Ecuador is known for its natural landscapes and culture. Travellers can visit the middle of the world in the capital city of Quito. Visitors can also enjoy the old town of Las Peñas in Guayaquil along Ecuador's southern coast, or sail to the Galapagos islands.
The standards for patient care and medical services in Ecuador may differ from your home country. Ecuador has both public and private healthcare systems. In Quito, Cuenca, and Guayaquil travellers can access high quality private healthcare. Outside of major cities, the quality of care does not always meet international standards and may vary by region. In rural areas, access to high quality care is made difficult due to a lack of facilities, equipment, doctors, and other medical staff. A shortage of doctors and medical staff throughout the country means that wait times for healthcare services may be long.
In the event of a medical emergency, contact your travel health insurance company immediately. Hospitals and private practitioners in Ecuador require upfront payment, regardless if you have travel health insurance. Evacuation to the United States may be required for complex medical emergencies. Ensure that you have accessible funds to cover upfront fees and adequate travel health insurance, including evacuation. Before you depart, check with your insurer about the extent of their coverage in Ecuador.
Pharmacies are generally available in most towns in Ecuador. Prescriptions for medicines must be obtained from a local doctor.
If you are travelling with medication, check with Ecuador’s embassy, consulate, or Ministry of Health for details on medication allowances and restrictions. If your medication is a psychotropic or narcotic, you can review Ecuador’s regulations on the International Narcotics Control Board. Note that these sources may provide incomplete or out-of-date information.
The quality of roads in Ecuador varies by region and many roads are often poorly maintained which can pose a risk to travellers. In rural regions, wandering livestock and a lack of sidewalks for pedestrians can make driving even more difficult. Seat belts are required for drivers and front seat passengers in cars. However, all passengers of a vehicle should wear a seat belt at all times for safety. Helmets must be worn by drivers and passengers on motorcycles at all times.