Ecuador has a comprehensive publicly funded health system and national health insurance. Free medical care (with an extensive system of hospitals and regional health clinics) is available to all residents regardless of income, and without buying any type of medical insurance. An extensive and proactive program for public health includes actions such as teams of nurses going door-to-door offering influenza vaccines to residents. Isolated rural areas are also served by this system, as physicians, dentists, and nurses are obliged to perform one year of "rural service" in these communities. This service is mandatory for professional licensing in Ecuador.
The Human Rights Measurement Initiative[1] found that Ecuador, based on its level of income, fulfilled 92.6% of requirements for the right to health, 97.1% for the right to health concerning children, and 90.9% for the right to health concerning adults. Ecuador falls into the "fair" category when evaluating the right to reproductive health because the nation fulfilled only 89.8% of expectations, based on its level of income.[2]