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Haiti/en: 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of contraception, overpriced feminine hygiene products, lack of proper medical facilities,  unaffordable and outdated hospitals, a high rate of HIV infection and an alarming rate of sexual abuse against women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 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.
Port-au-Prince is the largest city in Haiti and the second largest in the Caribbean. The country struggles with having the reputation as the poorest country in Western hemisphere and its turmoils have been compounded by disastrous earthquakes and hurricanes in recent years. 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of contraception, overpriced feminine hygiene products, lack of proper medical facilities,  unaffordable and outdated hospitals, a high rate of HIV infection and an alarming rate of sexual abuse against women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. Historically, women's rights are not a high priority for the Haitian government. As of 2016, not a single woman holds a seat in the senate of Haiti.<ref>[http://www.miamiherald.com/news/nation-world/world/americas/haiti/article55358850.html No women in new Haitian parliament]</ref>


==Contraception (Birth Control)==
==Contraception (Birth Control)==
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===What to Get & Where to Get It===
===What to Get & Where to Get It===
Despite the fact that Haiti has a long history with oral contraceptives<ref>[http://ethique-tic.fr/2013/wp-content/uploads/1/2013/02/JunodMarks-pill02.pdf Women’s Trials: The Approval of the First Oral Contraceptive Pill in the United States and Great Britain]</ref>, the country has a staggeringly low rate of 37.8% of women between the ages of 15 and 49 report using any kind of contraception at all. This is the lowest rate of any Caribbean country. An overwhelming majority of women that do use birth control opt for the contraceptive injection.<ref>[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in Contraceptive Use 2015]</ref> There have been multiple campaigns with mixed results to raise awareness for the use of contraceptives. Many women are raised in a conservative Christian families and don't want to admit that they are having premarital sex, so discussions about birth control are not likely to be widely discussed by most Haitians, especially amongst the youth. <ref>[http://pulitzercenter.org/reporting/family-planning-delicate-subject-haiti Family Planning is a Delicate Subject in Haiti]</ref>


* 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].
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==Emergency Contraception (Morning After Pill)==
==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. 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 [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].
==Emergency Contraception (Morning After Pill)==


===Laws & Social Stigmas===
===Laws & Social Stigmas===
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===Costs===
===Costs===
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.


==Gynecological Exams==
==Gynecological Exams==
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===Laws & Social Stigmas===
===Laws & Social Stigmas===


===What to Get & Where to Get It===
===Laws & Social Stigmas===
*Dr. Serge Guichard<br>
Address: 13 Rue Faubert, Port-au-Prince , Haiti.<br>
Tel: +509 257 1109<br>
Specialism: Obstetrics & Gynaecology<br>
*Marco Percque<br>
Phone: 2257-4711 / 2257-3646<br>
Address: Unite Chirurgical
#75 Rue Lambert, Petion Ville<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
Medicale, P-au-P<ref>[http://photos.state.gov/libraries/haiti/231771/PDFs/LOCAL%20ENGLISH%20SPEAKING%20PHYSICIANS%20_August%202011_.pdf[</ref>


===Costs===
===Costs===
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All women in Haiti are legally entitled to 6 weeks of maternity leave with 100% of their average pay to be compensated by their employer.<ref>http://www.ilo.org/wcmsp5/groups/public/---dgreports/---dcomm/---publ/documents/publication/wcms_242615.pdf</ref> However, the reality of the situation can be much different and many women find that they are not in a position to receive this aid. <ref>http://www.nbcnews.com/id/29706995/ns/health-pregnancy/t/giving-birth-fraught-danger-haiti/#.WLVr_BJ94y4</ref> In Haiti, there are only 201 nurse-midwives for a population of 10 million. NGO Midwives for Haiti are trying to fill this gap with much needed help to improve mother and child survival. As of 2013, For every 100,000 babies born in Haiti, 630 women die of pregnancy-related causes<ref>http://www.miamiherald.com/news/nation-world/world/americas/haiti/article1957834.html</ref>.
All women in Haiti are legally entitled to 6 weeks of maternity leave with 100% of their average pay to be compensated by their employer.<ref>http://www.ilo.org/wcmsp5/groups/public/---dgreports/---dcomm/---publ/documents/publication/wcms_242615.pdf</ref> However, the reality of the situation can be much different and many women find that they are not in a position to receive this aid. <ref>http://www.nbcnews.com/id/29706995/ns/health-pregnancy/t/giving-birth-fraught-danger-haiti/#.WLVr_BJ94y4</ref> In Haiti, there are only 201 nurse-midwives for a population of 10 million. NGO Midwives for Haiti are trying to fill this gap with much needed help to improve mother and child survival. As of 2013, For every 100,000 babies born in Haiti, 630 women die of pregnancy-related causes<ref>http://www.miamiherald.com/news/nation-world/world/americas/haiti/article1957834.html</ref>.


