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'''OVERVIEW''' | '''OVERVIEW''' | ||
==Contraception (Birth Control)== | ==Contraception (Birth Control)== | ||
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===Laws & Social Stigmas=== | ===Laws & Social Stigmas=== | ||
In Nepal, you can purchase oral contraception (birth control pills) without a prescription.<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: Where on Earth?]</ref> According to a 2015 report, it's estimated that 52.4% of | In Nepal, you can purchase oral contraception (birth control pills) without a prescription.<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: Where on Earth?]</ref> According to a 2015 report, it's estimated that 52.4% of Nepali women (who are of reproductive age and married or in unions) use some form of contraception, including traditional methods, and 23.9% have unmet family planning needs. The most common forms of contraception were female sterilization (18.3%), injectables (13.2%), birth control pills (4.8%), male sterilization (4.8%) and withdrawal, also known as the "pull-out method" (3.9%). It was found that only 3.8% of Nepali women used condoms as their primary form of contraception. Meanwhile, there was very low usage of IUDs (1.7%) and contraceptive implants (1.3%).<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=== | ||
* In Nepal, there are a lot of ecommerce company working in condoms and sex toys shopping. [https://kinmelmall.com Kinmell Mall] is one of the emerging ecommerce company in Nepal that sell latest branded condoms in Nepal. If you are interested to [https://kinmelmall.com/product-category/condoms/ buy branded condoms in Nepal], you can visit to Kinmel Mall. | |||
* You can purchase '''condoms''' in Nepal at pharmacies, general stores, certain department stores and non-governmental organizations, like Marie Stopes International. There are also locally-produced condom brands, such as [http://crs.org.np/page.php?title=dzire-dotted-condom Dzire Dotted Condom] and [http://crs.org.np/page.php?title=dhaal-deluxe-condoms Dhaal Deluxe Condoms], which are produced by Nepal CRS Company. If you go to [http://www.mariestopes.org.np/en/faq/men/contraception/male-condoms?section=men Marie Stopes Nepal], you'll probably get Jodi Condoms, which is the condom brand that MSI International endorses. Finally, if you prefer to purchase condoms online, there are certain online retailers that sell condoms to the Nepalese market and can deliver condoms to your Nepalese address. Some of these online companies are [https://www.meroshopping.com/condom Mero Shopping], which sells brands like Ocean Premium, Kohinoor Moods, or [https://www.caretobeauty.com/np/condoms/?limit=all Care to Beauty], which sells Durex condoms. However, if you purchase online, the price for a box of condoms will typically be much higher than if you purchase them in person in a Nepalese pharmacy or store. | * You can purchase '''condoms''' in Nepal at pharmacies, general stores, certain department stores and non-governmental organizations, like Marie Stopes International. There are also locally-produced condom brands, such as [http://crs.org.np/page.php?title=dzire-dotted-condom Dzire Dotted Condom] and [http://crs.org.np/page.php?title=dhaal-deluxe-condoms Dhaal Deluxe Condoms], which are produced by Nepal CRS Company. If you go to [http://www.mariestopes.org.np/en/faq/men/contraception/male-condoms?section=men Marie Stopes Nepal], you'll probably get Jodi Condoms, which is the condom brand that MSI International endorses. Finally, if you prefer to purchase condoms online, there are certain online retailers that sell condoms to the Nepalese market and can deliver condoms to your Nepalese address. Some of these online companies are [https://www.meroshopping.com/condom Mero Shopping], which sells brands like Ocean Premium, Kohinoor Moods, or [https://www.caretobeauty.com/np/condoms/?limit=all Care to Beauty], which sells Durex condoms. However, if you purchase online, the price for a box of condoms will typically be much higher than if you purchase them in person in a Nepalese pharmacy or store. | ||
