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Brno: Difference between revisions
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'''OVERVIEW''' | '''OVERVIEW''' | ||
In the Czech Republic, there are many birth control options, such as pills, shot, implants and IUDs, but you will need a prescription before obtaining them. Condoms are easy to find and no prescription is required. Emergency contraception (the morning after pill) can be purchased without a prescription, and ellaOne (the most effective EC on the market) is also available. While there are many places to get an STD/STI test, and there are also no residency travel restrictions tied to STI status, there currently seems to be no PrEP available in the Czech Republic. You can get the HPV vaccine and most other vaccines or medications. There is a 28-week maternity leave policy for women and the government seems to be expanding its paternity leave policy as well. Abortion is fully legal in the first 12 weeks of pregnancy and, based on medical conditions or the condition of the fetus, it can sometimes be performed later as well. If you don't have legal residency or citizenship in the Czech Republic, you may have difficulty obtaining an abortion (this is information that we're still investigating). | |||
==Contraception (Birth Control)== | ==Contraception (Birth Control)== | ||
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===Laws & Social Stigmas=== | ===Laws & Social Stigmas=== | ||
In the Czech Republic, you need a prescription to obtain birth control. According to a 2015 report, 77.8% of Czech women (who are in unions or marriages) use some form of contraception. The most common forms of contraception were the pill (48.4%), male condoms (11.7%) and withdrawal (6.9%).<ref>[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in Contraceptive Use Worldwide: 2015]</ref> | |||
For birth control options, like IUDs, shots and implants, you typically visit an obstetrician/gynecologist (not a General Practitioner) in the Czech Republic. | |||
===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
* If you want '''condoms''', they can be purchased in pharmacies, stores and vending machines in bars/pubs. | |||
* If you want '''birth control pills''', they can be purchased in pharmacies once you have a prescription. | |||
* For local recommendations on where to get birth control shots, implants, IUDs, etc., please visit the city pages, like the [[Prague]] page. | |||
===Costs=== | ===Costs=== | ||
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===Laws & Social Stigmas=== | ===Laws & Social Stigmas=== | ||
In the Czech Republic, you can purchase emergency contraceptive pills (the morning after pill) without a prescription. | |||
===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
* In the Czech Republic, you can purchase emergency contraception (the morning after pill) without a prescription at pharmacies. If you would like to purchase anti-progestin EC, there's ellaOne (take 1 pill within 120 hours after unprotected sex). Currently, ellaOne is considered the most effective EC on the market. Here's the a link to the [http://www.ellaone.cz/ Czech ellaOne website]. You can also find Escapelle (take 1 pill within 120 hours after unprotected sex) or Postinor-2 (take 2 pills within 120 hours after unprotected sex).<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref> | |||
* If you can't access dedicated emergency contraception, you can use regular birth control pills as replacement EC. To do this, you need o remember that, in 28-day packs, only the first 21 pills can be used. You can then find Microgynon or Minisiston. For either of these brands, you should 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> | |||
* You can also get an IUD as a way to prevent pregnancy after unprotected sex. Check out the "Contraception (Birth Control)" section for details. | |||
===Costs=== | ===Costs=== | ||
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===Laws & Social Stigmas=== | ===Laws & Social Stigmas=== | ||
=== | In the Czech Republic, there are no travel or residency restrictions based on STI status. You will not be asked for a medical certificate in order to enter the country. | ||
===Testing Facilities=== | |||
'''Note:''' If you're pregnant or if you donate blood, you can get a free HIV test. | |||
* For local recommendations, please visit the city pages, like the [[Prague]] page. | |||
=== | ===Support=== | ||
* [http://www.aids-pomoc.cz Czech AIDS Help Society (Česká společnost AIDS pomoc)]: Address: Malého 282/3, 181 26 Praha 8-Karlín, Praha, Czech Republic. Telephone: +420 224 814 284. Fax: +420 224 810 345. Email: info@aids-pomoc.cz. | |||
* [http://www.szu.cz National Institute of Public Health - National HIV/AIDS Programme]: Address: Státní zdravotní ústav Šrobárova 48, 100 42 Praha 10, Praha, Czech Republic. Telephone: +420 2 6708 2475. Email: jiri.stupka@szu.cz, renata.stankova@szu.cz. | |||
* [http://www.rozkosbezrizika.cz ROZKOS bez RIZIKA - "Bliss Without Risk"]: Address: Vlhka 166/ 10, Brno, 602 00, Praha, Czech Republic. Telephone: +420 224234453. Email: kancelar@rozkosbezrizika.cz, pr@rozkosbezrizika.cz | |||
