N'Djamena

Chad / N'Djamena

OVERVIEW

Contraception (Birth Control)

General Note: There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click here.

Laws & Social Stigmas

In Chad, you can purchase condoms and birth control pills at pharmacies without a prescription. While you may technically need a prescription for birth control pills, this is not typically enforced, and birth control pills are available over-the-counter. However, for other forms of birth control, such as implants, injectables, and IUDs, you may need to directly visit a hospital or clinic to obtain them.

Emergency Contraception (Morning After Pill)

Important Notes: Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex to prevent pregnancy. Take EC as soon as possible after unprotected sex. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click here and here.

Laws & Social Stigmas

In Chad emergency contraceptive pills (morning after pills) are available over-the-counter at pharmacies. No prescription is required. It is estimated that about 6% of women (of reproductive age) of Chad have knowledge of emergency contraceptive pills, as of 2014-15.

What to Get & Where to Get It

• You can find emergency contraceptive pills (morning after pills) at pharmacies and women's clinics, and they are sold over-the-counter. One of the brands you may find is ellaOne.
• Note: The longest-lasting EC is currently ellaOne. It lasts up to 5 days (120 hours) after unprotected sex. If you cannot access ellaOne, copper IUDs may also prevent pregnancy up to 5 days after unprotected sex. If none of these options are available, and it's been over 3 days since you had unprotected sex, you can still take EC, which may work up to 5 days. Note that EC pills are not 100% effective and should be taken as soon as possible.

Sexually Transmitted Infections (STIs/STDs)

Important Notes - Learn about PEP and PrEP: If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click here. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click here.

Laws & Social Stigmas

In Chad, there are no known travel or residency restrictions for people with HIV/AIDS. This means that you can enter the country, regardless of your HIV status, and you should not be deported if you test positive for HIV while you are in the country.

Menstruation

Note: In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click here. To learn more about menstrual underwear, click here.

Pregnancy

Laws & Social Stigmas

The maternal mortality rate (MMR) is 856 deaths per 100,000 live births, according to 2015 data. This MMR is ranked third in the world, meaning that Chad has the third worst MMR globally. The MMR is roughly comparable to Chad.

Abortion

Important Note: There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click here.

List of Additional Resources

• Ministry of Public Health
• United Nations Population Fund - Chad
• Family Planning 2020 - Chad
• Equaldex - Chad: Click here to learn about LGBTQ rights and laws in Chad.
• Association Tchadienne pour le Bien-Etre Familial: "When the Association Tchadienne pour le Bien-Être Familial (ASTBEF) was formed in 1991, no one was under any illusions that it was faced with an almost impossible task as the international indices for sexual and reproductive health (SRH) demonstrate. Some suggested that it would be overwhelmed and would simply not survive. Over 20 years down the line, the organisation is thriving, thanks in large part to an immensely committed team of staff, over 1,000 volunteers, peer educators, and a strong youth action movement. The organisation runs static clinics and a number of mobile operations which offer voluntary counselling and testing (VCT) for HIV, post-abortion care, antenatal and post-natal care, treatment of opportunistic infections, treatment of male and female infertility, pre-marital counselling, and advocacy against harmful cultural practices such as female genital mutilation and gender based violence. ASTBEF has made a considerable impact on the country’s SRH activity by integrating family planning with maternal and infant health, HIV and AIDS services, and youth-friendly education programmes and service provision."