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Buenos Aires

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Revision as of 20:48, 12 April 2017 by AF Legris (talk | contribs) (Created page with "===Lois et stigmatisation sociale===")
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INTRODUCTION

Buenosaires.jpg

En tant que capitale de l'Argentine, vous trouverez de nombreux services de santé à Buenos Aires. La contraception y est totalement légale, et les pilules contraceptives, les DIU, les injections et les patchs y sont disponibles. Certains gynécologues recoivent les étrangers et sont particulièrement accueillants (voir détails dans la section "Examens Gynécologiques"). Vous pouvez aussi obtenir la contraception d'urgence ("pilule du lendemain") dans les pharmacies, hôpitaux publics ou centres de santé. Vous pouvez acheter des serviettes hygiéniques et des tampons dans les supérettes, et il y a un vendeur connu de coupes menstruelles dans le pays. Il n'y a pas d'accès à la prophylaxie pré-exposition (PrEP) mais vous trouverez de nombreux centres de test de dépistage des IST, et un programme national de vaccination contre le virus du papillome humain (VPH) a été mis en place. Concernant la grossesse, vous trouverez une liste de gynécologues-obstétriciens dans la section "Grossesse". Enfin, l'avortement est généralement illégal et est uniquement autorisé dans certains cas très spécifiques, dont certains sont dans une "zone grise" juridique. C'est pourquoi il existe une économie importante d'avortements clandestins. Certains ont lieu dans des conditions dangereuses, c'est pourquoi la prudence est de mise. L'opinion publique générale concernant l'avortement s'est libéralisée ces dix dernières années, pourtant le pays reste un endroit périlleux pour les femmes ayant une grossesse non désirée.

Contraception (contrôle des naissances)

Pour un résumé actualisé sur la façon d'obtenir une contraception à Buenos Aires, voir "Comment éviter une peur de grossesse à Buenos Aires (The Bubble - en anglais)- [1]

Note générale : il existe de nombreux moyens de contraception, comme les DIU (dispositifs intra-utérins ou stérilets), les contraceptions orales, les patchs, les injections, les préservatifs, etc. Pour une liste complète, cliquez here.

Lois et stigmatisation sociale

In Argentina, contraception is legal and widely available. It is estimated that about 61% of Argentine woman use some form of modern contraception, and that 40% are on birth control pills.

However, there are still barriers for many Argentine women. In 2005, Human Rights Watch reported the following: "Decisions about contraception and abortion are difficult, deeply personal, and sometimes wrenching. In Argentina, women are routinely prevented from making such decisions. Despite important advances in the area of women's political participation and economic independence, doctors and spouses continue to exercise control over women's reproductive health through laws and policies that subject female decision-making to arbitrary extraneous interference."[1]