* You can purchase '''oral contraceptives (birth control pills)''' without a prescription at pharmacies. Some of the international brands you can expect to see are Duoluton L, Ovral, Lo-Femenal and Nordette.<ref>[http://ec.princeton.edu/ Princeton EC Website]</ref> You can also find [http://crs.org.np/page.php?title=nilocon-white Nilocon White], which is a low-dose oral contraceptive that was launched by Nepal CRS Company in the 1980s, and it may only be available in Nepal. | * You can purchase '''oral contraceptives (birth control pills)''' without a prescription at pharmacies. Some of the international brands you can expect to see are Duoluton L, Ovral, Lo-Femenal and Nordette.<ref>[http://ec.princeton.edu/ Princeton EC Website]</ref> You can also find [http://crs.org.np/page.php?title=nilocon-white Nilocon White], which is a low-dose oral contraceptive that was launched by Nepal CRS Company in the 1980s, and it may only be available in Nepal. | ||
* You can get an '''IUD''' in Nepal. If you have issues with your IUD (such as cramping, pain, etc), you can call Meri Saathi Free Helpline on 16600119756 (ntc) or 9801119756. | * You can get an '''IUD''' in Nepal. If you have issues with your IUD (such as cramping, pain, etc), you can call Meri Saathi Free Helpline on 16600119756 (ntc) or 9801119756. | ||
* You can get '''contraceptive implants''', including brands like Norplant and Jadelle, at government hospitals and health care organizations. For | * You can get '''contraceptive implants''', including brands like Norplant and Jadelle, at government hospitals and health care organizations. For Nepali women, it's totally free.<ref>[Conversation with Kathmandu gynecologist, 2017]</ref> | ||
===Costs=== | ===Costs=== | ||
* '''Condoms''' - If you go to Marie Stopes Nepal, you can probably get a box of condoms for a reduced price or free. If you go to a Nepalese store, you can | * '''Condoms''' - If you go to Marie Stopes Nepal, you can probably get a box of condoms for a reduced price or free. If you go to a Nepalese store, you can purhcase Dhaal Deluxe Condoms for about Rs. 5 at Nepalese stores, as of 2017.<ref>[http://crs.org.np/page.php?title=dhaal-deluxe-condoms Dhaal Deluxe Condoms]</ref> For a box of Dzire Dotted Condoms, you can expect to pay Rs. 35 at Nepalese stores, as of 2017.<ref>[http://crs.org.np/page.php?title=dzire-dotted-condom Dzire Dotted Condoms].</ref> However, if you would like to buy condoms online, you can expect to pay anywhere between Rs.50-Rs.2300 for a box of condoms. | ||
* '''Birth Control Pills''' - For Nicolon White, you can expect to pay around Rs. 50 for a one-month supply (as of 2017). For Duoluton L, you can expect to pay Rs. 223.2 for a one-month supply (as of 2017). | * '''Birth Control Pills''' - For Nicolon White, you can expect to pay around Rs. 50 for a one-month supply (as of 2017). For Duoluton L, you can expect to pay Rs. 223.2 for a one-month supply (as of 2017). | ||
==Emergency Contraception (Morning After Pill)== | ==Emergency Contraception (Morning After Pill)== | ||
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===Laws & Social Stigmas=== | ===Laws & Social Stigmas=== | ||
In Nepal, it is estimated that 0.2% of the population is infected with HIV, as of 2015.<ref>[http://www.unaids.org/en/regionscountries/countries/nepal UNAIDS - Nepal, HIV & AIDS Estimates]</ref> According to a 2015 UN Report, the majority of new HIV infections (85%) are sexually-transmitted.<ref>[http://www.unaids.org/sites/default/files/country/documents/NPL_narrative_report_2015.pdf Country Progress Report - NEPAL]</ref> The key affected populations include injection drug users, sex workers, transgender people and migrant laborers. However, it is important to remember that HIV impacts all people from all walks of life, and one should always use protection. For a detailed report on HIV in Nepal, click [http://www.unaids.org/sites/default/files/country/documents/NPL_narrative_report_2015.pdf here]. | |||
===Testing Facilities=== | ===Testing Facilities=== | ||
===Support=== | ===Support=== | ||
