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Haiti: Difference between revisions
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[[File:Flag of Haiti.svg.png|450px | thumb|right|alt=Image provided by Creative Commons.|]] | [[File:Flag of Haiti.svg.png|450px | thumb|right|alt=Image provided by Creative Commons.|]] | ||
'''OVERVIEW''' <br> | '''OVERVIEW''' <br> | ||
Generally speaking, Haiti struggles with having the reputation as the poorest country in Western hemisphere and its turmoils have been compounded in 2010 and 2016 by disastrous earthquakes and hurricanes. This has left the country in need of international aid and a devastating lack of resources. This has obviously had a dramatic effect on sexual, reproductive and women's health care needs throughout the country. Though Port-au-Prince has more civil resources available than many of the countries more rural areas, there is still undoubtedly a lot of improvement to be made in these areas. Some of the issues include the lack of availability of contraception, overpriced feminine hygiene products, lack of proper medical facilities, unaffordable and outdated hospitals, a high rate of HIV infection and an alarming rate of sexual abuse against women<ref>https://en.wikipedia.org/wiki/Sexual_violence_in_Haiti</ref>. Additionally, abortion is completely illegal and there is little help from government organizations to curb the STI infection rate and lack of education on family planning. | Generally speaking, Haiti struggles with having the reputation as the poorest country in Western hemisphere and its turmoils have been compounded in 2010 and 2016 by disastrous earthquakes and hurricanes. This has left the country in need of international aid and a devastating lack of resources. This has obviously had a dramatic effect on sexual, reproductive and women's health care needs throughout the country. Though Port-au-Prince has more civil resources available than many of the countries more rural areas, there is still undoubtedly a lot of improvement to be made in these areas. Some of the issues include the lack of availability of contraception, overpriced feminine hygiene products, lack of proper medical facilities, unaffordable and outdated hospitals, a high rate of HIV infection and an alarming rate of sexual abuse against women<ref>[https://en.wikipedia.org/wiki/Sexual_violence_in_Haiti Sexual Violence in Haiti]</ref>. Additionally, abortion is completely illegal and there is little help from government organizations to curb the STI infection rate and lack of education on family planning. | ||
==Contraception (Birth Control)== <!--T:2--> | ==Contraception (Birth Control)== <!--T:2--> | ||
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===Laws & Social Stigmas=== <!--T:4--> | ===Laws & Social Stigmas=== <!--T:4--> | ||
In Haiti, a staggeringly low rate of 37.8% of women between the ages of 15 and 49 report using any kind of contraception at all with an overwhelming majority of them opting for the contraceptive injection. This is the lowest rate of any Caribbean country.<ref>http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf</ref> Because of this, it is critical that local residents who are sexually active do there best to get tested and use condoms as much as possible. | In Haiti, a staggeringly low rate of 37.8% of women between the ages of 15 and 49 report using any kind of contraception at all with an overwhelming majority of them opting for the contraceptive injection. This is the lowest rate of any Caribbean country.<ref>[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in Contraceptive Use 2015]</ref> Because of this, it is critical that local residents who are sexually active do there best to get tested and use condoms as much as possible. | ||
===What to Get & Where to Get It=== <!--T:5--> | ===What to Get & Where to Get It=== <!--T:5--> | ||
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* For a comprehensive list of all available hormonal contraceptive available in the country, visit the [http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=HT Haiti IPPF page]. | * For a comprehensive list of all available hormonal contraceptive available in the country, visit the [http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=HT Haiti IPPF page]. | ||
* '''Condoms''' can be purchased at larger retailers but more difficult to find at smaller businesses. | * '''Condoms''' can be purchased at larger retailers but more difficult to find at smaller businesses. | ||
