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Bamako: Difference between revisions

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In Mali, you can purchase condoms and birth control pills at pharmacies without a prescription. While you may technically need a prescription for birth control pills, this is not typically enforced, and birth control pills are available over-the-counter.<ref>[http://ocsotc.org/wp-content/uploads/worldmap/worldmap.html Global Oral Contraception Availability]</ref> <ref>[http://freethepill.org/where-on-earth/ Free the Pill: Where on Earth?]</ref> However, for other forms of contraception, such as implants, injectables, and IUDs, you may need to directly visit a hospital or clinic to obtain them.
In Mali, you can purchase condoms and birth control pills at pharmacies without a prescription. While you may technically need a prescription for birth control pills, this is not typically enforced, and birth control pills are available over-the-counter.<ref>[http://ocsotc.org/wp-content/uploads/worldmap/worldmap.html Global Oral Contraception Availability]</ref> <ref>[http://freethepill.org/where-on-earth/ Free the Pill: Where on Earth?]</ref> However, for other forms of contraception, such as implants, injectables, and IUDs, you may need to directly visit a hospital or clinic to obtain them.


In 2015, it was estimated that about 12% of women in Mali (who were married/in unions and between the ages of 15-49) were using any form of contraception, including traditional methods. This was lower than the Western African average (about 17% of women). Furthermore, it was estimated that about 27% had unmet family planning needs, which was slightly higher than the Western African average (26% of women). The most forms of contraception were contraceptive injectables (about 5% of women), contraceptive pills (3%), and contraceptive implants (3%).<ref name="unreport_contraceptives2015">[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in Contraceptive Use Worldwide 2015]</ref>
In 2015, it was estimated that slightly over 12% of women in Mali (who were married/in unions and between the ages of 15-49) were using any form of contraception, including traditional methods. This was lower than the Western African average (about 17% of women). Furthermore, it was estimated that about 27% had unmet family planning needs, which was slightly higher than the Western African average (26% of women). The most common forms of contraception were contraceptive injectables (about 5% of women), contraceptive pills (about 3% of women), and contraceptive implants (about 3% of women). There were low rates of IUD usage (0.5% of women) and condoms (0.1% of women). Some women practiced traditional contraceptive methods, such as withdrawal (0.2%) and other traditional methods (0.7% of women).<ref name="unreport_contraceptives2015">[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in Contraceptive Use Worldwide 2015]</ref>


===What to Get & Where to Get It===
===What to Get & Where to Get It===
* [https://mariestopes.org/where-we-work/mali/ Marie Stopes Mali]: "Our full range of sexual and reproductive health services includes: A range of short-acting, long-acting, permanent and emergency contraception, Family planning counselling, Pre and post-natal care, STI diagnosis and treatment, Pregnancy testing and ultrasound, Voluntary HIV counselling and testing." Address: Marie Stopes Mali, Sotuba ACI, Face au terrain de foot du Stade Malien, BPE 4798, Bamako, Mali; Call: 8000 11 88 (free on Malitel network) / 20 706 706; Email: centrejeunes@msimali.org


===Costs===
===Costs===
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==Emergency Contraception (Morning After Pill)==
==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 [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].
'''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 [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].


===Laws & Social Stigmas===
===Laws & Social Stigmas===
In Mali, emergency contraceptive pills (morning after pills) are available over-the-counter at pharmacies. No prescription is required.<ref name="icec_mali">[https://www.cecinfo.org/country-by-country-information/status-availability-database/countries/mali/ EC Status and Availability - Cameroon]</ref>