* [https://www.ncasc.gov.np/ National Centre for AIDS and STD Control] | * [https://www.ncasc.gov.np/ National Centre for AIDS and STD Control] | ||
* [http://www.unaids.org/en/regionscountries/countries/nepal UNAIDS Nepal]: Contact person - Rubel del Prado, UNAIDS Country Director. Email: DELPRADOR@UNAIDS.ORG | * [http://www.unaids.org/en/regionscountries/countries/nepal UNAIDS Nepal]: Contact person - Rubel del Prado, UNAIDS Country Director. Email: DELPRADOR@UNAIDS.ORG | ||
* [https://www.aidshealth.org/#/archives/countries/np AIDS Healthcare Foundation Nepal]: Contact person - Deepak Dhungel, Country Program Manager. Address: Pulchowk (behind Nidan Hospital), Lalitpur, GPO Box: 10377, Kathmandu. Tel: +977-1-5532173. Email: Deepak.Dhungel@aidshealth.org | * [https://www.aidshealth.org/#/archives/countries/np AIDS Healthcare Foundation Nepal]: Contact person - Deepak Dhungel, Country Program Manager. Address: Pulchowk (behind Nidan Hospital), Lalitpur, GPO Box: 10377, Kathmandu. Tel: +977-1-5532173. Email: Deepak.Dhungel@aidshealth.org | ||
===Costs=== | ===Costs=== | ||
==Medications & Vaccines== | ==Medications & Vaccines== | ||
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===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
* There is currently no PrEP available in Nepal, as of September 2017.<ref>[http://www.prepwatch.org/ PrEPWatch World Map]</ref> | |||
* There is currently no | |||
===Costs=== | ===Costs=== | ||
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===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
* Suphatra Koirala at [http://ciwec-clinic.com/ CIWEC Clinic]: This doctor and clinic was recommended by a Kathmandu local. She says, "I've been very impressed by my obgyn at CIWEC. Suphatra Koirala is the Dr. It's pretty pricey there, around US$30 for a quick visit, $60 for a longer consultation." | * Suphatra Koirala at [http://ciwec-clinic.com/ CIWEC Clinic]: This doctor and clinic was recommended by a Kathmandu local. She says, "I've been very impressed by my obgyn at CIWEC. Suphatra Koirala is the Dr. It's pretty pricey there, around US$30 for a quick visit, $60 for a longer consultation." | ||
* Dr. Gerda Pohl at at [http://ciwec-clinic.com/ CIWEC Clinic]: This doctor and clinic was recommended by a Kathmandu local. | * Dr. Gerda Pohl at at [http://ciwec-clinic.com/ CIWEC Clinic]: This doctor and clinic was recommended by a Kathmandu local. | ||
* Dr. Abha Shaky Shrestha at [http://www.grandehospital.com/ Grande International Hospital]: This doctor and clinic was recommended by a Kathmandu local. She says, "My ob/gyn at Grande Hospital is impressive as well, Dr. Abha Shaky Shrestha. My husband is Nepali so I get the Nepali price, it's under $4.50 for a visit, $10 for an ultrasound. Grande International Hospital is #1 in Nepal and I'm an American confident delivering there." Address: Tokha Rd, Kathmandu 44600, Nepal. Hours: Open 24 hours. Phone: +977 1-5159266. | * Dr. Abha Shaky Shrestha at [http://www.grandehospital.com/ Grande International Hospital]: This doctor and clinic was recommended by a Kathmandu local. She says, "My ob/gyn at Grande Hospital is impressive as well, Dr. Abha Shaky Shrestha. My husband is Nepali so I get the Nepali price, it's under $4.50 for a visit, $10 for an ultrasound. Grande International Hospital is #1 in Nepal and I'm an American confident delivering there." Address: Tokha Rd, Kathmandu 44600, Nepal. Hours: Open 24 hours. Phone: +977 1-5159266. | ||
* Furthermore, gynecologists are available in nearly all hospitals. each Hospitals. The hospitals which are near to Tribhuwan International Airport are: 1)Om Hospital and Research centre pvt. ltd. chahabil,kathmandu, 2)Kathmandu medical College Teaching Hospital, Sinamangal,kathmandu 3)medicare Hospital,chahabil | |||
* Furthermore, gynecologists are available in nearly all hospitals. The hospitals which are near to Tribhuwan International Airport are: 1) Om Hospital and Research centre pvt. ltd. chahabil,kathmandu, 2) Kathmandu medical College Teaching Hospital, Sinamangal,kathmandu 3) | |||
===Costs=== | ===Costs=== | ||
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===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