* According to the International Planned Parenthood Federation, there are over 20 types of '''hormonal contraceptive pills (birth control pills)''' available. Most that are available are phasic and combined oral pills, but there is also a wide variety of hormonal implants available. There is only one hormonal IUD available by the name of "Mirena." The contraceptive ring ( | * According to the International Planned Parenthood Federation, there are over 20 types of '''hormonal contraceptive pills (birth control pills)''' available. Most that are available are phasic and combined oral pills, but there is also a wide variety of hormonal implants available. There is only one hormonal IUD available by the name of "Mirena." The contraceptive ring (Nuvaring) does not seem to available for purchase in Haiti.<ref>[http://contraceptive.ippf.org/search IPPF - Haiti]</ref> | ||
* You may be able to find '''contraceptive injectables''', like Depo-Provera SAS 150mg/ml, Mesigyna, Mesigyna Instayect and Noristerat, according to IPFF.<ref>[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=HT IPFF - Haiti]</ref> | * You may be able to find '''contraceptive injectables''', like Depo-Provera SAS 150mg/ml, Mesigyna, Mesigyna Instayect and Noristerat, according to IPFF.<ref>[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=HT IPFF - Haiti]</ref> | ||
* You may be able to find '''contraceptive implants''', like Implanon and Jadelle, according to IPFF.<ref>[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=HT IPFF - Haiti]</ref> | * You may be able to find '''contraceptive implants''', like Implanon and Jadelle, according to IPFF.<ref>[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=HT IPFF - Haiti]</ref> | ||
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===Laws & Social Stigmas=== <!--T:10--> | ===Laws & Social Stigmas=== <!--T:10--> | ||
The morning after pill is not widely available over the counter in Port-au-Prince. If it can be found, it is likely imported and will contain instructions in a foreign language which may render the product useless.<ref>http://www.nytimes.com/2012/12/09/opinion/sunday/haitis-silenced-victims.html | The morning after pill is not widely available over the counter in Port-au-Prince. If it can be found, it is likely imported and will contain instructions in a foreign language which may render the product useless.<ref>[http://www.nytimes.com/2012/12/09/opinion/sunday/haitis-silenced-victims.html Haiti's Silenced Victims]</ref> If you are in need of emergency contraception in Haiti, you have the option of taking larger doses of regular hormonal birth control instead of the morning after pill.<ref>http://ec.princeton.edu/countryquery.asp</ref> | ||
===What to Get & Where to Get It=== <!--T:11--> | ===What to Get & Where to Get It=== <!--T:11--> | ||
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===Laws & Social Stigmas=== <!--T:17--> | ===Laws & Social Stigmas=== <!--T:17--> | ||
Haiti has a 1.8 percent prevalence rate of HIV/AIDS, among the highest percentage-wise in the Caribbean region (behind the Bahamas, and Belize). However, it has the most overall cases of HIV/AIDS in the Caribbean region with an estimated 120,000 HIV/AIDS-positive Haitians.<ref>https://en.wikipedia.org/wiki/HIV/AIDS_in_Haiti</ref> | Haiti has a 1.8 percent prevalence rate of HIV/AIDS, among the highest percentage-wise in the Caribbean region (behind the Bahamas, and Belize). However, it has the most overall cases of HIV/AIDS in the Caribbean region with an estimated 120,000 HIV/AIDS-positive Haitians.<ref>[https://en.wikipedia.org/wiki/HIV/AIDS_in_Haiti HIV/AIDS in Haiti]</ref> | ||
===What to Get & Where to Get It=== <!--T:18--> | ===What to Get & Where to Get It=== <!--T:18--> | ||
====Testing Facilities==== <!--T:19--> | ====Testing Facilities==== <!--T:19--> | ||
*AHF Haiti - Avenue Lamartiniere 1, Impasse Rigaud, Bois Verna Port-au-Prince Haiti <ref>https://www.aidshealth.org/wp-content/uploads/2014/11/AHF-GLOBAL-CLINIC-DIRECTORY-2014.pdf</ref> | *AHF Haiti - Avenue Lamartiniere 1, Impasse Rigaud, Bois Verna Port-au-Prince Haiti <ref>[https://www.aidshealth.org/wp-content/uploads/2014/11/AHF-GLOBAL-CLINIC-DIRECTORY-2014.pdf AHF Global Clinic Directory]</ref> | ||
====Support==== <!--T:20--> | ====Support==== <!--T:20--> | ||
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===What to Get & Where to Get It=== <!--T:24--> | ===What to Get & Where to Get It=== <!--T:24--> | ||
"Fluconazole" is the name of the active ingredient in yeast infection medication. Make sure this is listed under active ingredients to ensure that you are buying an effective medication. PReP is not available to buy in Haiti<ref>http://www.prepwatch.org/</ref> As far as HPV vaccinations go, Haiti has a "Pilot Program", which means it is available but not readily accessible to everyone. | "Fluconazole" is the name of the active ingredient in yeast infection medication. Make sure this is listed under active ingredients to ensure that you are buying an effective medication. PReP is not available to buy in Haiti<ref>[http://www.prepwatch.org/ PrEPWatch]</ref> As far as HPV vaccinations go, Haiti has a "Pilot Program", which means it is available but not readily accessible to everyone. | ||
