Gynopedia needs your support! Please consider contributing content, translating a page, or making a donation today. With your support, we can sustain and expand the website. Gynopedia has no corporate sponsors or advertisers. Your support is crucial and deeply appreciated.

San Salvador: Difference between revisions

Jump to navigation Jump to search
 
(17 intermediate revisions by the same user not shown)
Line 7: Line 7:


'''OVERVIEW'''  
'''OVERVIEW'''  
Generally speaking, El Salvador is a conservative country when it comes to sexual and reproductive health care. Technically speaking, you can purchase birth control without a prescription and many forms of contraception are available. However, in reality, birth control pills are expensive and inaccessible for some people, and they are used by a very small percentage of Salvadoran women. Regarding emergency contraception (the morning after pill), you may technically need a prescription, but this doesn't seem to be widely enforced as locals report buying it over-the-counter in San Salvador. Regarding STIs, there are no travel or residency restrictions, and you can get tested at many clinics. There is no PrEP program or nationwide HPV vaccination program. You can find pads very easily and tampons are sold in select locations, which we list in the "Menstruation" section. We know of at least one seller of menstrual cups in El Salvador. There is maternity leave for 12 weeks, but we don't know how often women actually find coverage in less official or regulated jobs. Finally, El Salvador has one of the strictest abortion laws in the world, prohibiting abortion in all cases. For more details, visit the "Abortion" section. As there are many unsafe clandestine abortions that are performed in El Salvador each year, it's strongly recommended that someone exercises extreme caution if they are considering going down this route.


==Contraception (Birth Control)==
==Contraception (Birth Control)==
Line 14: Line 16:
===Laws & Social Stigmas===
===Laws & Social Stigmas===


In El Salvador, you can purchase contraception (birth control) without a prescription.<ref>[http://ocsotc.org/wp-content/uploads/worldmap/worldmap.html Global Oral Contraception Availability]</ref> According to a 2015 report, 70.7% of Salvadoran women (who are married or in unions) use any form of contraception, including traditional methods. The most common forms of contraception are female sterilization (34.4%), injectables (19.5%), pills (4.8%) and male condoms (4.2%).<ref>[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in
In El Salvador, you can purchase condoms and oral contraceptives (birth control pills) without a prescription.<ref>[http://ocsotc.org/wp-content/uploads/worldmap/worldmap.html Global Oral Contraception Availability]</ref> <ref>[Online conversation with El Salvador local, December 2017]</ref> According to a 2015 report, 70.7% of Salvadoran women (who are married or in unions) use some form of contraception, including traditional methods. The most common forms of contraception are female sterilization (34.4%), injectables (19.5%), pills (4.8%) and male condoms (4.2%).<ref>[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in Contraceptive Use Worldwide 2015]</ref>
Contraceptive Use Worldwide 2015]</ref>
 
El Salvador has one of the highest rates of female sterilization in Latin America and the Caribbean. The rise in female sterilization began in the late 1970s, when many women began obtaining tubal ligation. Between 1975 and 1985, the number of women (of childbearing age) who had been sterilized rose from 10% to 31%. Many of the women who have received sterilization are quite young (in 2004, almost 25% of women under 30 had been sterilized), and young women often regret getting the procedure done so early in their lives. It is common for young women to try to reverse the surgery. Typically, women are offered the option of sterilization when they're obtaining prenatal or post-natal care (as a way to prevent future births), and they say that they often choose to have the surgery because they're concerned about the reliability or side effects of contraceptives.<ref>[http://www.prb.org/Publications/Articles/2010/elsalvador.aspx El Salvador Survey Shows Lower Fertility, Increased Contraceptive Use]</ref>


Since the 1960s, family planning services have been available through the Ministry of Health and the Social Security Institute of El Salvador (ISSS) and the Asociación Demográfica Salvadoreña (ADS), a private affiliate of the International Planned Parenthood Federation.<ref>[http://www.un.org/esa/population/publications/abortion/profiles.htm UN Report: El Salvador - Abortion Policy]</ref>
Since the 1960s, family planning services have been available through the Ministry of Health and the Social Security Institute of El Salvador (ISSS) and the Asociación Demográfica Salvadoreña (ADS), a private affiliate of the International Planned Parenthood Federation.<ref>[http://www.un.org/esa/population/publications/abortion/profiles.htm UN Report: El Salvador - Abortion Policy]</ref>
Line 21: Line 24:
===What to Get & Where to Get It===
===What to Get & Where to Get It===


