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Bogotá: Difference between revisions

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Generally speaking, Colombian women use contraceptives at a slightly higher rate than the South American average. In 2015, it was found that about 78% of Colombian women (who were between 15-49 years old and married/in unions) used some form of contraception, including traditional methods, which was a bit higher than the South American average for that year (about 75% of women). Furthermore, about 8% of women had unmet family planning needs, which was lower than the South American average of that year (about 10%). The most common forms of contraception was female sterilization (about 34% of women). This was followed by contraceptive injectables (9%), birth control pills (85), IUDs (7%), and male condoms (7%). There were rather low rates of usage for contraceptive implants (3%) and male sterilization (3%). Traditional methods, such as withdrawal/pull out method (4%) and the rhythm method (3%) were also not very common. There were practically no users of vaginal barrier methods (less than 1%).<ref>[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in Contraceptive Use 2015]</ref>
Generally speaking, Colombian women use contraceptives at a slightly higher rate than the South American average. In 2015, it was found that about 78% of Colombian women (who were between 15-49 years old and married/in unions) used some form of contraception, including traditional methods, which was a bit higher than the South American average for that year (about 75% of women). Furthermore, about 8% of women had unmet family planning needs, which was lower than the South American average of that year (about 10%). The most common forms of contraception was female sterilization (about 34% of women). This was followed by contraceptive injectables (9%), birth control pills (85), IUDs (7%), and male condoms (7%). There were rather low rates of usage for contraceptive implants (3%) and male sterilization (3%). Traditional methods, such as withdrawal/pull out method (4%) and the rhythm method (3%) were also not very common. There were practically no users of vaginal barrier methods (less than 1%).<ref>[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in Contraceptive Use 2015]</ref>


In Colombia, birth control pills and IUDs were the most popular contraceptive option for women in the 1960s and 1970s. However, since that time, female sterilization has become the most common contraceptive method. Some women have cited the fact that they prefer a permanent contraceptive method, rather than worrying about maintaining a medication regimen. It is especially common for older women to seek out sterilization when they feel that they want no more children.<ref>[https://link.springer.com/article/10.1007/s10995-017-2296-x The Rise of Female Sterilization: A Closer Look at Colombia]</ref> In particular, Profamilia, the main family planning organization in Colombia, has provided female sterilization services to many women.<ref>[https://www.ncbi.nlm.nih.gov/pubmed/2237994 An evaluation of Profamilia's female sterilization program in Colombia]</ref> However, there are also some concerns that people with disabilities in Colombia have undergone forced sterilization.<ref>[https://www.rootedinrights.org/report-finds-extensive-use-of-forced-sterilization-in-colombia/ Report finds extensive use of forced sterilization in Colombia]</ref>
In Colombia, birth control pills and IUDs were the most popular contraceptive option for women in the 1960s and 1970s. However, since that time, female sterilization has become the most common contraceptive method. Some women have cited the fact that they prefer a permanent contraceptive method, rather than worrying about maintaining a medication regimen, as a reason for seeking out sterilization. It is especially common for older women to seek out sterilization when they feel that they want no more children.<ref>[https://link.springer.com/article/10.1007/s10995-017-2296-x The Rise of Female Sterilization: A Closer Look at Colombia]</ref> In particular, Profamilia, the main family planning organization in Colombia, has provided female sterilization services to many women.<ref>[https://www.ncbi.nlm.nih.gov/pubmed/2237994 An evaluation of Profamilia's female sterilization program in Colombia]</ref> However, there are also some concerns that people with disabilities in Colombia have undergone forced sterilization.<ref>[https://www.rootedinrights.org/report-finds-extensive-use-of-forced-sterilization-in-colombia/ Report finds extensive use of forced sterilization in Colombia]</ref>


In 2010, the Colombian Congress passed a law that guaranteed free access to contraceptives for all citizens, including procedures like vasectomies and sterilization. When the law first passed, the first communities to receive attention were those most in need.<ref>[http://articles.latimes.com/2010/dec/12/world/la-fg-colombia-birth-control-20101212 Colombia launches large-scale birth control effort]</ref>
In 2010, the Colombian Congress passed a law that guaranteed free access to contraceptives for all citizens, including procedures like vasectomies and sterilization. When the law first passed, the first communities to receive attention were those most in need.<ref>[http://articles.latimes.com/2010/dec/12/world/la-fg-colombia-birth-control-20101212 Colombia launches large-scale birth control effort]</ref>


