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Bolivia: Difference between revisions

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[[File:Flag of Bolivia (state).svg.png|300px | thumb|right|]]
{| class="wikitable" style="width:200px; border:1px solid black;float:right"
|-
|colspan="8" style="text-align:center"|[[File:Flag of Bolivia (state).svg.png|300px | thumb|right|]]
|-
| '''Contraception: Over-the-Counter'''
| condoms, pills,
|-
| '''Contraception: Prescription/Clinic Required'''
| IUD insertion, injectable, implant
|-
| '''Emergency Contraception'''
| technically, prescription required; informally available without prescriptions
|-
| '''STIs'''
| testing available; no travel restrictions
|-
| '''Menstrual Products'''
| pads, tampons, cups
|-
| '''Abortion Law'''
| legal in some circumstances; not upon request
|-
| '''LGBTQ Laws'''
| homosexuality legal
|-
| '''Related Pages'''
| [[La Paz]]
|-
|}


'''OVERVIEW'''  
'''OVERVIEW'''  


In Bolivia, you can purchase birth control without a prescription. While you technically need a prescription to purchase EC, this does not seem to be widely enforced and locals report you can buy it without a prescription at pharmacies. There are no travel or residency restrictions attached to HIV status. If you can afford it, the best gynecologists are generally found at private hospitals. There is no PrEP program, but Bolivia does have a nationwide HPV vaccination program. There is a maternity leave policy but not paternity leave policy. Abortion is only permitted under very specific circumstances.
In Bolivia, you can purchase birth control pills without a prescription at pharmacies. While you technically need a prescription to purchase emergency contraceptive pills (morning after pills), this does not seem to be widely enforced and locals report you can buy it without a prescription at pharmacies. There are no travel or residency restrictions attached to HIV status. If you can afford it, the best gynecologists are generally found at private hospitals. There is no PrEP program, but Bolivia does have a nationwide HPV vaccination program. There is a maternity leave policy but not paternity leave policy. Abortion is only permitted under very specific circumstances.


==Contraception (Birth Control)==
==Contraception (Birth Control)==
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===Laws & Social Stigmas===
===Laws & Social Stigmas===


In Bolivia, contraception (birth control) is available without a prescription. It is estimated that about 62% of Bolivian women (who are married or in unions between the ages of 15 and 49) use some form of contraception and that 40% use a modern contraceptive method. Furthermore, it's estimated that 18% have unmet family planning needs. The most popular methods of contraception are the rhythm method (17.1%), injectables (13.6%), IUDs (10.1%), female sterilization (7.8%) and male condom (4.8%). Other methods include the pill and withdrawal, but they were used by only 4% of women on average.<ref>[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in Contraceptive Use Worldwide 2015]</ref>
In Bolivia, oral contraceptives (birth control pills) are available without a prescription at pharmacies.<ref>[http://ocsotc.org/wp-content/uploads/worldmap/worldmap.html Global Oral Contraception Availability]</ref> <ref>[http://freethepill.org/where-on-earth/ Free the Pill World Map]</ref> It is estimated that about 62% of Bolivian women (who are married or in unions between the ages of 15 and 49) use some form of contraception and that 40% use a modern contraceptive method. Furthermore, it's estimated that 18% have unmet family planning needs. The most popular methods of contraception are the rhythm method (17.1%), injectables (13.6%), IUDs (10.1%), female sterilization (7.8%) and male condom (4.8%). Other methods include the pill and withdrawal, but they were used by only 4% of women on average.<ref>[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in Contraceptive Use Worldwide 2015]</ref>


