Everyone takes it, routinely? Or gets prescribed it easily in the case of certain symptoms? My surface-level, limited perception in a couple countries I have f

Everyone takes it, routinely? Or gets prescribed it easily in the case of certain symptoms? My surface-level, limited perception in a couple countries I have friends/family in (Cameroon, Kenya, Nigeria) is that there's little to no testing, but also not apparently a hospital emergency. Then again, these same people also seem to go to their local hospital for what is understood as typhoid and malaria every year or two at least. As a born and raised North American I get told by them that's normal.