* [http://www.sananim.cz SANANIM]: Address: Ovčí Hájek 2549/64A, 158 00 Praha 13, Praha, Czech Republic. Telephone: +420 284 82 28 72. Email: office@sananim.cz, kacko@sananim.cz | |||
===Costs=== | ===Costs=== | ||
If you have Czech health insurance, there are many clinics that can test you for free. If you don't have insurance, you can expect to pay around 2000 CZK for a series of tests. Another local reports the following costs when she recently had tests: 1000 Kc for the visit, 350 for sampling, 350 each for syphilis, gonorrhea and chlamydia testing and 440 for HIV test. | |||
==Medications & Vaccines== | ==Medications & Vaccines== | ||
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===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
* In the Czech Republic, there has been a nationwide HPV vaccination program in place since 2012.<ref>[https://docs.google.com/spreadsheets/d/12iZNtCRtAyt7R0HJQYl0xyRsrfCdS9JpCjTNOsGxsJs/edit Czech Republic | |||
Human Papillomavirus and Related Cancers, Fact Sheet 2016]</ref> | |||
* There is no national PrEP program in the Czech Republic. According to a 2016 report, "In the Czech Republic, HIV doctors are apparently unwilling to prescribe because they do not support the concept of PiEi. Some people noted that an EMA ruling in favour of Truvada® as PrEP may make an important difference for HIV physicians in this regard."<ref>[http://www.eatg.org/wp-content/uploads/2016/10/PrEP-access-in-Europe-PrEP-in-Europe-Initiative-PiEi.pdf PrEP Access in Europe]</ref> | |||
===Costs=== | ===Costs=== | ||
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===Laws & Social Stigmas=== | ===Laws & Social Stigmas=== | ||
None | |||
===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
* You can find pads and tampons in grocery stores, corner stores and pharmacies. While many tampons sold in the Czech Republic don't have applicators (like OB tampons), you should also be able to find tampons with applicators. | |||
* You can get menstrual cups from DM or from many pharmacies. Menstrual cups and sponges can also purchased online from [https://www.biooo.cz/vyhledavani/?search=menstrua%C4%8Dn Biooo], a Czech online retailer. Some brands, like LadyCup, have a [http://www.ladycup.cz/Kdekoupit.aspx Czech website]. There is also [https://www.yuuki.cz/en/homepage Yuuki], a menstrual cup made in the Czech Republic. MoonCup, which is made in the UK, can supposedly be found at Centrum laserove estetiky a.s. (Římská 16, Vinohrady, Praha 2). DivaCup, which if made in the USA, can be purchased from [http://www.mujkalisek.cz Mujkalise]k (Tel: +42 777 246 133, contact: Nikola Zavadova, info@mujkalisek.cz). There are also many online stores that cater to Czech customers that sell menstrual cups, such as [http://www.ladyteen.cz/ LadyTeen], [http://www.primisima.eu/ Primisima], [https://www.branakdetem.cz/ Brana K Detem], [http://shop.begreen.cz/ BeGreen], [http://www.kalisek.cz/jak-kalisek-pouzivat.php Kalisek] (sells Lunette, LadyGel and other products), [https://www.krasa.cz/ladycup/ Krasa.cz], [http://www.vitamina.cz/0,43,menstruacni-kalisek,-textilni-vlozky-.html Vitamina.cz], etc. | |||
===Costs=== | ===Costs=== | ||
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===Laws & Social Stigmas=== | ===Laws & Social Stigmas=== | ||
=== | ===Women's Clinics & Health Centers=== | ||
* For local recommendations, please visit the city pages, like the [[Prague]] page. | |||
===Gynecologists=== | |||
* For local recommendations, please visit the city pages, like the [[Prague]] page. | |||
===Costs=== | ===Costs=== | ||
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===Laws & Social Stigmas=== | ===Laws & Social Stigmas=== | ||
In the Czech Republic, female employees can receive 28 weeks of maternity leave (mateřská dovolená) with 70% of their salary covered. After 7 weeks of maternity leave, fathers can take over the responsibilities (if a written agreement is signed) and take paternity leave. In late 2016, the Czech government sought to expand paternity leave, and it may now pass a proposal that expands paternity leave for workers in the country.<ref>[https://www.expats.cz/prague/article/weekly-czech-news/czech-government-approves-paternity-leave/ Czech Government Approves Paternity Leave]</ref> | |||
===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
* For local recommendations, please visit the city pages, like the [[Prague]] page. | |||
===Costs=== | ===Costs=== | ||
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===Laws & Social Stigmas=== | ===Laws & Social Stigmas=== | ||
