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Barcelona: Difference between revisions

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|City=Barcelona
|City=Barcelona
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'''OVERVIEW'''  
'''OVERVIEW'''  


As the capital of Catalonia, Barcelona is a vibrant city with many health care options. Contraception is legal and widely available, though a prescription is technically required. Emergency contraception, or the morning after pill, is available without a prescription and there are no age restrictions. You can find ellaOne in Spain, which is the longest lasting EC on the market. There are many clinics that offer accessible and potentially free STD/STI tests, and there are no known restrictions attached to HIV status. It is unclear if PrEP or PEP is widely available. Since 2010, abortion has been fully legal, with no restrictions or third party approval, in the first trimester of pregnancy. However, after the first trimester, abortion is only legal under specific circumstances.
==Contraception==
 
In Spain, you can high-quality health care in both the public and private spheres. Private hospitals are more efficient (i.e. shorter queue) and they typically provide options regarding treatment and physicians. Yet public hospitals are generally good, as well, and provide adequate services for a number of treatments. In many cases, private hospitals even refer patients to public hospitals that may have better equipment or facilities. If you live in Barcelona, and if you are uninsured, you may want to consider purchasing an insurance plan. Check out our "Additional Resources" section for some insurance plans.
 
==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 [https://www.plannedparenthood.org/learn/birth-control here].
'''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 [https://www.plannedparenthood.org/learn/birth-control here].
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===Laws & Social Stigmas===
===Laws & Social Stigmas===


Contraception is legal and widely available in Spain. If you would like to buy condoms, they can be found at most supermarkets and pharmacies, and there are even condom-dispensing machines in Spanish cities. However, if you would like hormonal birth control, a prescription is technically required. You will need to visit a doctor who will conduct a basic assessment and then issue the birth control prescription. Note that, while you legally need a prescription for birth control pills, it appears that some pharmacies may sell them over-the-counter without a prescription. Spanish pharmacies also tend to be rather liberal in dispensing hormonal birth control if you they know you have any prescription, past or present (including a foreign one), if you have a strong rapport with the pharmacist or if you bring an empty box of the birth control that you are seeking out.
Contraception is legal and widely available in Spain. If you would like to buy condoms, they can be found at most supermarkets and pharmacies, and there are even condom-dispensing machines in Spanish cities. However, if you would like hormonal birth control, a prescription is required. You will need to visit a doctor who will conduct a basic assessment and then issue the birth control prescription. Note that, while you legally need a prescription for birth control pills, it appears that some pharmacies may sell them over-the-counter without a prescription. Spanish pharmacies also tend to be rather liberal in dispensing hormonal birth control if you they know you have any prescription, past or present (including a foreign one), if you have a strong rapport with the pharmacist or if you bring an empty box of the birth control that you are seeking out.


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


* For a comprehensive list of contraceptive options in Spain, click [http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=ES here].
If you're looking for hormonal birth control pills, you may come across brands like Dianette, Diane 35, etc. You should also be able to find contraceptive rings (like Nuvaring) at pharmacies. As for pharmacies, you'll be able to find them on almost every corner in Barcelona. But one recommendation for foreigners is Farmacia Central, as they speak English, French, German and Arabic. Address: C/Via Laietana, 40 - 08003 Barcelona - Spain - Tel. +34 932 68 45 54 - barcelonapharmacy@gmail.com.
* If you want '''birth control pills''' ("píndoles anticonceptives” in Catalan) in Spain, you will need a prescription. Once you have a prescription, you can find many brands, and there are about 30 birth control brands registered in Spain, including combined pills, progestin-only pills and combined pills. Some of the brands you can expect to see are Cerazette, Cilest, Diane, Dianette, Diane 35, Gracial, Gynovin, Harmonet, Meliane, Melodene 15, Microdiol, Microgynon, Minesse, Minulet, Nordette, Yasmin and Yaz. For a full list, click  [http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=ES here].
* You should also be able to find '''contraceptive rings''' (like Nuvaring) at pharmacies.  
* If you want the '''contraceptive shot/injection''', this is how you say it in Catalan: "anticonceptiu injectable”
* If you want the '''contraceptive implant''' ("implant anticonceptiu” in Catalan), you can find Implanon and Jadelle in Spain.<ref>[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=ES IPPF Spain]</ref>
* If you want an '''IUD''' ("DIU” in Catalan), you can find Mirena (and probably other IUD and IUS options) in Spain.<ref>[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=ES IPPF Spain]</ref>
 
