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Addis Ababa: Difference between revisions
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===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
* You can obtain dedicated emergency contraception in Ethiopia at pharmacies or health clinics. Some brands you can expect to see are Postinor 2 and Postpill (take 2 pills within 120 hours after unprotected sex). Take the pills as soon as possible to prevent pregnancy. | * You can obtain dedicated emergency contraception in Ethiopia at pharmacies or health clinics. Some brands you can expect to see are Postinor 2 and Postpill (take 2 pills within 120 hours after unprotected sex). Take the pills as soon as possible to prevent pregnancy.<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref> | ||
* You can have an IUD inserted to prevent pregnancy. Please refer to the "Contraception" section for details. | * You can have an IUD inserted to prevent pregnancy. Please refer to the "Contraception" section for details. | ||
* If you can't access dedicated emergency contraception, you can use regular oral contraceptives (birth control pills) as emergency contraception. For progestin-only pills, you can take Microlut or Microval (take 50 pills within 120 hours after unprotected sex). For combined (progestin-estrogen) pills, you'll need to remember that, in 28-day packs, only the first 21 pills can be used. You can take Eugynon, Neogynon or Ovidon (take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later). You can also take Lo-Femenal, Microgynon-30 or Nordette (take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later). | * If you can't access dedicated emergency contraception, you can use regular oral contraceptives (birth control pills) as emergency contraception. For progestin-only pills, you can take Microlut or Microval (take 50 pills within 120 hours after unprotected sex). For combined (progestin-estrogen) pills, you'll need to remember that, in 28-day packs, only the first 21 pills can be used. You can take Eugynon, Neogynon or Ovidon (take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later). You can also take Lo-Femenal, Microgynon-30 or Nordette (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> | ||
===Costs=== | ===Costs=== | ||
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Public knowledge of STI prevention methods can be improved. According to a 2014 study, "Two-thirds of Ethiopian women aged 15–24 are aware that condom use and having one uninfected partner reduces the risk of HIV infection (62% and 68%, respectively), but only 24% have a comprehensive knowledge of HIV/AIDS, defined as knowing both of these HIV-prevention methods, knowing that a healthy personal can be HIV positive and being able to reject two common misconceptions about HIV transmission."<ref>[https://www.guttmacher.org/fact-sheet/sexual-and-reproductive-health-young-women-ethiopia Sexual and Reproductive Health of Young Women in Ethiopia]</ref> | Public knowledge of STI prevention methods can be improved. According to a 2014 study, "Two-thirds of Ethiopian women aged 15–24 are aware that condom use and having one uninfected partner reduces the risk of HIV infection (62% and 68%, respectively), but only 24% have a comprehensive knowledge of HIV/AIDS, defined as knowing both of these HIV-prevention methods, knowing that a healthy personal can be HIV positive and being able to reject two common misconceptions about HIV transmission."<ref>[https://www.guttmacher.org/fact-sheet/sexual-and-reproductive-health-young-women-ethiopia Sexual and Reproductive Health of Young Women in Ethiopia]</ref> | ||
===Testing Facilities=== | |||
* [https://mariestopes.org/where-we-work/ethiopia/ Marie Stopes]: Provides for Gonorrhea for 20 birr, Syphilis for 30 birr and tests for fungal infection for 30 birr. | * [https://mariestopes.org/where-we-work/ethiopia/ Marie Stopes]: Provides for Gonorrhea for 20 birr, Syphilis for 30 birr and tests for fungal infection for 30 birr. | ||
* AHF Kolfe Clinic: This clinic is included in the AIDS Healthcare Foundation Directory, so they should either provide HIV tests or be able to refer you to a provider in your area. Address: Addis Ketema, Sub-city, Kolfe Area, 12269 Addis Ababa, Ethiopia. Phone: (+251) 935410841 | |||
* WWO-AHF Family Health Clinic: This clinic is included in the AIDS Healthcare Foundation Directory, so they should either provide HIV tests or be able to refer you to a provider in your area. Address: Yeka Sub-City, Adwa Street, 101763, Addis Ababa, Ethiopia. Phone: (+251) 116631114 | |||
* [http://www.africanservices.org/asc-ethiopia/clinics/addis-ababa Henry van Ameringen Health and Community Development Center]: Services include: Full laboratory including HIV, STI, and TB counseling and testing, CD4 monitoring, hematology, chemistry and microscopy services. "The Henry van Ameringen Health and Community Development Center, located in the Shola Market in Addis Ababa, was the first location established upon ASC’s return to Ethiopia in September 2003. Located in the largest open-air market in Addis, this clinic provides free services to over 6,000 of the most vulnerable people in this community, each year." | * [http://www.africanservices.org/asc-ethiopia/clinics/addis-ababa Henry van Ameringen Health and Community Development Center]: Services include: Full laboratory including HIV, STI, and TB counseling and testing, CD4 monitoring, hematology, chemistry and microscopy services. "The Henry van Ameringen Health and Community Development Center, located in the Shola Market in Addis Ababa, was the first location established upon ASC’s return to Ethiopia in September 2003. Located in the largest open-air market in Addis, this clinic provides free services to over 6,000 of the most vulnerable people in this community, each year." | ||
