Private ClinicNukunonuPrivateGeneral medicine, specialist referralsYes

Health Insurance

  • Private health insurance is recommended for visitors and expatriates, as it can provide access to a wider range of medical services and facilities.
  • Local health insurance options are limited, but some providers offer coverage for Tokelau residents.
  • Expatriate health insurance is available from international providers, and can provide comprehensive coverage for medical services, including evacuation and repatriation.
  • The cost of health insurance in Tokelau can vary widely, depending on the provider and the level of coverage.
  • Travel insurance is also recommended for visitors, as it can provide coverage for unexpected medical expenses and emergencies.
  • Some employers in Tokelau may offer health insurance as part of their employment packages, but this is not always the case.

Pharmacies & Medications

  • Medications and pharmaceuticals are available at the Tokelau Hospital and health clinics, but the range of products may be limited.
  • Prescription medications are available, but may require a consultation with a doctor or other healthcare professional.
  • Some common medications, such as pain relievers and antibiotics, are widely available, but more specialized medications may need to be imported from New Zealand.
  • The cost of medications in Tokelau can be high, particularly for imported products.
  • Traditional medicines are also used in Tokelau, and some healthcare providers may incorporate traditional practices into their treatments.

Vaccinations & Health Risks

  • Hepatitis A and hepatitis B vaccinations are recommended for all travelers to Tokelau.
  • Typhoid and influenza vaccinations may also be recommended, depending on the time of year and other factors.
  • Malaria is not a significant risk in Tokelau, but dengue fever and other mosquito-borne illnesses can occur.
  • Waterborne illnesses, such as cholera and dysentery, can be a risk, particularly in rural areas.
  • Food safety is also a concern, and travelers should take precautions to avoid consuming contaminated food and water.
  • Sun protection is essential in Tokelau, due to the strong sun and high levels of ultraviolet radiation.

Medical Tourism

  • Medical tourism is not a significant industry in Tokelau, due to the limited range of medical services available.
  • However, some visitors may travel to Tokelau for traditional health treatments, such as massage and herbal remedies.
  • Dental tourism may also be an option, with some private clinics offering dental services to visitors.
  • The cost of medical services in Tokelau can be high, particularly for specialized treatments.
  • Accredited hospitals and clinics are available in Tokelau, but the range of services may be limited.

Emergency Procedures

  • In the event of a medical emergency, travelers should call the emergency number (112) for assistance.
  • Ambulance services are available, but may be limited in rural areas.
  • The nearest hospital may be some distance away, and evacuation to New Zealand may be necessary for serious medical conditions.
  • Travelers should have a plan in place for emergency medical situations, including insurance coverage and emergency contact information.
  • First aid kits and other basic medical supplies are recommended for travelers, particularly those planning to venture into rural areas.
Related: Healthcare Costs