As for pharmacies, you'll be able to find them on almost every corner in Barcelona. But one recommendation for foreigners is Farmacia Central, as they speak English, French, German and Arabic. Address: C/Via Laietana, 40 - 08003 Barcelona - Spain - Tel. +34 932 68 45 54 - barcelonapharmacy@gmail.com.


===Costs===
===Costs===


* For a month's supply of birth control pills, you can expect to pay 2.5-5 euro for a box.
For a month's supply of birth control pills, you can expect to pay 2.5-5 euro for a box.
* At one Barcelona pharmacy, Nuvaring was sold for 19 euro (July 2017).


==Emergency Contraception (Morning After Pill)==
==Emergency Contraception==


'''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. 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].
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===Laws & Social Stigmas===
===Laws & Social Stigmas===


The morning after pill ("píndora del día després" in Catalan) is available without a prescription. There are no age restrictions. However, if you want to take ellaOne (see details below), you have needed a prescription, though it appears that ellaOne is now available in the EU without a prescription. According to one study, about 50% of women in Barcelona who purchase EC at pharmacies are between the ages of 15-20.<ref>[http://www.cataloniatoday.cat/index.php?option=com_epanoticies&task=article.display&catid=59:nomes-canals&seccio=26:nomes-canals&id=967490:50-asking-for-morning-after-pill-are-under-20 50% asking for morning after pill are under 20]</ref>
The morning after pill ("píldora del día después" in Spanish) is available without a prescription. There are no age restrictions. However, if you want to take ellaOne (see details below), you have needed a prescription, though it appears that ellaOne is now available in the EU without a prescription. According to one study, about 50% of women in Barcelona who purchase EC at pharmacies are between the ages of 15-20.<ref>[http://www.cataloniatoday.cat/index.php?option=com_epanoticies&task=article.display&catid=59:nomes-canals&seccio=26:nomes-canals&id=967490:50-asking-for-morning-after-pill-are-under-20 50% asking for morning after pill are under 20]</ref>


===What to Get & Where to Get It===
===What to Get & Where to Get It===
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===What to Get & Where to Get It===
===What to Get & Where to Get It===
* If you have a yeast infection ("infección por levaduras" in Spanish), you can ask the pharmacist for Fluconazole, which is antifungal medication. They'll be able to give you Fluconazole or something similar.
* If you have a urinary tract infection ("infecciones de las vías urinarias" in Spanish), you can contact a doctor/pharmacist to find out next steps.


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


You'll be able to find pads and tampons (with or without applicator) in supermarkets. As for menstrual cups, there is one registered seller of DivaCup in Spain: [http://www.crianzanatural.com Crianza Natural S.L.], Tel:, +34936452369, Contact: Rosa Sorribas, info@crianzanatural.com). You can purchase LadyCup through [http://es.ladyteen.eu/ LadyTeen] or [http://www.copasmenstruales.com/ Copas Menstruales]. It's unclear if there are any registered MoonCup sellers. You can find, also, other brands of menstrual cups at pharmacies.
You'll be able to find pads and tampons (with or without applicator) in supermarkets. As for menstrual cups, there is one registered seller of DivaCup in Spain: [http://www.crianzanatural.com Crianza Natural S.L.], Tel:, +34936452369, Contact: Rosa Sorribas, info@crianzanatural.com). You can purchase LadyCup through [http://es.ladyteen.eu/ LadyTeen] or [http://www.copasmenstruales.com/ Copas Menstruales]. It's unclear if there are any registered MoonCup sellers.