* Bethzatha Medical Center: Provides Confidential HIV Antibody Testing, Counseling, HIV Antibody Testing, Hospital Services, Laboratory Services, STD Testing, STD Treatment, TB Prevention & TB Testing. "Mission: Provide quality and efficient health service to Ethiopian public Objective: 1-Provide services, 2-Involvement in research, 3-Training Established: 1995" | * Bethzatha Medical Center: Provides Confidential HIV Antibody Testing, Counseling, HIV Antibody Testing, Hospital Services, Laboratory Services, STD Testing, STD Treatment, TB Prevention & TB Testing. "Mission: Provide quality and efficient health service to Ethiopian public Objective: 1-Provide services, 2-Involvement in research, 3-Training Established: 1995" | ||
===Support=== | |||
* [https://mariestopes.org/where-we-work/ethiopia/ Marie Stopes]: "Counseling service on STIs including HIV/AIDS is available during provider client interaction, client receive appropriate information on ways of transmission, prevention, sign and symptoms and conduct discussion through two ways communication on the issues raised by the client. Treatment options if somebody contracts STI including partner notification." | * [https://mariestopes.org/where-we-work/ethiopia/ Marie Stopes]: "Counseling service on STIs including HIV/AIDS is available during provider client interaction, client receive appropriate information on ways of transmission, prevention, sign and symptoms and conduct discussion through two ways communication on the issues raised by the client. Treatment options if somebody contracts STI including partner notification." | ||
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Generally, about half of the medical facilities in Ethiopia provide abortion. The breakdown in 2010 was as follows: public hospitals (76% provide abortion services), nongovernmental organizations/NGOs (63% provide abortion services) and public health centers (41% provide abortion services). By the second trimester, however, only 9-10% of facilities provide abortion services. Overall, private and NGO facilities provided the most actual induced abortion procedures per year.<ref>[https://www.guttmacher.org/sites/default/files/factsheet/fb-up-ethiopia.pdf Facts on Unintended Pregnancy and Abortion in Ethiopia]</ref> | Generally, about half of the medical facilities in Ethiopia provide abortion. The breakdown in 2010 was as follows: public hospitals (76% provide abortion services), nongovernmental organizations/NGOs (63% provide abortion services) and public health centers (41% provide abortion services). By the second trimester, however, only 9-10% of facilities provide abortion services. Overall, private and NGO facilities provided the most actual induced abortion procedures per year.<ref>[https://www.guttmacher.org/sites/default/files/factsheet/fb-up-ethiopia.pdf Facts on Unintended Pregnancy and Abortion in Ethiopia]</ref> | ||
Unfortunately, many Ethiopian women still continue to receive obtain unsafe abortions. In 2008, only 27% of abortions were safe abortions performed in medical facilities. It's very common for Ethiopian women to have unintended pregnancies, with 42% of all pregnancies unintended in 2008. According to a 2010 study, 49 per 1000 women had received abortions in Addis Ababa, and 184 out of 1000 women had received abortions in smaller rural regions. While the abortion rate is not especially high in Ethiopia, many women have received more than one abortion, with 35% of women obtaining induced abortion care and 27% of women obtaining post-abortion care reporting that they had received a previous abortion. This can be partially attributed to the low rate of contraceptive use, and the fact that conservative religious and cultural views may sway some women away from contraception. Considering the high maternal mortality rate in Ethiopia and the fact | Unfortunately, many Ethiopian women still continue to receive obtain unsafe abortions. In 2008, only 27% of abortions were safe abortions performed in medical facilities. It's very common for Ethiopian women to have unintended pregnancies, with 42% of all pregnancies unintended in 2008. According to a 2010 study, 49 per 1000 women had received abortions in Addis Ababa, and 184 out of 1000 women had received abortions in smaller rural regions. While the abortion rate is not especially high in Ethiopia, many women have received more than one abortion, with 35% of women obtaining induced abortion care and 27% of women obtaining post-abortion care reporting that they had received a previous abortion. This can be partially attributed to the low rate of contraceptive use, and the fact that conservative religious and cultural views may sway some women away from contraception. Considering the high maternal mortality rate in Ethiopia and the fact that these clandestine abortion services are certainly not all safe and equipped to provide services for women, it is critical that more women are directed to safe and legitimate abortion services in the years to come.<ref>[https://www.guttmacher.org/sites/default/files/factsheet/fb-up-ethiopia.pdf Facts on Unintended Pregnancy and Abortion in Ethiopia]</ref> | ||
For more information on abortion in Ethiopia, check out [https://www.guttmacher.org/sites/default/files/factsheet/fb-up-ethiopia.pdf this fact sheet]. | For more information on abortion in Ethiopia, check out [https://www.guttmacher.org/sites/default/files/factsheet/fb-up-ethiopia.pdf this fact sheet]. | ||