Most recently, Colombia has became the country with the second highest rate of Zika viruses. This has lead the Colombian government and the Pope to promote condom usage for the Colombian people.<ref>[https://www.thecitypaperbogota.com/living/popes-words-matter-but-colombians-already-use-birth-control With or without Pope’s approval, Colombians use birth control]</ref>
In 2016, Colombia has became the country with the second highest rate of Zika viruses. This has lead the Colombian government and the Pope to promote condom usage for the Colombian people.<ref>[https://www.thecitypaperbogota.com/living/popes-words-matter-but-colombians-already-use-birth-control With or without Pope’s approval, Colombians use birth control]</ref>


Here's is a [http://www.planet-love.com/index.php?topic=6327.0 thread] (from back in 2011) about public attitude toward birth control in Colombia.
Here's is a [http://www.planet-love.com/index.php?topic=6327.0 thread] (from back in 2011) about public attitude toward birth control in Colombia.
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* If you want '''condoms''' ("condon" in Spanish), you can find them in pharmacies, drug stores, and sometimes in bathrooms at clubs and bars.
* If you want '''condoms''' ("condon" in Spanish), you can find them in pharmacies, drug stores, and sometimes in bathrooms at clubs and bars.
* If you want '''birth control pills''' ("píldoras anticonceptivas” in Spanish), you can find over 20 brands of combined and progestagen-only pills in Colombian pharmacies, including Belara, Cerazette, Cilest, Diane, Marvelon, Neogynon, Noral, Nordiol, Microfemin, Microfemin CD, Microgynon, Microgynon 28 and Nordette, etc. For a full list of birth control pill options, click [http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=CO here].
* If you want '''birth control pills''' ("píldoras anticonceptivas” in Spanish), you can find over 20 brands of combined and progestagen-only pills in Colombian pharmacies, including Belara, Cerazette, Cilest, Diane, Marvelon, Neogynon, Noral, Nordiol, Microfemin, Microfemin CD, Microgynon, Microgynon 28 and Nordette, etc.  
* If you want '''contraceptive injectables''' ("anticonceptivo inyectable" in Spanish), there are many options, including Cyclofem, Cyclofemina, Dahlia, Depo-Provera, Mesigyna, Norigynon, Progestin 100 and Progestin Depot.<ref>[[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=CO IPFF Colombia]</ref> You can get the injections at pharmacies in Colombia.
* If you want '''contraceptive injectables''' ("anticonceptivo inyectable" in Spanish), there are many options, including Cyclofem, Cyclofemina, Dahlia, Depo-Provera, Mesigyna, Norigynon, Progestin 100 and Progestin Depot.<ref>[[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=CO IPFF Colombia]</ref> You can get the injections at pharmacies or clinics in Colombia.
* If you want a '''contraceptive implant''' ("implante anticonceptivo" in Spanish), you can find Jadelle in Colombia.<ref>[[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=CO IPFF Colombia]</ref>
* If you want a '''contraceptive implant''' ("implante anticonceptivo" in Spanish), you can find Jadelle in Colombia.<ref>[[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=CO IPFF Colombia]</ref> You should contact a local clinic or health care professional to obtain the implant.
* If you want an '''IUD''' ("DIU” in Spanish), you can find Mirena in Colombia.<ref>[[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=CO IPFF Colombia]</ref>
* If you want an '''IUD''' ("DIU” in Spanish), you can find Mirena in Colombia.<ref>[[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=CO IPFF Colombia]</ref> You should contact a local clinic or health care professional to obtain the IUD.


===Recommended Pharmacies===
===Recommended Pharmacies===
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===Costs===
===Costs===


Birth control should cost between 18,000-20,000 COP. In 2011, Microgynon (birth control) 21 tablets could be found for 8,374 COP, injectable birth control cost about 14,000 COP, IUD insertion was about $23 and removal was about $17.
* Birth control should cost between 18,000-20,000 COP, as of 2016.  
* In 2011, Microgynon (birth control) 21 tablets could be found for 8,374 COP, injectable birth control cost about 14,000 COP, IUD insertion was about $23 and removal was about $17.


