No vaccinations are required except for yellow fever if you are coming from an area where the disease is present. However, visitors should be inoculated against typhoid, cholera, hepatitis A & B, tetanus and polio. Malaria is present in most of the region and it is advisable to take precautions especially if traveling off the beaten track. Medical facilities are rather limited in all of the country and it is essential to purchase good comprehensive medical insurance policy before traveling in case evacuation is needed.