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Kigali: Difference between revisions
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* In Rwanda, you can find '''condoms''' distributed in boutiques, pharmacies, kiosks, bars, health facilities, outreach centers (like community-based distributors) and online stores. The condoms provided in the public sector tend to be generic, non-brand condoms. If you go to the social-marketing centers, you may get condoms that are under the name "Prudence Plus." Overall, Rwanda doesn't have a high level of diversity in the condom sector yet, and only a few main brands are for sale. They tend to be most readily available in urban boutiques, but stock-outs can be an issue experienced by all vendors and facilities at times.<ref>[http://www.ilo.org/wcmsp5/groups/public/@ed_protect/@protrav/@ilo_aids/documents/legaldocument/wcms_132562.pdf Rwanda National Policy on Condoms]</ref> If you want to purchase condoms online, you can find Moods and Kama X condoms sold on the [https://www.kasha.rw/product-category/love-sex/ Kasha website] for 1000 RWF per pack, as of February 2018. | * In Rwanda, you can find '''condoms''' distributed in boutiques, pharmacies, kiosks, bars, health facilities, outreach centers (like community-based distributors) and online stores. The condoms provided in the public sector tend to be generic, non-brand condoms. If you go to the social-marketing centers, you may get condoms that are under the name "Prudence Plus." Overall, Rwanda doesn't have a high level of diversity in the condom sector yet, and only a few main brands are for sale. They tend to be most readily available in urban boutiques, but stock-outs can be an issue experienced by all vendors and facilities at times.<ref>[http://www.ilo.org/wcmsp5/groups/public/@ed_protect/@protrav/@ilo_aids/documents/legaldocument/wcms_132562.pdf Rwanda National Policy on Condoms]</ref> If you want to purchase condoms online, you can find Moods and Kama X condoms sold on the [https://www.kasha.rw/product-category/love-sex/ Kasha website] for 1000 RWF per pack, as of February 2018. | ||
* You should be able to find '''oral contraceptives (birth control pills)''' sold in pharmacies and online retailers, like [https://www.kasha.rw/product-category/love-sex/ Kasha]. Some of the brands you can expect to see are Diane-35, Microgynon, Microlut, Neogynon, Lo-Femenal, Ovrette<ref>[http://ec.princeton.edu/ Princeton EC Website]</ref> | * You should be able to find '''oral contraceptives (birth control pills)''' sold in pharmacies and online retailers, like [https://www.kasha.rw/product-category/love-sex/ Kasha]. Some of the brands you can expect to see are Diane-35, Microgynon, Microlut, Neogynon, Lo-Femenal, Ovrette, and Yasmine.<ref>[http://ec.princeton.edu/ Princeton EC Website]</ref> <ref>[Conversation with pharmacy in Kigali, May 2018]</ref> | ||
* You can find ''' | * You can find '''intrauterine devices (IUDs)''' in Rwanda. You can get an IUD inserted at [http://legacyclinics.rw/ Legacy Clinics] for 10,000 RWF, as of March 2018. Furthermore, on the [https://www.kasha.rw/product-category/love-sex/ Kasha website], you can purchase the SMB copper IUD for 14,000 RWF or the Mirena IUD for 90,000 RWF, as of February 2018. | ||
* You can find '''contraceptive shots/injectables''' in Rwanda. | * You can find '''contraceptive shots/injectables''' in Rwanda. One pharmacy in Kigali told us that they sold Confiance, an injectable that lasts for 3 months for 500 RWF, as of May 2018.<ref>[Conversation with pharmacy in Kigali, May 2018]</ref> Furthermore, on the [https://www.kasha.rw/product-category/love-sex/ Kasha website], you can purchase a 3-months supply of Depo-Provera for 700 RWF, or you can purchase Norigynon injectables for 1000 RWF (1-month supply) or 2000 RWF (2-month supply), as of February 2018. | ||
* You can find '''contraceptive implants''' in Rwanda. On the [https://www.kasha.rw/product-category/love-sex/ Kasha website], you can purchase the Implanon implant, which lasts 3 years, for 5000 RWF, or you can you can purchase the Jadelle implant, which lasts 5 years, for 5000 RWF, as of February 2018. | * You can find '''contraceptive implants''' in Rwanda. On the [https://www.kasha.rw/product-category/love-sex/ Kasha website], you can purchase the Implanon implant, which lasts 3 years, for 5000 RWF, or you can you can purchase the Jadelle implant, which lasts 5 years, for 5000 RWF, as of February 2018. | ||
* According to a local source, the '''contraceptive ring (Nuvaring)''' is available in Rwanda, but we'll need more information to confirm. | * According to a local source, the '''contraceptive ring (Nuvaring)''' is available in Rwanda, but we'll need more information to confirm. | ||
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===Costs=== | ===Costs=== | ||
* In a conversation with one pharmacy in Kigali, we were told that they sold Confiance (contraceptive injectables) for 500 RWF, and they sold Microgynon for 1000 RWF (as of May 2018).<ref>[Conversation with pharmacy in Kigali, May 2018]</ref> | |||
==Emergency Contraception (Morning After Pill)== | ==Emergency Contraception (Morning After Pill)== | ||
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===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