All women in Haiti are legally entitled to 6 weeks of maternity leave with 100% of their average pay to be compensated by their employer.<ref>[https://en.wikipedia.org/wiki/Parental_leave Parental Leave]</ref> <ref>[http://www.ilo.org/wcmsp5/groups/public/---dgreports/---dcomm/---publ/documents/publication/wcms_242615.pdf]</ref> However, the reality of the situation can be much different and many women find that they are not in a position to receive this aid.<ref>[http://www.nbcnews.com/id/29706995/ns/health-pregnancy/t/giving-birth-fraught-danger-haiti/#.WLVr_BJ94y4 Giving Birth is Fraught with Danger in Haiti]</ref> In Haiti, there are only 201 nurse-midwives for a population of 10 million. NGO Midwives for Haiti are trying to fill this gap with much needed help to improve mother and child survival. As of 2013, For every 100,000 babies born in Haiti, 630 women die of pregnancy-related causes.<ref>[http://www.miamiherald.com/news/nation-world/world/americas/haiti/article1957834.html]</ref>
===Laws & Social Stigmas===


===What to Get & Where to Get It===
All women in Haiti are legally entitled to 6 weeks of maternity leave with 100% of their average pay to be compensated by their employer.<ref>[https://en.wikipedia.org/wiki/Parental_leave Parental Leave]</ref> <ref>[http://www.ilo.org/wcmsp5/groups/public/---dgreports/---dcomm/---publ/documents/publication/wcms_242615.pdf Maternity and paternity at work]</ref> However, the reality of the situation can be much different and many women find that they are not in a position to receive this aid. <ref>[http://www.nbcnews.com/id/29706995/ns/health-pregnancy/t/giving-birth-fraught-danger-haiti/#.WLVr_BJ94y4 Giving Birth is Fraught with Danger in Haiti]</ref> In Haiti, there are only 201 nurse-midwives for a population of 10 million. NGO Midwives for Haiti are trying to fill this gap with much needed help to improve mother and child survival. As of 2013, For every 100,000 babies born in Haiti, 630 women die of pregnancy-related causes.<ref>[http://www.miamiherald.com/news/nation-world/world/americas/haiti/article1957834.html Women in Haiti embracing birth control despite taboos]</ref>
*SHADA CLINIC – Cap Haitien<br>*HAITI VILLAGE HEALTH – Bas Limbe<br>*OPEN DOOR CLINIC – Bois de Lance<br>*JOLITROU – Grande Riviere


===Costs===
===Costs===
The cost for a stay in a Public hospital in Port-au-Prince can cost less than 1 USD a day. However, the patient is accountable to pay for all other expenses, such as syringes, medicine, transportation etc. Because of this, the price of giving birth in a public hospital is out of the question for most people since about 60% of Haiti lives beneath the poverty line.
The cost for a stay in a Public hospital in Port-au-Prince can cost less than 1 USD a day. However, the patient is accountable to pay for all other expenses, such as syringes, medicine, transportation etc. Because of this, the price of giving birth in a public hospital is out of the question for most people since about 60% of Haiti lives beneath the poverty line.
* An option available for women in need of medical care regarding their pregnancy is provided by the organization [http://www.msf.org/en/where-we-work/haiti Médecins Sans Frontières]has at least one location in Port-au-Prince that offers prenatal care for women with pressing health complications regarding their pregnancy. Unfortunately, their facilities are often overwhelmed with too many patients seeking aid and only have room for very few of them. However, these facilities do their best not to reject any woman in labor, regardless of their health status.<ref>[https://www.ft.com/content/4ecb945a-1e97-3369-9117-8fb3c2b61908 Improving Maternity Care in Haiti]</ref><br>
* Pran Men’m - Located in the Delmas 33 neighbourhood of Port-au-Prince, MSF’s 148-bed Centre de Référence des Urgences en Obstétrique (CRUO) <ref>[http://www.msf.org/en/where-we-work/haiti Medecins San Frontieres - Haiti]</ref><br>
* Many women, if they can afford it, choose to fly to Jimani in the Dominican Republic to give birth where healthcare is more widely accessible.<ref>[http://cronkite.asu.edu/buffett/dr/giving_birth_full.html</ref>
* [https://www.facebook.com/UNFPAHaiti/ UNFPA]: Address: LOCAL MINUSTAH, Log Base - Zone 5, Boulevard Toussaint Louverture and Clercine 18, Port-au-Prince, Haiti, Email address: Office@unfpahaiti.org, Work timetable: Monday - Thursday 7:30 AM - 4:30 PM, Friday 7:30 AM - 1:30 PM<br> Telephones: 509 2815-6000, 509 2813-0415.


==Abortion==
==Abortion==
The cost for a stay in a Public hospital in Port-au-Prince can cost less than 1 USD a day. However, the patient is accountable to pay for all other expenses, such as syringes, medicine, transportation etc. Because of this, the price of giving birth in a public hospital is out of the question for most people since about 60% of Haiti lives beneath the poverty line.


'''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 [https://www.plannedparenthood.org/learn/abortion here].
'''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 [https://www.plannedparenthood.org/learn/abortion here].
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|description=Find sexual, reproductive and women's health care in Haiti.
|description=Find sexual, reproductive and women's health care in Haiti.
}}
}}
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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