Only some people who obtained medical education work as doctors. The majority of them earn their living being interpreters or assistants to foreign journalists.

Lack of education can make doctors and midwives more wary of women with HIV, particularly if standard universal precautions (such as surgical gloves) are not available during delivery.

The stated primary goal of most medical education in those regions should be to prepare doctors for assisting the underserved, typically in local rural and public-sector practice.