===Costs===
===Costs===
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From 1800-1985, abortion was practically illegal in Spain. Beginning in 1983 and continuing into 1985, Spain began introducing laws that liberalized abortion restrictions. Under these new laws, women could receive abortions under special circumstances, including endangerment to life of woman, endangerment to the fetus, or cases of rape or incest. It also specified the criteria under which abortion clinics must operate, including number of staff and the creation of a commission that oversaw all clinics. In 1986, it was ruled that all voluntary abortions must be reported to the national health authorities by the Ministry of Health of each Autonomous Community, which was done after receiving proper paperwork from relevant physicians. Furthermore, all hospitals and clinics that performed abortions, as stipulated in 1986, must keep confidential records of these abortions, including forms authorizing the woman's consent.<ref>[http://www.un.org/esa/population/publications/abortion/profiles.htm UN Report: Spain, Abortion Policies]</ref>
From 1800-1985, abortion was practically illegal in Spain. Beginning in 1983 and continuing into 1985, Spain began introducing laws that liberalized abortion restrictions. Under these new laws, women could receive abortions under special circumstances, including endangerment to life of woman, endangerment to the fetus, or cases of rape or incest. It also specified the criteria under which abortion clinics must operate, including number of staff and the creation of a commission that oversaw all clinics. In 1986, it was ruled that all voluntary abortions must be reported to the national health authorities by the Ministry of Health of each Autonomous Community, which was done after receiving proper paperwork from relevant physicians. Furthermore, all hospitals and clinics that performed abortions, as stipulated in 1986, must keep confidential records of these abortions, including forms authorizing the woman's consent.<ref>[http://www.un.org/esa/population/publications/abortion/profiles.htm UN Report: Spain, Abortion Policies]</ref>


In 1991, the Spanish Supreme Court first sanctioned abortion on social grounds after throwing out a case against a married couple who had sought out and received an abortion. However, at that time, the court's decision did not change the laws. Here's [http://www.barcelona-metropolitan.com/features/abortion-in-barcelona/ an article] about abortion in Barcelona in the early 2000s, before additional restrictions were lifted.
In 1991, the Spanish Supreme Court first sanctioned abortion on social grounds after throwing out a case against a married couple who had sought out and received an abortion. However, at that time, the court's decision did not change the laws. It was only in 2010 that Spain passed the Organic Law 2/2010. This law aligned Spain with the sexual and reproductive rights established by the World Health Organization (WHO). Under these changes, a woman is free to receive abortion during her first 14 weeks of pregnancy, and no third party involvement is required.<ref>[https://en.wikipedia.org/wiki/Abortion_in_Spain Abortion in Spain]</ref> After the first trimester, she may receive an abortion under special circumstances (see first paragraph of this section for details). In 2013, Spanish lawmakers challenged abortion law when the cabinet approved a draft law that prohibited abortion, except in cases of rape. This was struck down in September 2014 due to lack of government consensus.
 
In 2010, the Organic Law 2/2010 was passed in Spain. This law aligned Spain with the sexual and reproductive rights established by the World Health Organization (WHO). Under these changes, a woman is free to receive abortion during her first 14 weeks of pregnancy, and no third party involvement is required.<ref>[https://en.wikipedia.org/wiki/Abortion_in_Spain Abortion in Spain]</ref> After the first trimester, she may receive an abortion under special circumstances (see first paragraph of this section for details). In 2013, Spanish lawmakers challenged abortion law when the cabinet approved a draft law that prohibited abortion, except in cases of rape. This was struck down in September 2014 due to lack of government consensus.


Today, both medical and surgical abortion are available in Spain. However, statistics point to surgical abortion being much more popular with only 4% of induced abortions being done medically (i.e. with pills or medications).
Today, both medical and surgical abortion are available in Spain. However, statistics point to surgical abortion being much more popular with only 4% of induced abortions being done medically (i.e. with pills or medications).
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====Clinics in Barcelona====
====Clinics in Barcelona====