===What to Get & Where to Get It===
===What to Get & Where to Get It===


'''Note:''' The longest-lasting EC is currently [http://www.ellaone.com/ ellaOne]. It lasts up to 5 days (120 hours) after unprotected sex. Check to see if your country carries ellaOne. If your country doesn't carry ellaOne, copper IUDs may also prevent pregnancy up to 5 days after unprotected sex. If none of these options are available, and it's been over 3 days since you had unprotected sex, you can still take EC, which may work up to 5 days. Note that EC pills are not 100% effective and should be taken as soon as possible.
* You can purchase emergency contraceptive pills (morning after pills) at pharmacies, and no prescription is required. You can purchase the pills directly from the pharmacist. Some of the brands you may find are Escinor 1.5, NorLevo 1.5mg, Optinor, Pregnon, and Vikela. However, you may need a prescription for ellaOne.<ref name="icec_mali" />
* Note: The longest-lasting EC is currently ellaOne. It lasts up to 5 days (120 hours) after unprotected sex. Check to see if your country carries ellaOne. If your country doesn't carry ellaOne, copper IUDs may also prevent pregnancy up to 5 days after unprotected sex. If none of these options are available, and it's been over 3 days since you had unprotected sex, you can still take EC, which may work up to 5 days. Note that EC pills are not 100% effective and should be taken as soon as possible.


===Costs===
===Costs===
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===Laws & Social Stigmas===
===Laws & Social Stigmas===


===What to Get & Where to Get It===
In Mali, there are no known travel or residency restrictions for people with HIV/AIDS. This means that you can enter the country, regardless of your HIV status, and you should not be deported if you test positive for HIV while you are in the country.<ref>[http://www.hivtravel.org/Default.aspx?PageId=143&CountryId=117 MALI - REGULATIONS ON ENTRY, STAY AND RESIDENCE FOR PLHIV]</ref>
 
Although Mali has a relatively low HIV infection rate for the region, there is a growing HIV infection rate. In 2017, it was estimated that 1.2% of adults of Mali were infected with HIV, which was the 39th highest rate in the world.<ref name="ciaworldfactbook_mali">[https://www.cia.gov/library/PUBLICATIONS/the-world-factbook/geos/ml.html CIA World Factbook - Mali]</ref> HIV infection rates increased by 11% between 2010 and 2016. However, one optimistic statistic is that HIV/AIDS-related deaths have decreased by 11% between 2010 and 2016.<ref name="unaids_mali">[http://www.unaids.org/en/regionscountries/countries/mali UNAIDS - Mali]</ref> There were 6,300 HIV/AIDS-related deaths per year in 2016, which is the 37th highest in the world.<ref name="ciaworldfactbook_mali" />


====Testing Facilities====
===Testing Facilities===


====Support====
===Support===


===Costs===
===Costs===
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===Laws & Social Stigmas===
===Laws & Social Stigmas===
The maternal mortality rate (MMR) is 587deaths per 100,000 live births, according to 2015 data. This MMR is ranked 16th in the world, meaning that Mali has a significant MMR problem. <ref name=“cia_mmr”>[https://www.cia.gov/LIBRARY/publications/the-world-factbook/fields/353rank.html#IC CIA World Factbook - Maternal Mortality Rate (MMR)]</ref>


===What to Get & Where to Get It===
===What to Get & Where to Get It===
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==List of Additional Resources==
==List of Additional Resources==


* [http://www.sante.gov.ml/ Ministry of Health]
* [https://www.who.int/countries/mli/en/ World Health Organization - Mali]
* [https://mali.unfpa.org/ UNFPA - Mali]
* [https://www.ippf.org/about-us/member-associations/mali The Association Malienne pour la Protection et la Promotion de la Famille (AMPPF)]: This organization is a member of the International Planned Parenthood Federation. "The Association Malienne pour la Protection et la Promotion de la Famille (AMPPF) was established in 1972 to tackle the family planning challenges facing the Malian people. It rapidly expanded its activity and remit to embrace sexual and reproductive health (SRH) counselling; neonatal, gynaecological, post-natal and post-abortion care; and prevention and management of HIV and AIDS, particularly voluntary counselling and testing (VCT)."
* [https://www.equaldex.com/region/mali Equaldex Mali]: This webpage provides information on LGBTQ rights and laws in Mali.
* [https://www.equaldex.com/region/mali Equaldex Mali]: This webpage provides information on LGBTQ rights and laws in Mali.


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