10,963
edits
Gynopedia needs your support! Please consider contributing content, translating a page, or making a donation today. With your support, we can sustain and expand the website. Gynopedia has no corporate sponsors or advertisers. Your support is crucial and deeply appreciated.
Bolivia: Difference between revisions
Jump to navigation
Jump to search
no edit summary
No edit summary |
|||
| Line 3: | Line 3: | ||
'''OVERVIEW''' | '''OVERVIEW''' | ||
In Bolivia, you can purchase birth control without a prescription. While you technically need a prescription to purchase | 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)== | ||
| Line 11: | Line 11: | ||
===Laws & Social Stigmas=== | ===Laws & Social Stigmas=== | ||
In Bolivia, | 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 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 purchase '''birth control pills ("píldoras anticonceptivas")''' in Bolivia without a prescription. 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 | |||
* 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. | ||
| Line 60: | Line 59: | ||
===Testing Facilities=== | ===Testing Facilities=== | ||
* [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=== | ||
| Line 89: | Line 89: | ||
===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 | 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=== | ||
| Line 99: | Line 99: | ||
===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
====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=== | ||
| Line 126: | Line 138: | ||
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 | ||
| Line 147: | Line 161: | ||
==List of Additional Resources== | ==List of Additional Resources== | ||
* [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 Bulgaria 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. | |||
* [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 | |||
* [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." | * [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.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." | ||