La santé à Seychelles

Comment fonctionne le système

Seychelles runs a tax-funded, Beveridge-model public health system. Since adopting a primary-health-care approach in the late 1970s/early 1980s, all Seychellois receive primary health services free of charge at the point of use in the public sector, and the right to free primary health care is enshrined in Article 29 of the Constitution. Care is delivered through the Ministry of Health via a network of public health centres and hospitals concentrated on Mahe — chiefly Seychelles Hospital (formerly Victoria Hospital) in the capital and Anse Royale Hospital — plus smaller facilities on Praslin (Baie Sainte Anne) and La Digue (Logan Hospital). WHO has highlighted the system for delivering broad, free, universal coverage. Facilities are adequate for routine and emergency care, but the islands have limited specialist capacity, so complex cases are typically referred or evacuated abroad.

A small private sector supplements the public system, concentrated in and around Victoria on Mahe, with tourist-oriented private doctors offering hotel call-outs and video consultations. Private-clinic consultations for non-residents are inexpensive by international standards — roughly SCR 150-300 (about EUR 9-18) for a walk-in visit — while tourist concierge services charge far more: Seychelles Medical Services lists a same-day private doctor visit at EUR 175 for visitors, with daytime call-outs EUR 275 and night call-outs EUR 375. Government clinics also see non-residents on a pay-as-you-go basis for a flat fee of around SCR 100 (about EUR 6-7) per consultation. English-speaking doctors are common, especially in the private sector. Travellers and nomads are strongly advised to carry international health insurance including medical-evacuation/repatriation cover, since serious or specialist treatment often requires transfer off-island.

WHO has highlighted Seychelles' free, universal public health care and the right to free primary care is constitutionally guaranteed (Article 29); health spending runs above 10% of the national budget though below 4% of GDP (WHO Regional Office for Africa). Care is reliable for routine and emergency needs but specialist capacity is limited, with complex cases referred or evacuated abroad (US Department of State travel advisory; UK FCDO travel advice). Public consultation fees for non-residents (around SCR 100 at government clinics, SCR 150-300 at private clinics) come from travel-guide sources rather than an official tariff, so treat the exact amounts as indicative.