===What to Get & Where to Get It===
===What to Get & Where to Get It===


* You can purchase '''birth control pills ("píldoras anticonceptivas")''' in Bolivia without a prescription. Some brands you can expect to see are Microgynon, Microgynon-30, Minigynon, Nordette and Norvetal. For birth control pill information from Marie Stopes Bolivia, click [http://www.mariestopes.org.bo/pildoras-anticonceptivas here].
* You can purchase '''birth control pills ("píldoras anticonceptivas")''' in Bolivia without a prescription at pharmacies, clinics, or social marketing programs. There are at least 12 birth control pill brands that you can find in Bolivia including Diane-35, Microgynon, Microgynon-30, Minigynon, Nordette, Norvetal, Yasmin and Yaz. For birth control pill information from Marie Stopes Bolivia, click [http://www.mariestopes.org.bo/pildoras-anticonceptivas here].
* You can find '''male ("condón masculino") and female condoms ("condón femenino")''' in Bolivia. Click [http://www.mariestopes.org.bo/condon-masculino] here for information on male condoms (in Spanish) and click [http://www.mariestopes.org.bo/condon-femenino here] for information on female condoms (in Spanish) from Marie Stopes Bolivia.
* You can find '''male ("condón masculino") and female condoms ("condón femenino")''' in Bolivia. Click [http://www.mariestopes.org.bo/condon-masculino] here for information on male condoms (in Spanish) and click [http://www.mariestopes.org.bo/condon-femenino here] for information on female condoms (in Spanish) from Marie Stopes Bolivia.
* If you want an '''IUD ("El DIU")''', you can get it at [http://www.mariestopes.org.bo/ Marie Stopes]. They have both the hormonal IUD or the copper IUD.
* If you want an '''IUD ("El DIU")''', you can get it at [http://www.mariestopes.org.bo/ Marie Stopes]. They have both the hormonal IUD or the copper IUD.
* If you want the '''contraceptive implant ("implante")''', you can get the FEMPLANT at [http://www.mariestopes.org.bo/femplant-implante Marie Stopes].  
* If you want the '''contraceptive implant ("implante anticonceptivo")''', you can get the FEMPLANT at [http://www.mariestopes.org.bo/femplant-implante Marie Stopes]. At [http://www.cies.org.bo/ CIES], they can also provide implants (price was 200Bs. in June 2015).
* If you want a contraceptive injectable ("inyectables"), you can get monthly or quarterly injectables at [http://www.mariestopes.org.bo/inyectables-hormonales Marie Stopes].
* If you want a '''contraceptive shot/injectable ("anticonceptivo inyectable")''', you can find Cyclofem, Cyclofemina, Depo-Provera and Mesiyna in Bolivia. You can get monthly or quarterly injectables at [http://www.mariestopes.org.bo/inyectables-hormonales Marie Stopes].


===Costs===
===Costs===
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To say STD in Spanish, say "enfermedades de transmisión sexual."  
To say STD in Spanish, say "enfermedades de transmisión sexual."  


There are no travel restrictions tied to HIV status. This means that you can enter the country without a medical certificate. You can also import antiretroviral drugs.<ref>[http://www.hivtravel.org/Default.aspx?PageId=143&CountryId=30 BOLIVIA - REGULATIONS ON ENTRY, STAY AND RESIDENCE FOR PLHIV]</ref> However, if you want to apply for residency in Bolivia, you will probably be asked to take an HIV test as part of your application process. If you have a positive test result, we don't know if this will disqualify you.
There are no travel restrictions tied to HIV status. This means that you can enter the country without a medical certificate. You can also import antiretroviral drugs.<ref>[http://www.hivtravel.org/Default.aspx?PageId=143&CountryId=30 BOLIVIA - REGULATIONS ON ENTRY, STAY AND RESIDENCE FOR PLHIV]</ref> However, if you want to apply for residency in Bolivia, you will probably be asked to take an HIV test as part of your application process. This has been confirmed the case as late as July 2017. If you have a positive test result, we don't know if this will disqualify you.


In Bolivia, it is estimated that 0.3% of the population is HIV positive, according to data from 2015.<ref>[http://www.unaids.org/en/regionscountries/countries/bolivia UNAIDS: Bolivia]</ref> You can read an account of some of the challenges of living with HIV in Bolivia [https://www.theguardian.com/global-development/2011/jun/08/bolivia-hiv-aids-ross-quiroga here].
In Bolivia, it is estimated that 0.3% of the population is HIV positive, according to data from 2015.<ref>[http://www.unaids.org/en/regionscountries/countries/bolivia UNAIDS: Bolivia]</ref> You can read an account of some of the challenges of living with HIV in Bolivia [https://www.theguardian.com/global-development/2011/jun/08/bolivia-hiv-aids-ross-quiroga here].
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===Testing Facilities===
===Testing Facilities===


Visit the city pages, like the [[La Paz]] page, for local recommendations.
* [http://www.clinicadelsur.com.bo/ Clinica Del Sur]: They have staff who speak Spanish, English, Dutch and Portuguese. They have a laboratory. Emergencies: 2784001- 2784002. Patient: 2784750 - 2784755. lnternational: (591-2) 278400. Fax: (591-2) - 2,784,753.
* [http://www.prosalud.org/ Clinica Pro Salud]: Has a laboratory and should be able to give tests.


