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.
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).
Samoa has a population of 194,320. About three-quarters of the population live on the main island of Upolu.