* In El Salvador, you can purchase '''birth control pills''' at pharmacies without a prescription. Some of the brands you can expect to see are Miranova, Nordette, Yasmin, Yaz and more other brands. For a full list of available contraceptives in El Salvador, click [http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=SV here].
* For a comprehensive list of available contraceptives in El Salvador, click [http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=SV here].
* If you want '''contraceptive injections''', you should be able to find Depo-Provera, Norigynon Noristerat and other brands. For a full list, click [http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=SV here].
* In El Salvador, you can purchase '''birth control pills''' ("píldoras anticonceptivas” in Spanish) at pharmacies without a prescription. Some pharmacies may refuse to sell you contraception due to their religious or personal beliefs, but you'll find many other pharmacies that do sell contraception. There are over 20 birth control pill brands registered in El Salvador, including combined and phasic pills. Some of the brands you can expect to see are Cilest, Diane-35, Femiane, Gynovin, Lo-Femenal, Miranova, Microgynon, Nordette, Yasmin, Yaz and more other brands. For a full list, click [http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=SV here].
* If you want '''contraceptive implants''', you should be able to find Norplant and Jadelle in El Salvador.
** Pharmacy Recommendation: Farmacia San Nicolás sells birth control pills and is trusted by a local who recommended it.
* If you want an '''IUD''' or '''IUS''', you should be able to get copper or hormonal IUDs in El Salvador. From [https://www.facebook.com/ginecologianaturalypartosconscientes.ElSalvador/ Aleida Parducci @ the Gineceo], you can get Mirena (hormonal) IUS for $300 or the IUD Copper 380 for $75. For the copper IUD, you can get it from [https://www.facebook.com/Dra-alicia-corleto-carpio-168292993224518/ Dra alicia corleto carpio] for (we think) $40.
* In Spanish, the word for '''"condom"''' is "condón."
* If you want '''contraceptive injections''' ("anticonceptivo inyectable” in Spanish), there are over 20 injectable brands available in El Salvador, including Depo-Provera, Norigynon Noristerat and other brands. In many Latin American countries, you can get the injection directly at the pharmacy, but we're not sure if this is possible in El Salvador. For a full list of injectables available, click [http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=SV here].
* If you want '''contraceptive implants''' ("implante anticonceptivo” in Spanish), you should be able to find Norplant and Jadelle in El Salvador.<ref>[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=SV IPPF El Salvador]</ref>
* If you want an '''IUD''' ("DIU” in Spanish) or '''IUS''', you should be able to get copper or hormonal IUDs in El Salvador. From [https://www.facebook.com/ginecologianaturalypartosconscientes.ElSalvador/ Aleida Parducci @ the Gineceo], you can get Mirena (hormonal) IUS for $300 or the IUD Copper 380 for $75. For the copper IUD, you can get it from [https://www.facebook.com/Dra-alicia-corleto-carpio-168292993224518/ Dra alicia corleto carpio] for (we think) $40.


===Costs===
===Costs===
Line 38: Line 44:
===What to Get & Where to Get It===
===What to Get & Where to Get It===


* In El Salvador, you can find dedicated emergency contraception. For anti-progestin EC, you should take 1 pill within 120 hours after unprotected sex. Here are the brands you may find: Duprisal 30
* In El Salvador, you can find dedicated emergency contraception. For anti-progestin EC, you should take 1 pill within 120 hours after unprotected sex. Here are the brands you may find: Duprisal 30<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref>
* For progestin only EC, you should take 1 pill within 120 hours after unprotected sex. Here are the brands you may find: Postinor 1
* For progestin only EC, you should take 1 pill within 120 hours after unprotected sex. Here are the brands you may find: Postinor <ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref>
* If you cannot access dedicated emergency contraception, you can use some oral contraceptives (regular birth control pills) as replacement EC. To do this, you should remember that, in 28-day packs, only the first 21 pills can be used. Here is what you can use:
* If you cannot access dedicated emergency contraception, you can use some oral contraceptives (regular birth control pills) as replacement EC. To do this, you should remember that, in 28-day packs, only the first 21 pills can be used. Here is what you can use:
** Take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later: Denoval, Eugynon, Neogynon, Nordiol, Ovral
** Take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later: Denoval, Eugynon, Neogynon, Nordiol, Ovral<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref>
** Take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later: Lo-Femenal, Microgynon, Nordette
** Take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later: Lo-Femenal, Microgynon, Nordette<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref>
* This information was provided by the [http://ec.princeton.edu/ Princeton EC website], so refer to that website for more details.
* Remember that IUDs can also prevent pregnancy for up to 5 days after unprotected sex. Check out the "Contraception (Birth Control)" section for details.
* Remember that IUDs can also prevent pregnancy for up to 5 days after unprotected sex. Check out the "Contraception (Birth Control)" section for details.


