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Tallinn: Difference between revisions

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[[File:Tallinn.jpg|400px | thumb|right|]]
[[File:Tallinn.jpg|400px | thumb|right|]]


'''OVERVIEW'''  
'''OVERVIEW'''
 
Generally speaking, Estonia is a technologically advanced society that follows European Union standards. You can access many forms of contraception, including condoms, pills, and IUDs. However, a prescription is required for most forms of contraception. You can access emergency contraception over-the-counter, and there are 24-hour pharmacies where you can access them. You can also find pads, tampons, and menstrual cups sold in pharmacies and stores. Regarding STIs, you can find low-cost or free testing services at youth counseling centers and HCT sites. Concerning pregnancy, women are entitled to 140 days of pregnancy and maternity leave. Finally, abortion is legally available during the first 12 weeks of pregnancy.


==Contraception (Birth Control)==
==Contraception (Birth Control)==
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===Laws & Social Stigmas===
===Laws & Social Stigmas===


In Estonia, you can purchase condoms without a prescription at pharmacies. However, you need a prescription to obtain most forms of contraception, such as birth control pills, implants, injectables, and IUDs.<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: Where on Earth?]</ref>
In Estonia, you can purchase condoms without a prescription at pharmacies. However, you need a prescription to obtain most forms of contraception, such as birth control pills, implants, and IUDs.<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: Where on Earth?]</ref>


In 2015, it was estimated that about 65% of Estonian women (who were ages 15-49 and married or in unions) used any form of contraception. This was markedly lower than the Northern European average, where about 77% of women use contraception. Furthermore, it was found that about 13% of women had unmet family planning needs, which was a higher rate than the Northern European average of about 7% of women with unmet family planning needs. The most common forms of contraception used by Estonian women were IUDs (22% of women), birth control pills (19% of women), and condoms (14% of women). For all other modern forms of contraception, there were low rates of usage. For example, vaginal barrier methods were used by less than 1% of women. There were practically no recorded users of contraceptive injectables (0% of women) or contraceptive implants (0% of women). However, some women did practice traditional contraceptive methods, such as the rhythm method (3% of women), withdrawal (2% of women), and other traditional methods (3% of women).<ref>[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in Contraceptive Use Worldwide 2015]</ref>
In 2015, it was estimated that about 65% of Estonian women (who were ages 15-49 and married or in unions) used any form of contraception. This was markedly lower than the Northern European average, where about 77% of women use contraception. Furthermore, it was found that about 13% of women had unmet family planning needs, which was a higher rate than the Northern European average of about 7% of women with unmet family planning needs. The most common forms of contraception used by Estonian women were IUDs (22% of women), birth control pills (19% of women), and condoms (14% of women). For all other modern forms of contraception, there were low rates of usage. For example, vaginal barrier methods were used by less than 1% of women. There were practically no recorded users of contraceptive injectables (0% of women) or contraceptive implants (0% of women). However, some women did practice traditional contraceptive methods, such as the rhythm method (3% of women), withdrawal (2% of women), and other traditional methods (3% of women).<ref>[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in Contraceptive Use Worldwide 2015]</ref>
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===Costs===
===Costs===


* The fee for the IUD procedure at [http://www.elitekliinik.ee/ Klinik Elite] is AID 590 eur, as of January 2019.
* The fee for the '''IUD''' procedure will vary, depending on the clinic you visit. For example, the procedure is 45€ at [https://www.medicum.ee/en/naistenouandla/ Medicum] and 590€ at [http://www.elitekliinik.ee/ Klinik Elite], as of January 2019.
* The fee for the contraceptive implant insertion at [http://www.elitekliinik.ee/ Klinik Elite] is 40 euros, as of January 2019.
* The fee for the '''contraceptive implant''' procedure will vary, depending on the clinic you visit. For example, the procedure is 60€ at [https://www.medicum.ee/en/naistenouandla/ Medicum] and 400€ at [http://www.elitekliinik.ee/ Klinik Elite], as of January 2019.


