Guatemalan government is supposed to offer free medical attention to everyone through the National Health Program, unfortunately the budget does not cover all the needs with the best resources and that includes preventive medicine through immunizations so the public service (centros de Salud and National Hospitals) offers only basic immunizations with BCG, DPT, Polio, Mumps and Measles, for free, no other vaccines are included.

The immunization schedule should however, include all the vaccines recommended by the AAP , especially, in my view, in a country like mine where all the infectious diseases are more prevalent.  All the other immunizations (Hepatitis A and B, HiB, meningococcal, etc.) are available through private medicine, unfortunately for most of our people and given the low per capita income, are not available to everyone.  If you are in an adoption process I will vigorously suggest you check frequently where and when your child is getting his immunizations as I can not state enough the importance of receiving them adequately. and with the best biological products available.