Samoa is made up of eleven itūmālō (political districts). These are the traditional eleven districts that were established well before European arrival. Each district has its own constitutional foundation (faavae) based on the traditional order of title precedence found in each district's faalupega (traditional salutations).
The traditional culture of Samoa is a communal way of life based on Fa'a Samoa, the unique socio-political culture. In Samoan culture, most activities are done together. There are 3 main parts in the Samoan culture, that is faith, family and music. The traditional living quarters, or fale (houses), contain no walls and up to 20 people may sleep on the ground in the same fale.
Health insurance, while recommended, is not mandatory. All health services available to locals are accessible to foreigners usually at minimal cost to the traveller. Emergency medical facilities are available at Moto'otua Hospital, in Apia. Private medical and dental treatment is also available.