===Costs=== | ===Costs=== | ||
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===Laws & Social Stigmas=== | ===Laws & Social Stigmas=== | ||
Since March 2002, abortion has been legal in Nepal under the 11th Amendment to the Civil Code.<ref>[https://www.womenonwaves.org/en/page/4886/nepal--abortion-law Nepal: Abortion law]</ref> According to the law, abortion is legally available upon request during the | Since March 2002, abortion has been legal in Nepal under the 11th Amendment to the Civil Code.<ref>[https://www.womenonwaves.org/en/page/4886/nepal--abortion-law Nepal: Abortion law]</ref> According to the law, abortion is legally available upon request during the first12 weeks of gestation. This means that, for all women, they can obtain an abortion for nearly all reasons during this period. Furthermore, younger women should be turned away or discriminated against because of their age.<ref>[http://asap-asia.org/blog/10-things-you-should-know-about-abortion-service-in-nepal/#sthash.N4ez5hnq.dpbs 10 Things To Know about Abortion Services in Nepal]</ref> However, it is illegal to request an abortion due to the sex of the child.<ref>[https://www.womenonwaves.org/en/page/4887/nepal--organizations-and-clinincs Women on Waves - Nepal: Organizations and clinics]</ref> After 18 weeks of gestation, abortion is only legal if the pregnancy in cases of rape or incest. It should be noted that, if any time in the pregnancy, a physician believes that an abortion is advisable, or if the pregnant woman's physical or mental health is at stake, or if there is serious risk of fetal malformation, an abortion can also be legally permitted.<ref>[http://asap-asia.org/blog/10-things-you-should-know-about-abortion-service-in-nepal/#sthash.N4ez5hnq.dpbs 10 Things To Know about Abortion Services in Nepal]</ref> | ||
===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
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'''Useful Contacts/Resources:''' | '''Useful Contacts/Resources:''' | ||
* [http://www.mariestopes.org.np/en/what-we-do/safe-abortion Marie Stopes Nepal]: This is an international health organization with clinics around the globe, specializing in sexual and reproductive health care. They provide abortion services | * [http://www.mariestopes.org.np/en/what-we-do/safe-abortion Marie Stopes Nepal]: This is an international health organization with clinics around the globe, specializing in sexual and reproductive health care. They often provide abortion services and, when they don't, they can often refer people to appropriate resources. For more information, you can call them on their Meri Saathi Free Helpline:16600119756 OR 9801119756(NCELL). Address: GPO Box No. 11254, Char Khal Adda, Dillibazar, Kathmandu | ||
* [http://asap-asia.org/ Asia Safe Abortion Partnership]: This is an organization that focuses on safe abortion access for women in Asia. They do work across the continent, including in Nepal, and they also have a fact sheet on their website about Nepalese abortion policy and history. You can potentially also contact them to get referrals of local health care providers. | * [http://asap-asia.org/ Asia Safe Abortion Partnership]: This is an organization that focuses on safe abortion access for women in Asia. They do work across the continent, including in Nepal, and they also have a fact sheet on their website about Nepalese abortion policy and history. You can potentially also contact them to get referrals of local health care providers. | ||
* [http://www.fpan.org/ Family Planning Association of Nepal]: This is the official family planning organization in Nepal, which is associated with the government. They may be a good resource to learn about abortion policy, what's available, your rights, etc. | * [http://www.fpan.org/ Family Planning Association of Nepal]: This is the official family planning organization in Nepal, which is associated with the government. They may be a good resource to learn about abortion policy, what's available, your rights, etc. |
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