Dar es Salaam

Tanzania / Dar es Salaam

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

In Tanzania, you can purchase contraception (birth control) without a prescription. According to a 2015 report, 40.6% of Tanzanian women (who are married or in unions) use some form of contraception. The most popular forms of contraception are injectables (13.7%), birth control pills (8.6%) and female sterilization (4.5%).

In 1959, family planning services were introduced to Tanzania and, in 1989, the government launched the National Family Planning program.

What to Get & Where to Get It

• If you want birth control pills, you can find them at Tanzanian pharmacies. Some of the brands you can expect to see are Microlut, Microval, Eugynon, Nordiol, Ovral, Lo-Femenal, Microgynon-30 and Nordette.
• If you want an IUD, you can get it at Marie Stopes Tanzania. They're free at outreach sites and 15,000 tshs at other locations.
• If you want a contraceptive implant, you can get it at Marie Stopes Tanzania. They're free at outreach sites and 15,000 tshs at other locations.
• If you want a contraceptive shot, you can get it at Marie Stopes Tanzania. They're free at outreach sites and 15,000 tshs at other locations.

Here are some recommended pharmacies in Dar es Salaam:

• Sali International Hospital: "Our products and services include: a wide range of quality branded and generic medicines, 24/7 dispensing of both in-house and external prescription..." Contact us: Tel: 0222 601296. Email: pharmacy@salihospital.com.
• Nakiete Pharmacy: This is a major pharmacy in Dar es Salaam, in operation since 1998, that is known to have a lot of medications and to help many people find what they need.
• Masaki Pharmacy International: Slipway Road, Peninsula, P.O.Box 33239, Dar es salaam, Tanzania. Phone Numbers: +255 712 700 393, +255 714 999 936.
• As for more recommended pharmacies, one local says, "The one at sea cliff, or Viva Towers in town, or Oysterbay Shopping Center in masaki."

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 to prevent pregnancy. 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

While you technically need a prescription to purchase emergency contraception (the morning after pill) in Tanzania, you can buy it over-the-counter from some pharmacies. According to Tanzanian locals, some pharmacists are sympathetic to women who explain that they're facing an emergency situation and need the morning after pill. This is especially the case at "international" pharmacies (i.e. pharmacies that sell foreign medications that are produced outside of Tanzania), as they're also more likely to be stocked with dedicated emergency contraception.

What to Get & Where to Get It

• In Tanzania, you technically need a prescription to obtain emergency contraception (the morning after pill). However, many pharmacists will give you EC without a prescription (especially pharmacists that work at more international pharmacies). Some dedicated emergency contraception brands you can expect to see are P2 and Trust Daisy. You can find Trust Daisy sold by Trust Health & Wellness Clinic for Tsh 2,000 (they ask you to book an appointment to get the EC).
• If you can't access dedicated emergency contraception, you can use some oral contraceptives as replacement EC instead. To do this, you can use progestin-only or combined progestin-estrogen pills. If you use progestin-only, you can use Microlut or Microval (take 50 pills within 120 hours after unprotected sex). If you use progestin-estrogen combined pills, remember that in 28-day packs, only the first 21 pills can be used. You can use Eugynon, Nordiol and Ovral (take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later). You can also use Lo-Femenal, Microgynon-30 or Nordette (take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later).

Costs

You can expect to pay around 2000-5000 tsk for emergency contraception.

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.

Testing Facilities

• Premier Care Clinic: "Premier Care Clinic offers a full range of health services including Private GP services, Ultrasound services, Vaccinations, walk in instant HIV testing, Occupational Health, STD/STI tests and referrals for X rays, scans and consultant opinions. We are the only panel physicians for the U.S. Embassy immigrant visa applications."
• It's not open yet (as of 2017) but an LGBT-friendly clinic will be opening up in Dar es Salaam that will provide HIV tests, TB screening, treatment, and support to LGBT people who need these critical services. You can check out the funding page for details.

Support

• Tanzania Commission for AIDS: "Our Vision: To have a society in which our children can grow up free from the threat of HIV/AIDS and which cares for and support all those who are still infected and affected by HIV/AIDS. Our Mission: To provide strategic leadership and to coordinate the implementation of a national multi-sectoral response to HIV/AIDS leading to the reduction of further infections associated diseases and the adverse socio-economic effect of the epidemic."
• UNAIDS Tanzania: Telephone: +255222195113 | +255783202356 | +255682040847. Email: NAAMARAW@UNAIDS.ORG

Medications & Vaccines

What to Get & Where to Get It

• If you have a yeast infection, you can ask for Fluconazole (generic term for the ingredient used in many yeast infection medications)
• We're unaware of any PrEP programs in Tanzania

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.

