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Dar es Salaam: Difference between revisions
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===What to Get & Where to Get It=== | ===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). | * 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).<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref> | ||
* 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).<ref>[http://ec.princeton.edu/ Princeton 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).<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref> | ||
===Costs=== | ===Costs=== | ||
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====Support==== | ====Support==== | ||
* [http://www.nacp.go.tz/site/publications/care-and-treatment Tanzanian National AIDS Control Program]: This is the authority on HIV/AIDS in Tanzania. | |||
* [http://tacaids.go.tz/tacaids/en 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." | * [http://tacaids.go.tz/tacaids/en 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." | ||
* [https://icap.columbia.edu/where-we-work/tanzania/ Columbia University ICAP]: They are working with Tanzania to implement PrEP services for key populations. | |||
* [http://www.unaids.org/en/regionscountries/countries/unitedrepublicoftanzania UNAIDS Tanzania]: Telephone: +255222195113 | +255783202356 | +255682040847. Email: NAAMARAW@UNAIDS.ORG | * [http://www.unaids.org/en/regionscountries/countries/unitedrepublicoftanzania UNAIDS Tanzania]: Telephone: +255222195113 | +255783202356 | +255682040847. Email: NAAMARAW@UNAIDS.ORG | ||
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==Medications & Vaccines== | ==Medications & Vaccines== | ||
[[File:Pharmacy tanzania.jpg|400px | thumb|right|'''Pharmacy in Dar Es Salaam, Tanzania''']] | |||
===Laws & Social Stigmas=== | ===Laws & Social Stigmas=== | ||
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===What to Get & Where to Get It=== | ===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) | * If you have a '''yeast infection''', you can ask for Fluconazole (generic term for the ingredient used in many yeast infection medications). | ||
* | * There appears to be a small-scale program for '''Pre-Exposure Prophylaxis (PrEP)''' in Tanzania, with an estimated 500-700 PrEP users.<ref>[https://www.prepwatch.org/tanzania-close-up/ PrEPWatch: Tanzania]</ref> To learn more about PrEP in Tanzania, you can read [https://www.thecitizen.co.tz/News/1840340-4553234-26aih8z/index.html this report] from 2018. Two organizations that seem to be running PrEP trials in Tanzania are EMPOWER (Enhancing Methods of Prevention and Options for Women Exposed to Risk) Consortium and PEPFAR, as of April 2018.<ref>[https://www.prepwatch.org/wp-content/uploads/2018/04/Tanzania_PrEP_Studies_Apr2018.pdf Ongoing and Planned PrEP Open Label, Demonstration and Implementation Projects, as of April 2018]</ref> | ||
* It appears that '''Post-Exposure Prophylaxis (PEP)''' is available in Tanzania, and protocols for its usage are included in the [http://www.who.int/hiv/pub/guidelines/tanzania_art.pdf National Guidelines for the Management of HIV and AIDS], but we don't know how widely available it is to people. You should contact a local health care provider for more details. | |||
===Costs=== | ===Costs=== | ||
==Menstruation== | ==Menstruation== | ||
[[File:Tampons daressalaam.jpg|300px | thumb|left|frame|'''Tampons for sale in Dar es Salaam for the equivalent of $15 (February 2017)''']] | |||
'''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 [https://en.wikipedia.org/wiki/Menstrual_cup here]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here]. | '''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 [https://en.wikipedia.org/wiki/Menstrual_cup here]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here]. | ||
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===What to Get & Where to Get It=== | ===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 [http://www.village-supermarket.com/ Village Supermarket], located on Chole Road, or [http://www.shoppers.co.tz/ Shoppers Plaza], which has multiple locations. You can also find them in some pharmacies, like Nakumatt and Kilimani Pharmacy. | In Tanzania, you can find pads. However, tampons are more difficult to find. You may be able to find tampons at [http://www.village-supermarket.com/ Village Supermarket], located on Chole Road, or [http://www.shoppers.co.tz/ Shoppers Plaza], which has multiple locations. You can also find them in some pharmacies, like Nakumatt and Kilimani Pharmacy. | ||
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* [http://www.salihospital.com/ 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 | * [http://www.salihospital.com/ 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 | ||
* [http://www.agakhanhospitals.org/DarEsSalaam 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. | * [http://www.agakhanhospitals.org/DarEsSalaam 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. | ||
* [http://premiercareclinic.com/ Premier Care Clinic]: Recommended doctor: Dr | * [http://premiercareclinic.com/ 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. | ||
Information from a local (February 2017)" "Gynaecological examination are done almost in all hospitals, which include the Aga Khan hosptial, Regency hosptial, TMJ hospital and many more private small gynaecological centres. These provide maternity care and they are usually more expensive than the governmental hospital, which is only Muhimbili National Hospital. However, private sectors care is better than Muhimbili, as they have few doctors working in their hospital hence cannot provide enough care and they lack devices such as the ultrasound; they have very limited devices." | Information from a local (February 2017)" "Gynaecological examination are done almost in all hospitals, which include the Aga Khan hosptial, Regency hosptial, TMJ hospital and many more private small gynaecological centres. These provide maternity care and they are usually more expensive than the governmental hospital, which is only Muhimbili National Hospital. However, private sectors care is better than Muhimbili, as they have few doctors working in their hospital hence cannot provide enough care and they lack devices such as the ultrasound; they have very limited devices." | ||
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* [http://wlac.or.tz/ Women's Legal Aid Centre Tanzania]: "A non-profit NGO that works to empower women to attain their rights and to improve vulnerable population’s access to justice across Tanzania." | * [http://wlac.or.tz/ Women's Legal Aid Centre Tanzania]: "A non-profit NGO that works to empower women to attain their rights and to improve vulnerable population’s access to justice across Tanzania." | ||
* [http://www.tamwa.org/ Tanzania Media Women's Association]: "Our Vision:TAMWA vision is to see a peaceful Tanzanian society, which respects human rights with a gender perspective. Our Mission:TAMWA is committed towards advocating for women and children’s rights by conducting awareness raising activities for cultural, policy and legal changes/transformation in society through the use of media." | * [http://www.tamwa.org/ Tanzania Media Women's Association]: "Our Vision:TAMWA vision is to see a peaceful Tanzanian society, which respects human rights with a gender perspective. Our Mission:TAMWA is committed towards advocating for women and children’s rights by conducting awareness raising activities for cultural, policy and legal changes/transformation in society through the use of media." | ||
* [http://www.equaldex.com/region/tanzania Equaldex Tanzania]: This website provides information on LGBTQ rights and laws in Tanzania. It is important to know that homosexuality is illegal in Tanzania. The laws around changing gender are ambiguous. | |||
* [http://lgbtvoicetz.org/ LGBT Voice]: "Our Vision: To be the leading LGBT organization in Tanzania promoting equality, human rights and the upliftment of LGBT people" | * [http://lgbtvoicetz.org/ LGBT Voice]: "Our Vision: To be the leading LGBT organization in Tanzania promoting equality, human rights and the upliftment of LGBT people" | ||