==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===


* Note: You can find 24-hour pharmacies in Tallinn. Some of them are Tõnismäe Südameaptee and Vikerlase Südameapteek.                                                                                               
* Note: You can find 24-hour pharmacies in Tallinn. Some of them are Tõnismäe Südameapteek and Vikerlase Südameapteek.                                                                                               
* You can find emergency contraceptive pills (morning after pills) at pharmacies, and they are sold over-the-counter. Some brands you may find are Escapelle, Postinor Duo, and ellaOne.<ref name="ecstatus-estonia" />
* You can find emergency contraceptive pills (morning after pills) at pharmacies, and they are sold over-the-counter. Some brands you may find are Escapelle, Postinor Duo, and ellaOne.<ref name="ecstatus-estonia" />
* '''Note:''' The longest-lasting EC is currently [http://www.ellaone.com/ ellaOne]. It lasts up to 5 days (120 hours) after unprotected sex. Check to see if your country carries ellaOne. If your country doesn't carry ellaOne, copper IUDs may also prevent pregnancy up to 5 days after unprotected sex. If none of these options are available, and it's been over 3 days since you had unprotected sex, you can still take EC, which may work up to 5 days. Note that EC pills are not 100% effective and should be taken as soon as possible.
* '''Note:''' The longest-lasting EC is currently [http://www.ellaone.com/ ellaOne]. It lasts up to 5 days (120 hours) after unprotected sex. Check to see if your country carries ellaOne. If your country doesn't carry ellaOne, copper IUDs may also prevent pregnancy up to 5 days after unprotected sex. If none of these options are available, and it's been over 3 days since you had unprotected sex, you can still take EC, which may work up to 5 days. Note that EC pills are not 100% effective and should be taken as soon as possible.
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===What to Get & Where to Get It===
===What to Get & Where to Get It===
* You can find '''menstrual cups''' sold in venues, such as [http://www.mahkmed.eu/ Mahkmed] (sells Lunette) and Rimi CHM Norde (sells Organicup).


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


* [https://www.itk.ee/en/clinics/womens-clinic/about-womensclinic/womens-health-center/gynecology-department/ East Tallinn Central Hospital]: "East-Tallinn Central Hospital Department of Gynecology is specialized on diagnostics and treatment of women´s health conditions. Our doctors are widely competent - we help you with cervical cancer (malignant and benign tumors), infections or prolapse of pelvic organs, infertility, endometrial polyps and endometriosis. Gynecology department includes 2 well-equipped operating rooms and 18 hospital beds, including 4 intensive care units."
* [http://www.elitekliinik.ee/ Klinik Elite]: You can get an exam here (35 eur consultation fee; 20 euro for a pap smear; 30 euro for gynecological ultrasound; 35 euro go ultrasound during first trimester of pregnancy), price quotes from January 2019.
* [http://www.elitekliinik.ee/ Klinik Elite]: You can get an exam here (35 eur consultation fee; 20 euro for a pap smear; 30 euro for gynecological ultrasound; 35 euro go ultrasound during first trimester of pregnancy), price quotes from January 2019.
* [https://www.medicum.ee/en/naistenouandla/ Lasnamäe Medicum and Port Medicum]: Services include: counseling, prescription for a hormonal contraceptive device, registering your pregnancy
advice and assistance during pregnancy, advice and assistance after giving birth, screening of cervical cancer, and help with simple gynaecological disorders (e.g., bacterial vaginosis, candidiasis). E-mail: medicum@medicum.ee


===Costs===
===Costs===
* At Medicum, here are some prices from 2019: Gynaecologist's complex service (examination, preparation of a treatment plan, vaginal ultrasound scan; tests and analyses as needed) - 59€; Visit to a midwife: examination and counselling (fees may be added for tests and analyses)- 15€; Midwife's appointment with a Pap test - 27€


==Pregnancy==
==Pregnancy==


===Laws & Social Stigmas===
===Laws & Social Stigmas===
In Estonia, women are entitled to 140 days of pregnancy and maternity leave. The beginning of maternity leave period can begin up to 70 days before the birth term. If women are employed, their benefits are paid out by the Health Insurance Fund. Meanwhile, men are granted ten days of paternity leave within two months of the anticipated birth date. The paternity leave funds are covered based on the average wage. In addition, the mother or father has the right to take general "parental leave," which allows the parent to care for the child until it is three years old. However, only one parent can take parental leave. The benefits for parental leave are determined by the Family Benefits Act.<ref>[https://www.sm.ee/en/parental-leave Ministry of Social Affairs - Parental Leave]</ref>


===What to Get & Where to Get It===
===What to Get & Where to Get It===
* [https://www.sunnitusmaja.ee/en/about-the-clinic/ East Tallinn Central Hospital]: "The women’s clinic at East Tallinn Central Hospital offers reliable professional help for taking care of your health and becoming a mother... The maternity hospital at the Central Hospital is the oldest in Estonia. One fourth of Estonian children are born here. Many of our patients are connected with long-term traditional ties – often multiple generations of mothers and grandmothers have given birth here."