What to Get & Where to Get It

Yasmin pills purchased in Argentina
Yasmin pills purchased in Argentina
  • For a list of contraceptive options available in Argentina, click here.
  • You can buy condoms at pharmacies for AR$10-$30 (three-pack) or up to AR$67 (12-pack).
  • If you would like to get birth control pills ("pastillas anticonceptivas" in Spanish), they can be purchased in pharmacies without a prescription for about AR$30-$120. Farmacity is a popular pharmacy chain. Some brands you can expect to see are Ovrette, Marvelon, Microlut, Microval, Diane-35, Duoluton, Eugynon, Neogynon, Nordiol, Ovral, Microgynon, Microvlar, Nordette, Miranova and others. To see which pills are available in Argentina, check out IPFF Argentina, Alfabeta, Kairos. Please note that Argentina has strict importation laws, so be careful to NOT bring in any birth control pills that aren't permitted in Argentina.
  • If you're interested in the contraceptive ring (like Nuvaring), you can get it at Farmacity for AR$240.
  • If you want an IUD, you can get the IUD insertion at a hospital or health center. While you can get it done at a public hospital, you'll find that only non-hormonal IUDs are available. The last for 10 years. if you want the hormonal IUDs, which last for 5 years, you'll need to go to a private hospital. For Mirena, it's about $1700 pesos. The copper IUD (not industria argentina) costs around $500-700 pesos.
    • Recommendation: "Dr. Claudia María Battista is a gynecologist based in Recoleta (3rd floor, Arenales 1611, 4811 6127) who can administer both hormonal and non-hormonal IUDs, after a medical consultation. The best option for each patient and the price of the IUD must be discussed with the doctor, and Dr. Battista speaks English, if your Spanish is not up to par to discuss your reproductive system."[2]
  • If you want a contraceptive control shot/injectable ("inyección" in Spanish), you can find Cyclofem, Cyclofemina, Dahlia, Depo-Provera, Mesigyna and Perlutal in Argentina. You can probably get the injections for free at public hospitals and health centers, like Hospital General de Agudos A. Zubizarreta or Hospital General de Agudos B. Rivadavia. If you would like to get it Farmacity, you can get it for around AR$40. Remember that you need to get injections on the same day every month. Since some pharmacies in Buenos Aires don't carry the shot, you should confirm a stable place to get a weekly injection before you commit to shots.
  • If you want the contraceptive implant ("implante" or "anticonceptivo subcutáneo" in Spanish), this has been available in Argentina since 2012.
  • If you're interested in the contraceptive patch ("parche" in Spanish), you can get it a pharmacies, like Farmacity. It's not covered by the public health system, so expect to pay around AR$150-$200.

Costs

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 here and here. Copper IUDs may also prevent pregnancy up to 5 days after unprotected sex.

Laws & Social Stigmas

Emergency contraception is legal and can be accessed without a prescription.

What to Get & Where to Get It

In Buenos Aires, you can obtain emergency contraception (also known as "the morning after pill"). In Spanish, it's called "anticoncepción hormonal de emergencia." You can get EC at public hospitals or health centers for free (for 24 hours/day) after a medical consultation. You can also visit a pharmacy, like Farmacity (many of them are open 24 hours), and purchase EC. There are no age restrictions.

  • Some of the dedicated emergency contraception brands you can expect to find in pharmacies are Norgestrel Max Unidosis, Postinor 1 and Segurite UD (for all of these, take 1 pill within 120 hours after unprotected sex). You can also find Norgestrel-Max, Ovulol and Postinor-2 (for all of these, take 2 pills within 120 hours after unprotected sex).[3]
  • If you can't access dedicated emergency contraception, you can use oral contraceptive (regular birth control pills) as emergency contraception. For progestin-only pills, you can take Ovrette (take 40 pills within 120 hours after unprotected sex). You can also take Microlut or Micronova (take 50 pills within 120 hours after unprotected sex). For combined progestin-estrogen pills, remember that, in 28-day packs, only the first 21 pills can be used. Of these, you can take Duoluton, Eugynon, Neogynon, Nordiol or Ovral (take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later). You can take Microgynon, Microvlar or Nordette (take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later). You can also take Miranova (take 5 pills within 120 hours after unprotected sex and take 5 more pills 12 hours later).[4]

Costs

Sexually Transmitted Infections (STIs/STDs)

Anyone can be affected by STIs. It's possible to have one without having symptoms and so if you've had unprotected sex it's important you have a screen.

For up to date information about how and where to test for STIs, HIV and safe sex see How To Stay STI and Baby-Free in Buenos Aires (The Bubble) - [2]

Rates of HIV in Argentina are increasing - whilst some groups are affected more than others (men who have sex with men, commercial sex workers and intravenous drug users), anyone can get it and it's vital you are tested if you're having unprotected sex.

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.

