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Guatemala City: Difference between revisions

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


In Guatemala, no prescription is required to purchase birth control. In 2015, it was estimated that 57.2% of Guatemalan women (who are married or in unions, and of reproductive age) used a modern contraception method. It was also estimated that 17.3% of Guatemalan women, who are married or in unions, have unmet family planning needs.<ref>[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf UN Report: Trends in Contraceptive Use Worldwide, 2015]</ref> Contraceptive use in Guatemala seems to be less widely accepted due to traditional religious views. Much of the country is strongly Catholic, and families often view children as "what God gives you" or "out of your hands." Furthermore, it is often men in the families who make family planning decisions, and reportedly some men look down upon birth control, sometimes even viewing it as something for sex workers rather than wives. This has lead to a situation in which many women and their families are unaware of the birth control methods available to them, and they may even be intimidated away from pursuing them.<ref>[http://www.pbs.org/newshour/bb/world-jan-june11-guatemala_03-08/ In Guatemala, Family Planning Clashes with Religion, Tradition]</ref>
In Guatemala, no prescription is required to purchase condoms or oral contraceptives (birth control pills). In 2015, it was estimated that 57.2% of Guatemalan women (who are married or in unions, and of reproductive age) used a modern contraception method. It was also estimated that 17.3% of Guatemalan women, who are married or in unions, have unmet family planning needs.<ref>[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf UN Report: Trends in Contraceptive Use Worldwide, 2015]</ref> Contraceptive use in Guatemala seems to be less widely accepted due to traditional religious views. Much of the country is strongly Catholic, and families often view children as "what God gives you" or "out of your hands." Furthermore, it is often men in the families who make family planning decisions, and reportedly some men look down upon birth control, sometimes even viewing it as something for sex workers rather than wives. This has lead to a situation in which many women and their families are unaware of the birth control methods available to them, and they may even be intimidated away from pursuing them.<ref>[http://www.pbs.org/newshour/bb/world-jan-june11-guatemala_03-08/ In Guatemala, Family Planning Clashes with Religion, Tradition]</ref>


Guatemala has a particularly high teen pregnancy rate. By the age of twenty, 44% of Guatemalan women are mothers and about 50% are married. By the age of 30, a woman may have had seven or eight children in Guatemala. For women who are uneducated or live in rural areas, these numbers are higher. The majority of children who do not attend school in Guatemala are indigenous children, especially indigenous girls. According to report written by the Council of on Hemispheric Affairs, "even though contraception is available, it is often denied to teens. In Guatemala’s machismo culture, girls are frequently denied birth control at health centers unless accompanied by a man. In the chance that a girl is not denied, most are persuaded by the Catholic Church to not use an effective method of birth control." Furthermore, "The actions by Guatemala’s government in an attempt to decrease teen pregnancy and eradicate sexual violence should be commended; however, more work needs to be done for young girls to finally have an alternative to dropping out of school and becoming pregnant. " <ref>[http://www.coha.org/why-is-guatemalas-teen-pregnancy-rate-so-high/ Why is Guatemala’s teen pregnancy rate so high?]</ref>
Guatemala has a particularly high teen pregnancy rate. By the age of twenty, 44% of Guatemalan women are mothers and about 50% are married. By the age of 30, a woman may have had seven or eight children in Guatemala. For women who are uneducated or live in rural areas, these numbers are higher. The majority of children who do not attend school in Guatemala are indigenous children, especially indigenous girls. According to report written by the Council of on Hemispheric Affairs, "even though contraception is available, it is often denied to teens. In Guatemala’s machismo culture, girls are frequently denied birth control at health centers unless accompanied by a man. In the chance that a girl is not denied, most are persuaded by the Catholic Church to not use an effective method of birth control." Furthermore, "The actions by Guatemala’s government in an attempt to decrease teen pregnancy and eradicate sexual violence should be commended; however, more work needs to be done for young girls to finally have an alternative to dropping out of school and becoming pregnant. " <ref>[http://www.coha.org/why-is-guatemalas-teen-pregnancy-rate-so-high/ Why is Guatemala’s teen pregnancy rate so high?]</ref>
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===Laws & Social Stigmas===
===Laws & Social Stigmas===
In Guatemala, the morning after pill is available only at a clinic of Doctors Without Borders and used only in case of rape victims.