===Costs===
===Costs===
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==List of Additional Resources==
==List of Additional Resources==


* [https://www.sm.ee/en Ministry of Social Affairs]
* [https://www.sm.ee/en Ministry of Social Affairs]: The areas of focus include: Health care, Public health, E-Health, Labour, Social security benefits, Social services, Children and families, Gender equality and equal treatment. Their website is in Estonian, Russian, and English. Address: Ministry of Social Affairs, Suur-Ameerika 1, 10122 Tallinn. Phone: 626 9301. Fax: 699 2209. E-mail: info@sm.ee
* [http://www.amor.ee/ Eesti Seksuaaltervise Liit / Estonian Sexual Health Association]: "As Estonia’s leading advocate of family planning and sexual and reproductive health (SRH), the Estonian Sexual Health Association has chosen to focus particularly on sex education for young people."
* [http://www.amor.ee/ Eesti Seksuaaltervise Liit / Estonian Sexual Health Association]: "As Estonia’s leading advocate of family planning and sexual and reproductive health (SRH), the Estonian Sexual Health Association has chosen to focus particularly on sex education for young people."
* [https://www.ens.ee/ Estonian Gynecologists Society (Eesti Naistearstide Selts)]: This organization was established in 1953, and it focuses on supporting and advocating for gynecologists of Estonia. Phone: 7319902. Email: ens@ens.ee
* [http://www.enu.ee/enu.php The Estonian Women’s Associations Roundtable (EWAR)]: "The Estonian Women’s Associations Roundtable (EWAR) is an open and democratic women’s organizations network based on co-operation. Its aim is to form common positions among women on questions important to society, to advance participatory democracy and equality between women and men." Email: enu@enu.ee
* [http://www.enu.ee/enu.php The Estonian Women’s Associations Roundtable (EWAR)]: "The Estonian Women’s Associations Roundtable (EWAR) is an open and democratic women’s organizations network based on co-operation. Its aim is to form common positions among women on questions important to society, to advance participatory democracy and equality between women and men." Email: enu@enu.ee
* [http://www.equaldex.com/region/estonia Equaldex - Estonia]: Click here to learn about LGBTQ rights and laws in Estonia.
* [http://www.equaldex.com/region/estonia Equaldex - Estonia]: This website provides information on LGBTQ rights and laws in Estonia.
* [https://www.lgbt.ee/ Estonian LGBT Association]: "The mission of the Estonian LGBT Association, as a representative of the Estonian LGBT people, is to raise awareness of LGBT topics in the society through education and advocacy. The association also aims to increase the self-awareness and social activity of LGBT people by providing support and personal growth possibilities." Phone: +372 5551 5817. Email: info(at)lgbt.ee
* [https://www.lgbt.ee/ Estonian LGBT Association]: "The mission of the Estonian LGBT Association, as a representative of the Estonian LGBT people, is to raise awareness of LGBT topics in the society through education and advocacy. The association also aims to increase the self-awareness and social activity of LGBT people by providing support and personal growth possibilities." Phone: +372 5551 5817. Email: info(at)lgbt.ee
* [https://www.integratsioon.ee/en The Integration Foundation]: They provide services to help non-Estonians integrate into Estonian society. This is a potentially useful for foreigners. Address: Lõõtsa 2a, 8th floor, 11415 Tallinn. Phone: 800 9999. Email: info@integratsiooniinfo.ee
* [https://www.integratsioon.ee/en The Integration Foundation]: They provide services to help non-Estonians integrate into Estonian society. This is a potentially useful for foreigners. Address: Lõõtsa 2a, 8th floor, 11415 Tallinn. Phone: 800 9999. Email: info@integratsiooniinfo.ee
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|description=Find sexual, reproductive and women's health care in Talinn.
|description=Find sexual, reproductive and women's health care in Tallinn.
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