===Support===
===Support===
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===What to Get & Where to Get It===
===What to Get & Where to Get It===


In Bolivia, you can easily find pads. You'll find some tampons in certain supermarkets (especially in more urban areas, like La Paz), but they will typically be non-applicator tampons (like OB) and you won't find much variety. As for menstrual cups, you can probably buy them from [https://www.facebook.com/warmiyasi13/ Warmi Yasi], which is a Bolivian company that sells alternative and eco-conscious menstrual products. They can be reached through their [https://www.facebook.com/warmiyasi13/ Facebook page], phone (Call +591 72558332) or email (warmiyasi@gmail.com). There appears to be no official there appears to be no official sellers of major brands, like DivaCup, LadyCup or Lunette, so you should try to buy them online or find a small-scale boutique seller.
In Bolivia, you can easily find pads. You'll find some tampons in certain supermarkets (especially in more urban areas, like La Paz), but they will typically be non-applicator tampons (like OB) and you won't find much variety. As for menstrual cups, you can buy Mia Luna Menstrual Cups for 220 Bolivianos from [https://www.facebook.com/warmiyasi13/ Warmi Yasi], which is a Bolivian company that sells alternative and eco-conscious menstrual products. They can be reached through their [https://www.facebook.com/warmiyasi13/ Facebook page], phone (Call +591 72558332) or email (warmiyasi@gmail.com). There appears to be no official there appears to be no official sellers of major brands, like DivaCup, LadyCup or Lunette, so you should try to buy them online or find a small-scale boutique seller.


===Costs===
===Costs===
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===What to Get & Where to Get It===
===What to Get & Where to Get It===


Visit the city pages, like the [[La Paz]] page, for local recommendations.
====Public & Low-Cost Options====
 
While public hospitals are generally less efficient and less well-equipped, they are the only option available to many Bolivians. They can also receive free health care at these facilities under Caja Nacional de Salud (National Health Fund). If you cannot afford a private hospital and you're a Bolivian national, we recommend that you contact [www.mariestopes.org.bo/ Marie Stopes - Bolivia] to learn about their gynecological exam options.
 
====Private Hospitals====
 
* [http://www.clinicalemana.com.bo/unidad_go.php Alemena Clinic (German Hospital)]: This is potentially the best hospital in La Paz, and it's recommended by many locals. It's a private international hospital, so it will be more expensive. They have a general gynecology department, which includes: Management of endometriosis, uterine fibroids, ovarian cysts, metrorrhagia, endocrine disorders of women, pathology of the cervix, and breasts. Address: Av.6 de Agosto 2821, La Paz, Bolivia. Phone: +591 2 2432155.
* [http://www.clinicadelsur.com.bo/ Clinica Del Sur]: This is one of the best clinics in Bolivia. Since it's a private hospital, it will be more expensive.
* [http://cemesbolivia.com/ Clinica Cemes]: This is considered one of the best clinics in Bolivia, and many of its ob/gyns are on the list of recommended physicians from the US Embassy in La Paz. Some of the recommended practitioners include:
** Dr. Ovidio Suárez: This is an ob/gyn who is recommended by the US Embassy.  Address: Edificio Illimani, Piso 1, Of. B, Avenida Arce esquina Campos, Phones: 243-1501/243-1578, Mornings: Clínica Cemes, Phones: 243-0360/50.
** Dr. Marcelo Koziner Udler (Post Advisor): This ob/gyn is on the list of doctors from US Embassy, which is usually a good sign. Address: Edificio Altamira Piso 1,  #102, Ave. Arce. Phone: 243-3724, Calle 21 #8514, Edif. Basaure #1D, Calacoto. Phones: 279-5668/279-8243. Also early in the morning: CEMES CLINIC. Phone: 243-0360 .
* [http://www.clinicaunifranz.org/ Clinica Unifranz]: This clinic is connected to Unifranz University and it's considered a good clinic. Address: Landaeta Nro. 1855 esq. Héroes del Acre, Frente Instituto Americano - La Paz, LA PAZ. Email: info@clinicaunifranz.org
*  Dr. Jaime Terán: This is a US-trained ob/gyn who is recommended by the US Embassy. Address: Edificio Rhesus, Calle G #1367, Calles Rene Moreno y Claudio Aliaga, Phone: 279-6589