Laws & Social Stigmas

You can enter the country if you're HIV+. There are no travel restrictions applied to anyone with STIs. However, according to the National AIDS Law No 23.798, all immigrants are required to take HIV tests.[5]

What to Get & Where to Get It

Testing Facilities

You can get tested at tons of public hospitals in Buenos Aires. The wait times will be longer but costs will be very low, and potentially free. For the full list, click here.Also, here are some well-known public hospitals:

  • Hospital Ramos Mejía: Address: Gral. Urquiza 609, C1221ADC Buenos Aires, Argentina, Phone: +54 11 4931-1884
  • Hospital Argerich: Address: Av. Almte Brown 202, Cdad. Autónoma de Buenos Aires, Argentina
  • Hospital Fernández: Address: Cerviño 3356, C1425AGP CABA, Argentina. Phone: +54 11 4808-2600.
  • Hospital Vélez Sarsfield: Address: Pedro Calderón de la Barca 1550, C1407KQF CABA, Argentina. Phone: +54 11 4639-8700.

If you would like to get tested at a private facility, the costs will be higher. But the wait times will be faster and facilities will generally be nicer:

  • Hospital Aleman: Open 24 hours. Tests were about $130p in 2011. Address: Av Pueyrredón 1640, C1118AAT CABA, Argentina, Phone: +54 11 4827-7000.
  • Swiss Medical: They have locations all over the city so check the website.
  • Clinica La Sagrada Familia: Small clinic. Does health checks for around $120p. Address: José Hernández 1642, Ciudad de Buenos Aires, Argentina - Tel: (5411) 6343-7800
  • Ceusa Leah: Address: Pueyrredón 768 1º Piso CP 1032 - Capital Federal Tel / Fax: 4961-8348 / 4962-3505 email: info@ceusa-laeh.com.ar
  • Nexo Asociación Civil: Does HIV rapid test. Address: Avda. Callao 339 6 A y B, Ciudad de Buenos Aires, Argentina -0800 345 6396, info@nexo.org, Monday to Friday, 15:30-21:00
  • Hospital Fernandez: Address: Cerviño 3356, C1425AGP CABA, Argentina, Phone: +54 11 4808-2600.
  • Hospital Británico de Buenos Aires: Address: Perdriel 74, C1280AEB Buenos Aires, Argentina. Phone: +54 11 4309-6400

Support

  • Fundación Huesped: Focuses on sexual and reproductive rights and helping people with HIV. Operating since 1989.
  • Fundación para Estudio e Investigación de la Mujer: Focuses on helping women and health programs; organizes conferences.
  • FUNDAMIND: Offers job assistance, education, etc. Helps kids with HIV.
  • UNAIDS Argentina: "The goal of UNAIDS is to lead and inspire the world in Getting to zero: zero new HIV infections, zero discrimination and zero AIDS-deaths." Alberto Stella, UNAIDS Country Director, Telephone: + 54 11 4328 4365. Fax: + 54 11 4328 2253, Email: STELLAA@UNAIDS.ORG.

Costs

Medications & Vaccines

Laws & Social Stigmas

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.
  • There has been a national HPV vaccination program in Argentina since 2011. The target age for vaccination is 11 years old, and it was estimated that 50% of the target population was vaccinated in 2013.[6]
  • There is currently no official PrEP program in Argentina.

Costs

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

What to Get & Where to Get It

In Buenos Aires, you can find pads, tampons and pantyliners. Pads are the easiest to find in supermarkets, pharmacies and corner stores. You can purchase tampons in Argentina; they'll typically be non-applicator brands, like OB. If you want a menstrual cup, you can buy a MoonCup at COPA ECOLÓGICA (Tomás Le Bretón 4933 Villa Urquiza Buenos Aires, Capital Federal 1431 Argentina (011) - 11564171648). For DivaCup, LadyCup or Lunette, you'll need to buy them online since there are no local sellers in Argentina.