In the Czech Republic, abortion is legal for up to 12 week of pregnancy. If there are medical reasons, abortion is legal for up to 24 weeks of pregnancy. If there is a serious problem with the fetus, abortion is legal at any point.<ref>[https://en.wikipedia.org/wiki/Abortion_in_the_Czech_Republic Abortion in the Czech Republic]</ref> Since June 2014, if a woman is up to seven weeks pregnant, she can purchase RU-486 (the abortion pill) at pharmacies after she has received a prescription at a specialized gynecological clinic in a hospital.<ref>[http://www.czech.cz/en/News/Current-Affairs/Controversial-abortion-pill-goes-on-sale-in-Czech Controversial Abortion Pill Goes on Sale in Czech]</ref> For an abortion to be legally performed, the woman must submit a written request. If a gynecologist determines that the abortion would be detrimental the woman's health, the gynecologist can deny the request. Generally, Czech abortion law is based on the Law on Abortion of October 20, 1986 and the Notification of the Ministry of Health of the Czechoslovak Socialist Republic of November 7, 1986 (last amended September 8, 1992) on Implementation of the Law on Abortion.<ref>[https://www.loc.gov/law/help/abortion-legislation/abortion-legislation.pdf Abortion Legislation in Europe]</ref> | |||
The Czech population seems to generally be in favor of abortion legality. According to a 2007 poll, 72% of Czech people thought that abortion should be allowed "at the request of a woman." In 2013 Pew Research Survey, 19% of Czech respondents found abortion to be morally objectionable.<ref>[https://en.wikipedia.org/wiki/Abortion_in_the_Czech_Republic Abortion in the Czech Republic]</ref> | |||
'''Important Note:''' If you're not a legal resident or citizen of the Czech Republic, it appears that you cannot obtain a legal abortion. We haven't 100% confirmed this, but we've read about accounts of non-resident women (who requested abortion services) being turned away from Czech clinics, and there seems to be evidence that a Soviet-era law (which implemented this restriction) is still in place. There may be some providers who secretly provide abortions to non-residents, but they may not be safe since they're not legally regulated. If you're not a resident or citizen, you may want to consider getting an abortion outside of the Czech Republic. | |||
===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
* For local recommendations, please visit the city pages, like the [[Prague]] page. | |||
===Costs=== | ===Costs=== | ||
Since 1993, abortions for non-medical reasons are not covered by Czech health insurance. In 2014, RU-486 (the abortion pill) cost around 3,500 CZK. If you do have a medical reason for obtaining an abortion and you're covered by Czech health insurance, it's recommended that you contact your insurance providers to learn more details. | |||
==Advocacy & Counseling== | ==Advocacy & Counseling== | ||
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==List of Additional Resources== | ==List of Additional Resources== | ||
* [http://www.czlobby.cz/en/home Czech Women's Lobby]: "Czech Women’s Lobby (CWL) is a network of 30 non-profit organisations promoting women’s rights in the Czech Republic. It is also a member of the European Women’s Lobby, joining women’s and gender organisations in the European Union and cooperating with European institutions." Email: info@czlobby.cz. | |||
* [http://www.profem.cz/ ProFem]: "ProFem mission is to work on improving the situation of domestic violence and other forms of violence, especially against women, through lobbying, education, publications and direct support to people at risk of domestic violence or other forms of violence." | |||
* [https://www.praguepride.cz/en/ Prague Pride]: "Exhibitions, concerts, workshops, theater, film, lectures, discussions, parties, parties, parties..." | |||
* [https://www.iwa-prague.com/ International Women's Association of Prague]: "The International Women’s Association of Prague (IWAP) is an independent, non-political, non-profit organization run voluntarily by its members. Our members range in age from 23 to 93 with many being Czech citizens, but the majority of our members are from the expat community in Prague and approximately 35 different countries." Phone: +420 721 946 186. Email: office.iwap@gmail.com | |||
* [http://en.genderstudies.cz/ Gender Studies, o.p.s.]: "Gender Studies, o.p.s. is a non-governmental non-profit organisation founded in 1991. It is an information, education and consulting centre on gender equality and the position of men and women in the society." | |||
* [http://www.genderaveda.cz/en/ National Contact Centre for Gender & Science]: "Established in 2001, the National Contact Centre for Gender & Science (originally "for women and science") contributes to building gender equality in science and research." | |||
* [http://www.center4hrd.org/ Czech Center for Human Rights and Democratization]: "CCHRD is an independent academic institution analysing human rights from social science and international law perspective. CCHRD organizes conferences, issues a monthly bulletin and informs about human rights in the Czech Republic as well as in Europe." | |||
==References== | ==References== | ||
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|title=Gynopedia | |title=Gynopedia | ||
|titlemode=append | |titlemode=append | ||
|keywords=contraception | |keywords=brno, czech, czech republic, contraception, emergency contraception, 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 Brno. | ||
}} | }} | ||