===Costs===
===Costs===
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As of January 2017, Bolivian courts have rejected challenges to existing abortion laws, despite reproductive rights groups calling for a more open abortion policy.<ref>[http://nacla.org/blog/2014/2/28/abortion-rights-bolivia-modest-gain For Abortion Rights in Bolivia, A Modest Gain]</ref> The organizations that are probably the most prominent in the fight for reproductive rights in Bolivia are [http://www.ipas.org/ IPAS], an international NGO and the Movement for Socialism, a a Bolivian left-wing political movement. The strongest opponents are the Catholic Church and conservative Catholic groups.
As of January 2017, Bolivian courts have rejected challenges to existing abortion laws, despite reproductive rights groups calling for a more open abortion policy.<ref>[http://nacla.org/blog/2014/2/28/abortion-rights-bolivia-modest-gain For Abortion Rights in Bolivia, A Modest Gain]</ref> The organizations that are probably the most prominent in the fight for reproductive rights in Bolivia are [http://www.ipas.org/ IPAS], an international NGO and the Movement for Socialism, a a Bolivian left-wing political movement. The strongest opponents are the Catholic Church and conservative Catholic groups.
===What to Get & Where to Get It===


* You can potentially get the "abortion pill" by mail. Check out [https://www.womenonweb.org/en/i-need-an-abortion this link] for details
* You can potentially get the "abortion pill" by mail. Check out [https://www.womenonweb.org/en/i-need-an-abortion this link] for details
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===What to Get & Where to Get It===
===What to Get & Where to Get It===
* Police: Call 110
* Ambulance: Call165
* Fire department: Call 119
* [http://www.brisaesperanza.org/ The CUBE Centre]: The CUBE Centre focuses on sexual violence prevention and support. They provide legal, psychological and social support to over 1,500 survivors. Address: Mayor Rocha #166 entre Junin y Ayacucho, Cochabama, Bolivia. Telefono: 4537506  y  5527505. Email: cube.ccba@gmail.com. You can also contact them on [https://www.facebook.com/cube.cochabamba?fref=ts Facebook]. Hours: Monday to Friday - 8:00-12:30 y 14:00- 18:30.
* [http://www.abreezeofhope.org/ A Breeze of Hope (ABH)]: "Founded in 2004, A Breeze of Hope Foundation exists to provide free legal, social, and psychological services to victims of sexual violence, to eradicate sexual violence through transdisciplinary prevention strategies, and to foster a society that encourages healthy and comprehensive childhood development." Email: parkerpalmer@abreezeofhope.org, brisadeangulo@abreezeofhope.org​​
* [https://www.ijm.org/partner-offices/bolivia/ IJM - Bolivia]: They work to defend children from sexual violence. They provide the following services: Rescue Victims ("We partner with the Bolivian National Police and Defensoría de la Niñez (Bolivian social services) to rescue children who are at risk of further abuse and bring them into safe places"); Bring Criminals to Justice ("We support the Bolivian National Police to locate and arrest suspects, and partner with government prosecutors to ensure that child rapists and pedophiles are convicted."); and Restore Survivors ("We provide trauma-focused therapy for children who have endured sexual violence, and help survivors who choose to participate in the trial prepare to share the truth in court. We make sure families have the support they need, so children can heal in a stable environment").