* Centro Casanovas: Carrer Calabria 79, 08015 Barcelona, Tel.: 93 426 97 34, cli.casanova@gmail.com
* [https://www.centromedicoaragon.com Centro Médico Aragón]: Viladomat 158, 08015 Barcelona, Tel.: 934 529 930 , citas@centromedicoaragon.com
* [http://www.tutormedica.com Agrupación Tutor Medica]: Clínica D´Ara, Carrer Berguedà, 17-19, 08029 Barcelona, Tel.: 93 419 26 26, info@tutormedica.com
* Centro Casanovas: Calabria 79, 08015 Barcelona, Tel.: 934 269 734, cli.casanova@gmail.com
* [http://www.emece.es Clínica E.M.E.C.E]: Carrer Anglí, 39 Bis., 08017 Barcelona, 93 203 30 38, 93 205 27 72
* [http://www.tutormedica.com Agrupación Tutor Medica]: Clínica D´Ara, Berguedà, 17-19, 08029 Barcelona, Tel.: 934 192 626, info@tutormedica.com
* [http://www.ginetec.es Instituto Ginetec]: Carrer Espronceda 346, 08027 Barcelona, 93 349 38 38, 93 408 38 63
* [http://www.emece.es Clínica E.M.E.C.E]: Calle Angl. 39 Bis., O8017 Barcelona, 932 033 038, 932 052 772
* [http://www.centremediclescorts.es Centre Mèdic Les Corts]: Carrer Nicaragua 128-130 baixos, 08029 Barcelona, 93 430 87 08, 93 430 27 01
* [http://www.ginetec.es Instituto Ginetec]: Calle Esproncesa 346, O8027 Barcelona, 933 493 838, 934 083 863
* [http://www.cgsants.es Clínica Ginecológica Sants]: Carrer Roger 23, baixos, 08028 Barcelona, 93 339 01 36, 93 490 84 71
* [http://www.centremediclescorts.es Centro Médico Les Corts]: Calle Nicaragua 128-130 bajos, O8029 Barcelona, 934 308 708, 934 302 701
* [http://www.clinicadalmases.es Clínica Dalmases]: Carrer Dalmases 34, 08017 Barcelona, 93 417 09 52, 93 212 80 38
* [http://www.cgsants.es Clínica Ginecológica Sants]: Calle Roger 23, bajos, O8028 Barcelona, 933 390 136, 934 908 471
* [http://www.clinicadalmases.es Clínica Dalmases]: Calle Dalmases 34 Torre, O8017 Barcelona, 93 417 0952, 93 212 8038


====General Spanish Resources====
====General Spanish Resources====
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* [http://www.acaive.com/clinicas/ Asociacion de clinicas acreditadas para la interrupcion del embarazo]
* [http://www.acaive.com/clinicas/ Asociacion de clinicas acreditadas para la interrupcion del embarazo]
* [http://www.aborto.com/ Aborto.com]
* [http://www.aborto.com/ Aborto.com]
* [http://www.clinicasabortos.com/ ClinicasAbortos.com]: lists all abortion clinics in Spain
* [http://www.clinicasabortos.com/ ClinicasAbortos.com]


===Costs===
===Costs===
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==List of Additional Resources==
==List of Additional Resources==
===Insurance Agencies===
* [https://www.upf.edu/barcelona/en/cobertura/ Spanish Health Coverage]: Information on Spanish health insurance that is particularly useful to foreigners and students
* [http://niebarcelona.com/en/health-insurance/ Barcelona Health Insurance Information]
* [http://www.expatica.com/es/healthcare/Getting-healthcare-in-Spain_101467.html Health Care Information for Expats in Spain]
* [http://www.allianz.es Allianz Spain]: "Allianz Seguros offers a wide range of financial and insurance products throughout its agent/broker network. Allianz Seguros is also present in the direct channel through its subsidiary Fenix Directo (specializing in direct insurance)."Address: Paseo de la Castellana 95, Planta 14, Edificio Torre Europa, 28046 Madrid, Spain, Tel: +34.91.4177767, Fax +34.91.4177999.
===Women's Organizations===
* [http://bcnwomensnetwork.com/ Barcelona Women's Network]: " a non-profit, non-religious, and non-political social and charitable organization offering support and friendship to both local and international women residing in the greater Barcelona area."
* [http://www.meetup.com/Feminist-Workshops-Barcelona/ Barcelona Feminist Workshops]: "A twice-monthly meeting group dedicated to exploring and discussing feminist perspectives on gender, work, education, sexuality, consumerism, globalization, masculinities, violence against women, race, ecology and so much more!"


==References==
==References==
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