Georgetown (Guyana)

Guyana / Georgetown (Guyana)

OVERVIEW

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 here.

Laws & Social Stigmas

Generally speaking, Guyanese women do not have a high rate of contraceptive use. In 2015, it was found that about 45% of women in Guyana (who are reproductive age and married/in unions) use some form of contraception, including traditional methods, which is among the lowest rates in the region and markedly below the South American average (74.6%). In Guyana, it was found that nearly 27% have unmet family planning needs. The most common forms of contraception were found to be condoms (14%), birth control pills (10%), IUDs (8%), female sterilization (6%) and contraceptive injectables (5%). There were low rates of usage for female sterilization (0.4%), contraceptive implants (0.2%) and traditional methods, such as withdrawal (0.7%) and the rhythm method (0.3%). There was practically no usage of vaginal barrier methods (0.0%) or male sterilization (0.0%).

What to Get & Where to Get It

• You can get contraceptives at pharmacies, health centers or clinics, like the Guyana Responsible Parenthood Association (call the clinic: 225-0739 Hotline: 225-6493).
• You can find condoms in Guyana.
• You can find oral contraceptives (birth control pills) in Guyana.
• You can find contraceptive implants in Guyana. At Guyana Responsible Parenthood Association, you can find the Jadelle implant.
• You can find contraceptive injectables in Guyana. At Guyana Responsible Parenthood Association, you can find three types of implants: Norigynon (1 month implants), Norestarrat (2 month implants) and Depo Provera (3 month implants).
• You can find IUDs in Guyana. At Guyana Responsible Parenthood Association, you can find the non-hormonal IUD.

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 here and here.

Laws & Social Stigmas

In Guyana, you can purchase emergency contraceptive pills (morning after pills) without a prescription at pharmacies. However, usage of emergency contraceptive pills is not common. According to 2009 data, only 0.9% of Guyanese women had ever used ECPs, and 29.7% of Guyanese women had knowledge of ECPs.

What to Get & Where to Get It

• In Guyana, you can obtain emergency contraceptive pills (morning after pills) without a prescription at pharmacies, IPPF-affiliated programs and various clinics in Guyana. For example, you should be able to find them at Medicine Express (a pharmacy) on Camp Street. Some of the pill brands you can expect to find are i-Pill, which is produced by Cipla, an Indian pharmaceutical company, and Postinor 2, which is produced by Gedeon Richter, a Hungarian pharmaceutical company.
• If you cannot access dedicated emergency contraceptive pills, you can use regular birth control pills as replacement ECPs. If you do this, you should remember that, in 28-day packs, only the first 21 pills can be used. To do this, you can take Nordiol or Ovral (for these pills, take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later). As another option, you can take Lo-Femenal, Microgynon or Nordette (for these pills, take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later).

Costs

• The price for emergency contraceptive pills in Guyana was Guy $1,000 in 2009. We don't know the current price (if you do, please update the page).

Sexually Transmitted Infections (STIs/STDs)

Important Notes - Learn about PEP and PrEP: If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click here. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click here.

Laws & Social Stigmas

There are no known travel or residency restrictions related to HIV status in Guyana. This means that, if you're a foreigner and you plan to visit or live in Guyana, you will not be asked about your HIV status upon arrival in the country. You will not be asked for medical certificates either. Furthermore, if you stay in Guyana and test as HIV-positive, there is no evidence that you will be deported from the country. However, we do not know about the accessibility and quality of HIV care for foreigners (who are not a part of the national health care system).

While the HIV rate in Guyana sharply decreased in the early 2000s, it began to gradually rise again after 2010. In 2014, it was estimated that 1.8% of the population was living with HIV/AIDS, whereas an estimated 1.2% were living with HIV in 2009. Between 2010 and 2016, the HIV infection rate rose 23% and the AIDS-related death rate rose 33%.

Support

• National HIV/AIDS Programme: Address: Ministry of Health, Brickdam, Georgetown. Telephone: +592 227 8683. Email: ssinghanthony@yahoo.com
• UNAIDS Guyana: Contact Information - Martin Odiit, UNAIDS Country Director. Phone: +592 2251580. Email: odiitm@unaids.org
• Caribbean Community (CARICOM) - Pan Caribbean Partnership Against HIV/AIDS - PANCAP: Address: PO Box 10827, Georgetown, Guyana. Telephone: +592 222 0201. Fax: +592 222 0203. Email: pancap@caricom.org
• Guyana RainBow Foundation (GuyBow): Address: Health & Social services, Upper Flat, 31 Green & Norton Streets, Werk-en-rust, Georgetown. Telephone: +592 225 2425. Email: guybowdiverse@yahoo.com
• Advancing Community Partners - Guyana: "The goals for APC in Guyana is to provide technical assistance for local NGOs/FBOs/CBOs implementing activities that are evidence-based, cost-effective and efficiently designed to reduce transmission and impact of HIV through an integrated community response and in support of the MOH response to HIV in Guyana."
• Artistes in Direct Support: This nonprofit works to educate at-risk populations through the performing arts, media, and peer education. They also provide counseling, testing, outreach and various community services.
• Agape Network - Guyana: This nonprofit focuses on delivering HIV/AIDS services, counseling and support to people in the community of Sophia in Georgetown, Guyana. They take a family-centered approach, and they also work with children and orphans, providing services like home-based care, after school program support, and counseling.
• Comforting Hearts - Guyana: This NGO focuses on helping families affected by HIV/AIDS by providing services like nutrition, health, education and shelter.

Medications & Vaccines

What to Get & Where to Get It

• You can find the HPV vaccine in Guyana. In 2011, Guyana launched its nationwide HPV vaccination program, and the Public Health Ministry launched a campaign to encourage HPV vaccination in 2017 (in collaboration with Global Alliance for Vaccines and Immunization (GAVI) and PAHO/WHO).
• It appears that Guyana has no nationwide Pre-Exposure Prophylaxis (PrEP) access, as of April 2018.
• It appears that Post-Exposure Prophylaxis (PEP) is available in Guyana. If someone wants to access PEP, health officials will typically assess the exposure, evaluate the HIV status of the source patient, and then determine the PEP regimen. For victims of sexual assault, it seems like PEP is typically offered. The Guyana PEP regimen is typically Zidovudine (AZT) or tenofovir (TDF)+ lamivudine (3TC) or emtricitabine (FTC) + efavirenz (EFV) for 4 weeks. These specifications are included in Ministry of Health's National Guidelines for Management of HIV-Exposed Adults and Children.

Menstruation

Note: In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click here. To learn more about menstrual underwear, click here.

What to Get & Where to Get It

• Days for Girls Guyana: "We sew sustainable femininine hygiene kits to keep girls in school. Every girl deserves health, education, and dignity. Every girl. Every where. Period."

Abortion

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 here.

List of Additional Resources

• Click here to learn about LGBTQ rights and laws in Guyana, and click here to learn about the struggles faced by transgender activists in Guyana. It is important to note that, as of May 2018, homosexuality is illegal in Guyana and the punishment for homosexuality is life in prison. There are no legal protections against LGBTQ-related discrimination. It is also illegal to change gender or to be a "cross-dresser," thereby rendering transgender identity to be illegal as well.