===Costs===
===Costs===
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==List of Additional Resources==
==List of Additional Resources==


* [http://www.cies.org.bo/ CIES]: "We are a private non-profit social development organization that contributes to the exercise of the DSDR to improve the quality of life of Bolivian urban and rural population, with an emphasis on the one that lives in situations of vulnerability. We develop the CIES sexual and reproductive health promotion and assistance model, which has a comprehensive and innovative approach, with a gender, generational and intercultural approach."
* [https://www.minsalud.gob.bo/ Ministry of Health]
* [https://www.cies.org.bo/ Centro de Investigación, Educación y Servicios (CIES Bolivia)]: "The Centro de Investigacion, Educacion y Servicios (CIES) became a full IPPF Member Association in 1995. The organization provides sexual and reproductive health (SRH) services via permanent clinics spread across the country, and mobile facilities. Services include voluntary surgical contraception, PAP smears, prevention, diagnosis and treatment of sexually transmitted infections (STIs) including HIV and AIDS, maternal and child health, and referrals for complications." Email: cieslapaz@cies.org.bo
* [http://www.mariestopes.org.bo/ Marie Stopes International - Bolivia]: Marie Stopes International Bolivia has 7 fixed centers, 6 community extension units and 6 clinics for adolescents and young people. Address: Calle Guerrileros Lanza No. 1238 (between Guatemala and San Salvador) Miraflores area. Casilla: 619 - La Paz, Bolivia. Telephones: (591-2) 2242476. Email: info@mariestopes.org.bo. WhatsApp Line: 789-98014. Confidential Line: 901-111-901
* [https://www.facebook.com/cdimabolivia.cdima/ Centro de Desarrollo Integral de la Mujer Aymara Aymata "Amuyt’a" (CDIMA)]: "CDIMA is a leading indigenous women’s rights organisation in Bolivia, founded in 1989 to promote Aymara women’s rights, cultural identity and women’s access to social, political and economic rights."
* [https://www.facebook.com/cdimabolivia.cdima/ Centro de Desarrollo Integral de la Mujer Aymara Aymata "Amuyt’a" (CDIMA)]: "CDIMA is a leading indigenous women’s rights organisation in Bolivia, founded in 1989 to promote Aymara women’s rights, cultural identity and women’s access to social, political and economic rights."
* [http://gregorias.org.bo/ Centro de Promocion de Mujer Gregoria Apaza (CPMGA)]: "CPMGA has established successful leadership and violence prevention courses in Bolivia and runs an influential radio station which broadcasts powerful social messages. The organisation's vision is of a society where women and men can exercise their democratic and human rights without discrimination."
* [http://gregorias.org.bo/ Centro de Promocion de Mujer Gregoria Apaza (CPMGA)]: "CPMGA has established successful leadership and violence prevention courses in Bolivia and runs an influential radio station which broadcasts powerful social messages. The organisation's vision is of a society where women and men can exercise their democratic and human rights without discrimination."
* [https://www.womankind.org.uk/where-we-work/bolivia Womankind - Bolivia]: "Our partners - local or national women’s rights organisations - provide direct support for women and girls, from a safe place to escape violence or information about their rights to leadership training or funding to start their own business. They also work to change laws and policies which discriminate against women and girls, and challenge the damaging attitudes and stereotypes at the root of inequality."
* [https://www.womankind.org.uk/where-we-work/bolivia Womankind - Bolivia]: "Our partners - local or national women’s rights organisations - provide direct support for women and girls, from a safe place to escape violence or information about their rights to leadership training or funding to start their own business. They also work to change laws and policies which discriminate against women and girls, and challenge the damaging attitudes and stereotypes at the root of inequality."
* [http://www.equaldex.com/region/bolivia Equaldex Bolivia]: This website provides information on LGBTQ rights and laws in Bolivia. As of 2018, homosexuality is legal in Bolivia and it is legal to change gender (but a surgery is required to do so). There are laws against employment or housing discrimination based on sexual-orientation or gender. However, gay marriage is not legal in Bolivia.
* [https://www.igualdadlgbt.org/ Igualdad LGBT (LGBT Equality)]: "The LGBT EQUALITY Foundation arises in the absence of an institution that defends the human rights of affective-sexual and generic diversities in Santa Cruz de la Sierra, Bolivia."
* [https://www.lonelyplanet.com/bolivia/practical-information/directory/lgbt-travellers/a/nar/36192282-5a31-48d8-88d3-77b62d328cd3/363120 LGBT Travelers in Bolivia]
* [http://www.derechoshumanosbolivia.org/ Bolivian Chapter of Human Rights, Democracy, and Development]: "We are a national association, where non-governmental organizations, institutions and social organizations participate, working in the promotion and defense of human rights for their realization in an environment of justice, equity and democratic participation." Email: secretary@derechoshumanosbolivia.org


==References==
==References==

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