Line 80: Line 85:
===What to Get & Where to Get It===
===What to Get & Where to Get It===


* If you have a yeast infection, you can ask for Fluconazole.
* If you have a yeast infection ("infección por levaduras" in Spanish), you can ask the pharmacist for Fluconazole, which is antifungal medication. They'll be able to give you Fluconazole or something similar.
* If you have a urinary tract infection ("infecciones de las vías urinarias" in Spanish), you can contact a doctor/pharmacist to find out next steps.
* There is no nationwide HPV vaccination program in El Salvador. However, you may be able to get the HPV vaccine at a hospital or clinic.<ref>[http://www.hpvcentre.net/statistics/reports/SLV_FS.pdf El Salvador Human Papillomavirus and Related Cancers, Fact Sheet 2016]</ref>
* There is no nationwide HPV vaccination program in El Salvador. However, you may be able to get the HPV vaccine at a hospital or clinic.<ref>[http://www.hpvcentre.net/statistics/reports/SLV_FS.pdf El Salvador Human Papillomavirus and Related Cancers, Fact Sheet 2016]</ref>
* There is no PrEp program in El Salvador.
* There is no PrEP program in El Salvador.


===Costs===
===Costs===
Line 134: Line 140:
===What to Get & Where to Get It===
===What to Get & Where to Get It===


* There is an underground network of abortion providers in El Salvador. Since it's completely illegal, we cannot direct you to any resources. If you want to find a providers, you should carefully consult only people you trust. It appears that many of the providers so have access to "the abortion pill," so you can get a clandestine medical abortion (and you can probably get a surgical one too).
* There is an underground network of abortion providers in El Salvador. Since it's completely illegal, we cannot direct you to any resources. If you want to find a providers, you should carefully consult only people you trust. It appears that many of the providers do have access to "the abortion pill," so you can get a clandestine medical abortion (and you can probably get a surgical one too).
* You can potentially get the "abortion pill" by mail. Check out [https://www.womenonweb.org/en/i-need-an-abortion this link] for details.
* You can potentially get the "abortion pill" by mail. Check out [https://www.womenonweb.org/en/i-need-an-abortion this link] for details.
* You can legally obtain an abortion on request in [[Mexico City]] or the [[United States]].
* You can legally obtain an abortion on request in [[Mexico City]] or the [[United States]].
Line 147: Line 153:


===What to Get & Where to Get It===
===What to Get & Where to Get It===
* [http://www.hablamederespeto.org/website/ Háblame de Respeto]: "Háblame de Respeto is an integral model to prevent gender violence, created in 2014 by the Latitudes Foundation. The general objective is to deconstruct the social paradigm that perceives violence against women as normal."


===Costs===
===Costs===
Line 152: Line 160:
==List of Additional Resources==
==List of Additional Resources==


* [http://www.salud.gob.sv/ Ministry of Health]: Address: Calle Arce, San Salvador, El Salvador; Phone: +503 2591 7000
* [http://www.ads.org.sv/home/ The Asociación Demográfica Salvadoreña (ADS)]: "The Asociación Demográfica Salvadoreña (ADS) works to deliver high quality family planning services to people across the country, with a particular emphasis on poor, marginalized, vulnerable and under-served groups... ADS services points include permanent clinics, mobile facilities, about community-based distributors/services (CBDs/CBSs) and commercial marketing outlets. ADS is the main supplier of condoms in the country and is the El Salvador's second most important source of voluntary surgical contraception." (description from the [https://www.ippf.org/about-us/member-associations/el-salvador IPPF page]). Call +503 2132 8000. Email: info@ads.org.sv
* [http://www.share-elsalvador.org/ormusa ORMUSA]: "ORMUSA, the Organization of Salvadoran Women for Peace, is dedicated to working for gender equality and  economic, social and political women’s empowerment."
* [http://www.share-elsalvador.org/ormusa ORMUSA]: "ORMUSA, the Organization of Salvadoran Women for Peace, is dedicated to working for gender equality and  economic, social and political women’s empowerment."
* [http://www.lasmelidas.org/ Melida Anaya Montes Women’s Movement (MAM)]: "MAM is a feminist organization founded in 1992 that works to promote women’s rights through education and health promotion, programs to combat gender-related violence, citizen engagement and the promotion of labour rights. The organization operates at the national level, working in 11 of the country’s 14 departments."
* [http://www.lasmelidas.org/ Melida Anaya Montes Women’s Movement (MAM)]: "MAM is a feminist organization founded in 1992 that works to promote women’s rights through education and health promotion, programs to combat gender-related violence, citizen engagement and the promotion of labour rights. The organization operates at the national level, working in 11 of the country’s 14 departments."
Line 161: Line 171:
|title=Gynopedia
|title=Gynopedia
|titlemode=append
|titlemode=append
|keywords=contraception, birth control, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampons, women's health
|keywords=san salvador, el salvador, contraception, birth control, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampons, women's health
|description=Find sexual, reproductive and women's health care in your city.
|description=Find sexual, reproductive and women's health care in San Salvador.
}}
}}

Navigation menu