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Johannesburg: Difference between revisions
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==Contraception== | '''OVERVIEW''' | ||
In Johannesburg, you will find a range of health care resources. Contraception is legal although a prescription is required and, generally-speaking, many women may be unaware of the full range of contraceptives available to them. The South African government is keenly interested in improving general usage and awareness among women of reproductive age. Emergency contraception (the morning after pill) is available without prescription if you're over 16 years old. If you're under 16 years old, you'll probably need to consult with a doctor and obtain a prescription. | |||
Globally, South Africa is known to have a large HIV epidemic, and the country is trying to fight the issue with educational programs. There are many sites at which you can get tested for STIs, and there are especially many support and healthcare-related groups for people affected by HIV/AIDS. | |||
If you become pregnant in South Africa, maternity leave is honored but companies are not required to pay you during this time. | |||
Abortion is fully legal for up to 12 weeks of pregnancy. After 12 weeks, you can still obtain an abortion but only for certain reasons. In all cases, you must get approval from two physicians before getting an abortion and they can't be the physician performing the abortion. Legally, physicians are allowed to turn down your request. However, you will find that there are many abortion facilities in Johannesburg and, if they are public, abortion is typically free of charge for the first 12 weeks of pregnancy. If you are interested in private facilities, Marie Stopes' facilities are especially recommended, which can be found throughout South Africa. | |||
==Contraception (Birth Control)== | |||
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here]. | '''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here]. | ||
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===Laws & Social Stigmas=== | ===Laws & Social Stigmas=== | ||
In South Africa, you need a prescription to obtain birth control.<ref>[Global Oral Contraception Availability http://ocsotc.org/wp-content/uploads/worldmap/worldmap.html | In South Africa, you need a prescription to obtain birth control.<ref>[Global Oral Contraception Availability http://ocsotc.org/wp-content/uploads/worldmap/worldmap.html]</ref> | ||
According to a | According to a 2015 UN report, it was estimated that about 65% of women in South Africa (who were married/in unions and between the ages of 15 and 49) used any form of contraception, including traditional methods. It was estimated that about 12% of women had unmet family planning needs. The most common forms of contraception were contraceptive injectables (about 30%). This was followed by female sterilization (about 15%), birth control pills (about 12%), and condoms (about 5%). There were low rates of usage for IUDs (about 1%) and male sterilization (less than 1%). There was practically no usage of contraceptive implants (0.0%) or vaginal barrier methods (0.0%).<ref>[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in Contraceptive Use Worldwide 2015]</ref> | ||
Generally speaking, South African women do receive education related to contraception. However, they may have limited knowledge of the range of contraceptive options available.<ref>[https://www.health-e.org.za/wp-content/uploads/2014/05/ContraceptionPolicyServiceDelGuidelines2013.pdf]</ref> | |||
In 2014, the South African government revealed a new family planning strategy. Under this new plan, contraception options were expanded, including the introduction of Implanon Nxt (contraceptive implant). The government also sought to increase demand for less popular contraceptives, like IUDs and condoms.<ref>[https://www.health-e.org.za/2014/05/06/guidelines-national-contraception-fertility-planning-policy/]</ref> | In 2014, the South African government revealed a new family planning strategy. Under this new plan, contraception options were expanded, including the introduction of Implanon Nxt (contraceptive implant). The government also sought to increase demand for less popular contraceptives, like IUDs and condoms.<ref>[https://www.health-e.org.za/2014/05/06/guidelines-national-contraception-fertility-planning-policy/]</ref> | ||
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===Costs=== | ===Costs=== | ||
==Emergency Contraception== | ==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]. | '''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]. | ||
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''Dedicated Products / Progestin Only | ''Dedicated Products / Progestin Only | ||
Take 1 pill within 120 hours after unprotected sex:'' | Take 1 pill within 120 hours after unprotected sex:''<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref> | ||
* Escapelle (available from a pharmacist without a prescription) | * Escapelle (available from a pharmacist without a prescription) | ||
''Take 2 pills within 120 hours after unprotected sex:'' | ''Take 2 pills within 120 hours after unprotected sex:''<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref> | ||
* NorLevo 0.75 mg (available from a pharmacist without a prescription) | * NorLevo 0.75 mg (available from a pharmacist without a prescription) | ||
Oral Contraceptives used for EC / Progestin Only | Oral Contraceptives used for EC / Progestin Only | ||
Take 50 pills within 120 hours after unprotected sex: | Take 50 pills within 120 hours after unprotected sex:<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref> | ||