Laws & Social Stigmas

In Tanzania, menstruation is often a taboo topic for women, and it may be uncomfortable for them to discuss. Some girls don't discuss menstruation with their families and may miss school during their periods. In Tanzania, improved access to menstrual products and sanitary, sensitive toilet facilities is needed, especially for school girls (who often share bathrooms with boys).

What to Get & Where to Get It

In Tanzania, you can find pads. However, tampons are more difficult to find. You may be able to find tampons at Village Supermarket, located on Chole Road, or Shoppers Plaza, which has multiple locations. You can also find them in some pharmacies, like Nakumatt and Kilimani Pharmacy.

Here are some organizations working on menstrual issues in Tanzania:

• Princess D Menstrual Cups Tanzania: "Creating awareness about Princess D menstruation cups!"
• Femme International: They have distributed the RubyCup (menstrual cup) to girls in Tanzania. "Femme International is an international non-governmental organization that was founded in 2013 to address the high rates of deliberate absenteeism among adolescent girls as a direct result of their menstrual cycles."
• Childreach Tanzania: "At Childreach Tanzania, we integrate menstrual hygiene across our programmes, from building gender sensitive toilets, to tackling stigma in child clubs."

Gynecological Exams

Laws & Social Stigmas

In Tanzania, 4.7% of the population is HIV positive. However, women are especially impacted with 6.2% of women infected with HIV (as opposed to 3.8% of men), according to data from 2011-2012. The government has worked hard to minimize the infection rate, which decreased by over 20% between 2010-15. Furthermore, with increased access to antiretroviral drugs in Tanzania, AIDS-related deaths was halved between 2010-15 as well.

What to Get & Where to Get It

• Marie Stopes Tanzania: They provide gynecological exam with a consultation fee (25,000 tshs). This consultation fee is the same for all women, whether they're Tanzanian nationals or foreigners.
• Sali International Hospital: Recommended doctors: Doctor Vindhya and Doctor Nymfer. This hospital has been recommended by multiple locals. One said "They are not the cheapest but they are affordable." Consultation fee for gynecological exam is $50 (as of January 2017). Phone: +255-22-2601265, +255-22-2601296. Email: info@salihospital.com
• Aga Khan Hospital: Recommended doctor: Dr. Shafiq ("he's the best") - this doctor has been recommended by multiple locals. Also Dr. Meenakshi Pathak. Address: Ocean Road, Dar es Salaam 2289, Tanzania. Phone: +255 22 211 5151.
• Premier Care Clinic: Recommended doctor: Dr janet simbakalia. Address 1: 259 Ali Hassan Road, Namanga, Kinondoni. P. O. Box 220, Dar es Salaam , Tanzania. Tel: 0752 254 642; 0715 254 642. E-mail: Premier Care Clinic. Tel.: 0752 254 642; 0715 254 642.

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.

Laws & Social Stigmas

In Tanzania, under the Revised Penal Code, abortion is generally illegal. It is only permitted when the pregnancy endangers the woman's life or in cases when the woman's physical or mental health needs to be preserved. In all other circumstances, including when the pregnancy is the result of rape or incest, when there is risk of fetal impairment, economic/social reasons or when a woman makes a general abortion request, it is illegal. According to the Penal Code, anyone who attempts to procure an abortion (whether they are the pregnant woman or not) can face up to fourteen years in prison. Anyone who attempts to procure a miscarriage for themselves can face up to seven years in prison. Anyone who helps supply drugs or instruments for the purpose of abortion can face up to three years in prison.

Despite these restrictions, clandestine abortions happen in Tanzania every day. The annual abortion rate is 36 per 1,000 women of reproductive age, which is similar to other East African countries. The highest rate of abortions occur in the Lake Zone and Southern Highlands and the lowest rate is in Zanzibar. In 2012, it was found that 30% of all maternal deaths were due to unsafe abortions.

List of Additional Resources

• LGBT Voice: "Our Vision: To be the leading LGBT organization in Tanzania promoting equality, human rights and the upliftment of LGBT people"