==Emergency Contraception (Morning After Pill)==
==Emergency Contraception (Morning After Pill)==
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You can access emergency contraception (the morning after pill) in Colombia over-the-counter. While you may technically need a prescription to obtain EC,<ref>[http://www.cecinfo.org/country-by-country-information/status-availability-database/countries/colombia/ EC Status and Availability: Colombia]</ref> it appears that most pharmacists sell EC without a prescription. From a legal standpoint, there are no age restrictions for purchasing EC. However, many Colombian pharmacists reportedly do not sell EC to teens due to personal or moral objections. If you are a teen and you need to buy EC, it's recommended that you seek out a few pharmacies or have an older female purchase EC for you.
You can access emergency contraception (the morning after pill) in Colombia over-the-counter. While you may technically need a prescription to obtain EC,<ref>[http://www.cecinfo.org/country-by-country-information/status-availability-database/countries/colombia/ EC Status and Availability: Colombia]</ref> it appears that most pharmacists sell EC without a prescription. From a legal standpoint, there are no age restrictions for purchasing EC. However, many Colombian pharmacists reportedly do not sell EC to teens due to personal or moral objections. If you are a teen and you need to buy EC, it's recommended that you seek out a few pharmacies or have an older female purchase EC for you.


Here's a [https://www.ippfwhr.org/en/blog/investigating-access-to-emergency-contraception-in-bogot%C3%A1 personal account] of talking to various Bogota pharmacies about EC.
According to some sources, Colombian pharmacists often do not want to sell emergency contraception to minors, even though there are no laws that prohibit them from doing so.<ref>[[https://www.ippfwhr.org/en/blog/investigating-access-to-emergency-contraception-in-bogot%C3%A1 personal account]</ref> For this reason, if you're a minor who is seeking out emergency contraceptive pills, you may need to visit many pharmacies before you find someone who is willing to see ECPs to you.
 
In 2005, studies found that about 41% of Colombian women had knowledge of emergency contraception, and about 3% had ever used emergency contraceptives. However, as this data is rather old, we can assume that more women may have knowledge of or may have used ECPs today.<ref>[http://www.cecinfo.org/country-by-country-information/status-availability-database/countries/colombia/ EC Status and Availability: Colombia]</ref>


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


* In Colombia, locals report that you can purchase emergency contraception (birth control) without a prescription at pharmacies. For progestin-only EC, you'll find Escinor 1.5, NorLevo 1.5mg, PostDay 1 or Postinor 1 (for these brands, take 1 pill within 120 hours after unprotected sex). You can also find Emergyn, PostDay, Postinor-2, Pregnon or Tace (for these brands, take 2 pills within 120 hours after unprotected sex).<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref>
* In Colombia, locals report that you can purchase emergency contraceptive pills (the morning after pill) without a prescription at pharmacies (though minors may have some difficulty purchasing ECPs). For progestin-only EC, you'll find Escinor 1.5, NorLevo 1.5mg, PostDay 1 or Postinor 1 (for these brands, take 1 pill within 120 hours after unprotected sex). You can also find Emergyn, PostDay, Postinor-2, Pregnon or Tace (for these brands, take 2 pills within 120 hours after unprotected sex).<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref>
* If you can't access dedicated emergency contraception, you can use regular birth control pills as replacement EC. For progestin-only pills, you can take Microlut (take 50 pills within 120 hours after unprotected sex). You can also take progestin-estrogen combined pills but remember that, in 28-day packs, only the first 21 pills can be used. You can take Neogynon, Noral, Nordiol (take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later). You can also take Microfemin, Microfemin CD, Microgynon, Microgynon 28 or Nordette (for these take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later). You can also take Microgynon Suave (take 5 pills within 120 hours after unprotected sex and take 5 more pills 12 hours later).<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref>
* If you can't access dedicated emergency contraception, you can use regular birth control pills as replacement EC. For progestin-only pills, you can take Microlut (take 50 pills within 120 hours after unprotected sex). You can also take progestin-estrogen combined pills but remember that, in 28-day packs, only the first 21 pills can be used. You can take Neogynon, Noral, Nordiol (take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later). You can also take Microfemin, Microfemin CD, Microgynon, Microgynon 28 or Nordette (for these take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later). You can also take Microgynon Suave (take 5 pills within 120 hours after unprotected sex and take 5 more pills 12 hours later).<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref>


===Costs===
===Costs===


In 2018, EC is about 16,000 - 20,000 COP.
* In 2018, emergency contraceptive pills are about 16,000 - 20,000 COP.


==Sexually Transmitted Infections (STIs/STDs)==
==Sexually Transmitted Infections (STIs/STDs)==

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