===Costs=== <!--T:25--> | ===Costs=== <!--T:25--> | ||
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===Costs=== <!--T:33--> | ===Costs=== <!--T:33--> | ||
A box of 32 Tampax OB tampons can cost around 600 Gourde (~$9 USD). This price is even higher than many western countries. Because of this, disposable menstruation products have not much popularity among many women in the country. A company called [https://www.oursoil.org/1701-empowering-women/ SOIL] claims to provide reusable sanitary kits for free to all women in Haiti. Visit their website for more information. | A box of 32 Tampax OB tampons can cost around 600 Gourde (~$9 USD). This price is even higher than many western countries. Because of this, disposable menstruation products have not much popularity among many women in the country. A company called [https://www.oursoil.org/1701-empowering-women/ SOIL] claims to provide reusable sanitary kits for free to all women in Haiti. Visit their website for more information. | ||
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*Ronald Fouche<br>Phone: 2245-6301/ 2244-2970/ 2968<br>Email: Email: rfouche@obgyn.net<br>Address: 42, Chemin des Dalles, entre rues<br> | *Ronald Fouche<br>Phone: 2245-6301/ 2244-2970/ 2968<br>Email: Email: rfouche@obgyn.net<br>Address: 42, Chemin des Dalles, entre rues<br> | ||
St-Cyr & Magny- La Maison | St-Cyr & Magny- La Maison | ||
Medicale, P-au-P<ref>http://photos.state.gov/libraries/haiti/231771/PDFs/LOCAL%20ENGLISH%20SPEAKING%20PHYSICIANS%20_August%202011_.pdf</ref> | Medicale, P-au-P<ref>[http://photos.state.gov/libraries/haiti/231771/PDFs/LOCAL%20ENGLISH%20SPEAKING%20PHYSICIANS%20_August%202011_.pdf[</ref> | ||
===Costs=== <!--T:37--> | ===Costs=== <!--T:37--> | ||
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===Laws & Social Stigmas=== <!--T:44--> | ===Laws & Social Stigmas=== <!--T:44--> | ||
Haiti has some of the strictest laws regarding abortion in the world. There are no grounds in which abortions are legally permitted<ref>https://www.guttmacher.org/sites/default/files/factsheet/ib_aww-latin-america.pdf</ref> with the rare exception that it be necessary to save the mother's life, but even that is not guaranteed by law. Women often turn to highly unsafe and illegal underground abortion options. In large part, this is also due to the fact the contraception itself is not widely accepted, available or properly used. <ref>http://www.theoaklandpress.com/general-news/20131128/women-in-haiti-embracing-birth-control-despite-taboos</ref> Despite the fact that it is illegal, abortion is common in Haiti. <ref>http://www.truth-out.org/opinion/item/20644-a-look-at-abortion-in-haiti</ref> The number of post-abortion deaths in Haiti is unknown, but physicians say post-abortion complications are a leading cause of maternal death, with the health ministry estimating it could possibly account for as many as 30 percent of them. <ref>http://www.theoaklandpress.com/general-news/20131128/women-in-haiti-embracing-birth-control-despite-taboos</ref> | Haiti has some of the strictest laws regarding abortion in the world. There are no grounds in which abortions are legally permitted<ref>[https://www.guttmacher.org/sites/default/files/factsheet/ib_aww-latin-america.pdf Latin America Fact Sheet]</ref> with the rare exception that it be necessary to save the mother's life, but even that is not guaranteed by law. Women often turn to highly unsafe and illegal underground abortion options. In large part, this is also due to the fact the contraception itself is not widely accepted, available or properly used. <ref>[http://www.theoaklandpress.com/general-news/20131128/women-in-haiti-embracing-birth-control-despite-taboos Women in Haiti Embracing Birth Control Despite Taboos]</ref> Despite the fact that it is illegal, abortion is common in Haiti.<ref>[http://www.truth-out.org/opinion/item/20644-a-look-at-abortion-in-haiti A Look at Abortion in Haiti]</ref> The number of post-abortion deaths in Haiti is unknown, but physicians say post-abortion complications are a leading cause of maternal death, with the health ministry estimating it could possibly account for as many as 30 percent of them. <ref>[http://www.theoaklandpress.com/general-news/20131128/women-in-haiti-embracing-birth-control-despite-taboos Women in Haiti Embracing Birth Control Despite Taboos]</ref> | ||
===What to Get & Where to Get It=== <!--T:45--> | ===What to Get & Where to Get It=== <!--T:45--> | ||
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==List of Additional Resources== <!--T:51--> | ==List of Additional Resources== <!--T:51--> | ||
[http://http://www.hpvcentre.net/statistics/reports/HTI_FS.pdf Haiti HPV Vaccine Status] | * [http://http://www.hpvcentre.net/statistics/reports/HTI_FS.pdf Haiti HPV Vaccine Status] | ||
==References== <!--T:52--> | ==References== <!--T:52--> | ||