Costs

Gynecological Exams

Laws & Social Stigmas

What to Get & Where to Get It

  • Dr. Liliana Rossi: "I can't recommend her highly enough!" " She explains everything, listens, asks questions... just perfect. Her praxis rooms are friendly, warm and clean." This ob/gyn has been recommended; supposed to be a good listener and speaks English. Pap for $40 without insurance (in 2010). Address: Rosario 188 1° "B", Capital Federal, Argentina. Phone: 4901-2475
  • Dra. Battista, Claudia María: Address: "She was lovely." Speaks Spanish and maybe English too. Av. Santa Fe 1675 2° "A", Recoleta, 815-4802 y 15-4448-4733, Email: claudiabattista@fibertel.com.ar.
  • Dra. Adriana Vilariño: She speaks Spanish and English, and she's been recommended. Address: Av. Santa Fe 3069 2° "B" - Recoleta. Phone: 4822-8484, 4822-2424, 4826-7090.
  • Clinica de la Mujer / Dra Bernardino: Address: "Young, smart, speaks English. Clean office." Av. Libertador 16.606 / San Isidro, Tel: 4742-0205 / 4743-7855
  • 8197 - Dra. Campos, Liliana Beatriz: "Liliane is excellent and was a consumate professional in the birth of our son here 2 years ago. " Marcelo T. de Alvear 2345 4° "B", Recoleta, 4826-0209 y 4823-9058
  • Dra. Graciela Gerardi: Scalabrini Ortiz 2356 3 floor A. Tel. 4831 9842 and cel: 155 695 9269
  • CERIM: bilateral mammogram - 400 pesos, vaginal sonogram - 150 pesos, breast sonogram 170 pesos, bone density 100 per area. Address: Azcuenaga 970. Tel 4965 2500

Costs

Pregnancy

Laws & Social Stigmas

What to Get & Where to Get It

  • Dr. Federico del Giudice - Grupo Medico Lomas de San Isidro (in the northern suburbs of Buenos Aires): "I have never met such a caring OB/GYN and would highly recommend him if you're thinking about having a baby. He was recommended to me by another expat and I'm so grateful for her recommendation."[7]
  • Doctor, Armando Cardahi: "He is an obstetrician and fertility specialist. He has an office in Pilar and Capital, and works with Suizo Argentino Maternity. He was the dr. who did my c-section and he is very very good and nice. He also speaks good English and understands everything. As I was practicing my Spanish he preferred using English with me." Address: Vicente Lopez 1857. Phone number is: 4801-0583[8]

Costs

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

NOTE: Visit the Argentina page for a complete survey of Argentine abortion stigmas and laws.

In Argentina, abortion is generally not permitted. It is only completely legal in certain circumstances, which include: to save the life of the woman, to protect physical health, and in cases of rape. It should be noted that the Ministry of Health has not formally ratified protocols that permit abortions in cases of rape, so the legality is debatable, yet it appears to be fully decriminalized.[9] For all other reasons, including risk of fetal impairment, economic or social reasons, or availability upon request, are prohibited. According to the Pact of San Jose (1994), the right to life begins "in general, from the moment of conception."[10] While some Argentine politicians have expressed interest in changing the abortion laws in the past, the Catholic Church has played a strong role in Argentine society, and no politicians have successfully gone forth with these plans. For full details regarding Argentine abortion law, please visit the Argentina page.

What to Get & Where to Get It

  • You can potentially purchase the "abortion pill" through Women on Waves. Check out their website for details.
  • In Argentina, there is a abortion hotline for women who have unwanted pregnancies: Tel: (011) 156 664 7070
  • There is a Sexual Health Helpline that you can consult for information: Tel: 0800-222-3444 (toll-free)

Costs

There were reports of relatively "safe" abortions being performed for around 1500 pesos in 2007 -- and, while the prices have surely gone up since 2007, it's hard to verify the current prices.[11] However, some abortion providers supposedly charge 20,000-40,000 pesos as of 2015.

Advocacy & Counseling

Laws & Social Stigmas

What to Get & Where to Get It

Costs

List of Additional Resources

  • Asociacion Civil La Casa Del Encuentro: Focuses on women’s social networks. Lobbies for policies to combat all forms of violence, abuse and discrimination against women and children. Address: 1204 De, Rivadavia 3917, Buenos Aires, Argentina, Phone: +54 11 4982-2550

References