* In Rwanda, you can purchase emergency contraceptive pills (morning after pills) without a prescription. You can find them at pharmacy and health centers. Some of the brands you can expect to see are Pill 2 | * In Rwanda, you can purchase emergency contraceptive pills (morning after pills) without a prescription. You can find them at pharmacy and health centers. Some of the brands you can expect to see are NorLevo 1.5mg, Pill 2, Pill 72.<ref>[http://www.cecinfo.org/country-by-country-information/status-availability-database/countries/rwanda/ ICEC: EC Status and Availability: Rwanda]</ref> <ref>[Conversation with pharmacy in Kigali, May 2018]</ref> You can also buy NorLevo (emergency contraceptive pill) online at [https://www.kasha.rw/product-category/love-sex/ Kasha]. For one tablet, you pay 6000 RWF if you buy it online, as of February 2018. | ||
* If you cannot obtain dedicated emergency contraception, you can use regular oral contraceptives (birth control pills) as replacement emergency contraception. To do this, you can take Ovrette (Take 40 pills within 120 hours after unprotected sex), Neogynon (Take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later), Lo-Femenal (Take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later) or Microgynon-30 (Take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later).<ref>[http://ec.princeton.edu/ Princeton EC Website]</ref> Note that, in 28-day packs, only the first 21 pills can be used. For updated information on how and when to take birth control pills as replacement ECPs, please visit the [http://ec.princeton.edu/ Princeton EC Website]. | * If you cannot obtain dedicated emergency contraception, you can use regular oral contraceptives (birth control pills) as replacement emergency contraception. To do this, you can take Ovrette (Take 40 pills within 120 hours after unprotected sex), Neogynon (Take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later), Lo-Femenal (Take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later) or Microgynon-30 (Take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later).<ref>[http://ec.princeton.edu/ Princeton EC Website]</ref> Note that, in 28-day packs, only the first 21 pills can be used. For updated information on how and when to take birth control pills as replacement ECPs, please visit the [http://ec.princeton.edu/ Princeton EC Website]. | ||
* You can also use an intra-urine device (IUD) as emergency contraception. Consult with your physician or local health care provider to find more details. | * You can also use an intra-urine device (IUD) as emergency contraception. Consult with your physician or local health care provider to find more details. | ||
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===Costs=== | ===Costs=== | ||
You can expect to pay | You can expect to pay between 6,000 RWF to 15,000 RWF for the emergency contraceptive pill (morning after pill), as of May 2018. This is very expensive for most local Rwandans, so most people cannot afford it. | ||
==Sexually Transmitted Infections (STIs/STDs)== | ==Sexually Transmitted Infections (STIs/STDs)== | ||
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===Support=== | ===Support=== | ||
* Centre Hospitalier De Kigali: This hospital seems to be the main provider of HIV treatment in Rwanda. They provide antiretroviral medication, such as Combivir, Epivir, Crixivan, Sustiva. They may also have Videx and Zerit. In the past, the monthly cost of combination therapy was 130'000 Rwandan Francs (ca. 700 DEM), but we're not sure about | * Centre Hospitalier De Kigali: This hospital seems to be the main provider of HIV treatment in Rwanda. They provide antiretroviral medication, such as Combivir, Epivir, Crixivan, Sustiva. They may also have Videx and Zerit. In the past, the monthly cost of combination therapy was 130'000 Rwandan Francs (ca. 700 DEM), but we're not sure about the current price. The doctor in charge at the CHK is Dr. Kogame (internist).<ref>[http://www.hivtravel.org/Default.aspx?PageId=143&CountryId=150 RWANDA - REGULATIONS ON ENTRY, STAY AND RESIDENCE FOR PLHIV]</ref> | ||
* University Hospital, Butare: They have antiretroviral medication in stock, but they're probably more expensive than Centre Hospitalier De Kigali.<ref>[http://www.hivtravel.org/Default.aspx?PageId=143&CountryId=150 RWANDA - REGULATIONS ON ENTRY, STAY AND RESIDENCE FOR PLHIV]</ref> | * University Hospital, Butare: They have antiretroviral medication in stock, but they're probably more expensive than Centre Hospitalier De Kigali.<ref>[http://www.hivtravel.org/Default.aspx?PageId=143&CountryId=150 RWANDA - REGULATIONS ON ENTRY, STAY AND RESIDENCE FOR PLHIV]</ref> | ||
* You can find antiretroviral medication in some pharmacies in Kigali, but they may be more expensive than obtaining them from Centre Hospitalier De Kigali.<ref>[http://www.hivtravel.org/Default.aspx?PageId=143&CountryId=150 RWANDA - REGULATIONS ON ENTRY, STAY AND RESIDENCE FOR PLHIV]</ref> | * You can find antiretroviral medication in some pharmacies in Kigali, but they may be more expensive than obtaining them from Centre Hospitalier De Kigali.<ref>[http://www.hivtravel.org/Default.aspx?PageId=143&CountryId=150 RWANDA - REGULATIONS ON ENTRY, STAY AND RESIDENCE FOR PLHIV]</ref> | ||