The health-care system is crude, said Ernie Revoir of Howell, director of health services for Catholic Charities.
There is one hospital in the diocese, which has a population of 270,000.
Most villages rely on what is called a "health post," staffed by the American equivalent of a licensed practical nurse.
At one post he
visited, in the absence of a nurse, a "volunteer" saw 38 patients one morning.
The pharmacy, said Revoir
, consisted of "antibiotics, cough medicine and Tylenol."