* Microval | * Microval | ||
''Oral Contraceptives used for EC / Progestin-Estrogen Combined | ''Oral Contraceptives used for EC / Progestin-Estrogen Combined | ||
Note: in 28-day packs, only the first 21 pills can be used | Note: in 28-day packs, only the first 21 pills can be used | ||
Take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later:'' | Take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later:''<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref> | ||
* Nordiol | * Nordiol | ||
* Ovral | * Ovral | ||
''Take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later:'' | ''Take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later:''<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref> | ||
* Nordette | * Nordette | ||
===Costs=== | ===Costs=== | ||
The price of LNG | The price of LNG emergency contraception ranges from $5.30 - $5.97, as of 2013.<ref>[http://www.cecinfo.org/country-by-country-information/status-availability-database/countries/south-africa/ EC Status and Availability: South Africa]</ref> | ||
==Sexually Transmitted Infections (STIs/STDs)== | ==Sexually Transmitted Infections (STIs/STDs)== | ||
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* [http://www.aids-update.org.za/ HIV/AIDS Update: A South African Information and Service Centre]: "Newsletters and support in South Africa." | * [http://www.aids-update.org.za/ HIV/AIDS Update: A South African Information and Service Centre]: "Newsletters and support in South Africa." | ||
* [http://www.soulcity.org.za/ Soul City Institute of Health & Development Communication] | * [http://www.soulcity.org.za/ Soul City Institute of Health & Development Communication] | ||
* [www.info4africa.org.za The Centre for HIV/AIDS Networking]: "A Web site showcasing approaches to the fight against HIV/AIDS in the KwaZulu-Natal region of South Africa." | * [http://www.info4africa.org.za The Centre for HIV/AIDS Networking]: "A Web site showcasing approaches to the fight against HIV/AIDS in the KwaZulu-Natal region of South Africa." | ||
===Costs=== | ===Costs=== | ||
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==List of Additional Resources== | ==List of Additional Resources== | ||
* [http://ncwsa.org.za/ National Council of Women of South Africa]: "NCWSA aims to bring together women of all ages and all walks of life in South Africa, to learn more about local, national and international affairs that affect us all." P.O. Box 1242, Johannesburg 2000, South Africa, Tel: 011-834-1366. Email: info@ncswa.org. | |||
* [http://www.womensnet.org.za/health/whppam.htm Women's Health Project]: "At present, the project's aims are to develop and promote research assessing the implementation of integrated women's health services, to help policy makers reach a consensus on the integration of women's health services and primary health care, to expose nurses to gender sensitive approaches to women's health, to promote the existence of a vibrant women's health movement, and to facilitate agreement between NGOs and government agencies on a common list of development indicators to guide program development." Address: Third Floor, Spencer Lister Building, P.O. Box 1038, South African Institute for Medical Research, University of the Witwatersrand , Box 1038, Johannesburg, 2000, South Africa, tel: +27 11 489 9925/17/05, fax: +27 11 489 9922, E-mail: womenhp@sn.apc.org or womenhp@wn.acp.org | |||
* [http://www.iranti-org.co.za/ Iranti]: "Iranti-org is a queer human rights visual media organization based in Johannesburg, South Africa. Iranti-org works within a human rights framework as its foundational platform for raising issues on Gender, Identities and Sexuality." Director: Jabu Pereira, jabu@iranti-org.co.za | |||
* [http://www.womensnet.org.za Women's Institute For Leadership, Development And Democracy]: 187 Bree St., Longsbank Building, 12th Floor, Johannesburg 2000, South Africa, Tel: (27-11) 836 5656, Fax: (27-11) 836 5620 | |||
* [http://www.iwcjoburgsa.co.za/ International Women's Club - Johannesburg]: | |||
* Rural Women's Movement: POB 62535, Johannesburg 2000, South Africa, Tel: (27 11) - 833 1060, Fax: (27 11) - 834 8385 | |||
* Women'sNet - SANGONeT: "Women'sNet, a project designed to enable South African women to use the Internet to find the people, issues, resources, tools and skills they need. Created by women, for women." 13th Floor, Longsbank Building, 187 Bree Street, Johannesburg, 2000, or P O Box 31 Johannesburg 2000, South Africa, Tel: +27 011 838 6943/4, Fax: +27 011 492 1058, email: women@wn.apc.org | |||
* Joint Enrichment Project: 6th Floor, Khotoso House, 62 Marshall St, Johannesburg 2001, South Africa, Tel: (271-1) 834-6865/9, Fax: (271-1) 834-4955 | |||
* National Council Of African Women: 18 Philip Street, POB 9833, Gauteng, Johannesburg 2001, South Africa, Tel: (27-11) 935 1597, Fax: (27 11) 935 2157 | |||
==References== | ==References== | ||
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|title=Gynopedia | |title=Gynopedia | ||
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|keywords=contraception, emergency contraception, std test, sti test, treatment, medications, pharmacies, abortion, clinic, tampons, women's health | |keywords=south africa, johannesburg, contraception, emergency contraception, birth control, morning after pill, plan b, hiv, menstrual cup, divacup, mooncup, std test, sti test, treatment, medications, pharmacies, abortion, clinic, tampons, women's health | ||
|description=Find sexual, reproductive and women's health care in | |description=Find sexual, reproductive and women's health care in Johannesburg. | ||
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