There are varying reports regarding the legality and accessibility of EC (morning after pill) in Guatemala. However, it can generally be stated that dedicated EC is either fully illegal or very hard to get. For this reason, if you do need some form of EC, it's recommended to use hormonal birth control as replacement EC. You'll find instructions below in the "What to Get & Where to Get It" section on how to do this. There are also many pharmacists in Guatemala City who will be willing to help you understand how to take birth control as EC as well.
There are varying reports regarding the legality and accessibility of EC (morning after pill) in Guatemala. However, it can generally be stated that dedicated EC is either fully illegal or very hard to get. For this reason, if you do need some form of EC, it's recommended to use hormonal birth control as replacement EC. You'll find instructions below in the "What to Get & Where to Get It" section on how to do this. There are also many pharmacists in Guatemala City who will be willing to help you understand how to take birth control as EC as well.
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===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. Although Guatemala doesn't currently 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.
* For dedicated Products / Progestin Only (the morning after pill), there's Postinor 1 (take 1 pill within 120 hours after unprotected sex)<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref>
 
* If you can't access the morning after pill, you can use Oral Contraceptives (Progestin-Estrogen Combined) used for EC. Note: in 28-day packs, only the first 21 pills can be used. You can take Denoval, Neogynon, Nordiol or Ovral (for these brands, take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later). You can also take Lo-Femenal, Microgynon or Nordette (for these brands, 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>
* In Guatemala, the morning after pill is available only at a clinic of Doctors Without Borders and used only in case of rape victims.
 
''For dedicated Products / Progestin Only (the morning after pill)
Take 1 pill within 120 hours after unprotected sex:''
* Postinor 1
 
''If you can't access the morning after pill, you can use Oral Contraceptives (Progestin-Estrogen Combined) used for EC  
Note: in 28-day packs, only the first 21 pills can be used
Take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later:''
* Denoval
* Neogynon
* Nordiol
* Ovral
 
''Take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later:''
* Lo-Femenal
* Microgynon
* Nordette


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


There is currently no common source of PrEP in Guatemala.
* 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 is currently no common source of PrEP in Guatemala.


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


In Guatemala City, you should be able to find pads and tampons. For a better selection, it's recommended to visit supermarkets, like La Torre of Paiz. There appears to be no sellers of menstrual cups in Guatemala (i.e. no DiavCup, MoonCup, LadyCup, Lunette, etc.), so menstrual cups should be purchased online. Note that, once you're in rural areas in Guatemala, you may not find any feminine hygiene products at all, aside from occasionally seeing Kotex pads.
In Guatemala City, you should be able to find pads and tampons. For a better selection, it's recommended to visit supermarkets, like La Torre of Paiz.  
 
For menstrual cups, you can purchase [http://www.icarecopamenstrual.com/ iCare Copa Menstrual], which is only sold in Guatemala and El Salvador, from Tiendas Sally Beauty Supplies. Locations include Zona 10 (5 Avenida 16-11 Zona 10, PBX. +502 2313 8000 extensión 4), Via Majadas (Via Majadas Zona 11, Local 14, PBX. +502 2313 8000, Directo +502 4011 2629) and Sally Majadas (6 Calle 26-50 Z-11 C.C. Vía Majadas Local 17, Guatemala 01011, Guatemala).
 
You can also purchase iCare Copa Menstrual at Tiendas Orgánica. Locations include Zona 10 (Diagonal 6, 16-23 Centro Comercial La Villa, locales 2 y 3, Teléfono: +502 2363 1819) and Vía Majadas (Vía Majadas Zona 11, Teléfono: +502 2473 8285). For a full list of locations that sell iCare Copa Menstrual in Guatemala, click [http://www.icarecopamenstrual.com/puntosdeventa/ here].
 
There appears to be no sellers of DivaCup, MoonCup, LadyCup or Lunette, so those menstrual cup brands should be purchased online. Also, note that, once you're in rural areas in Guatemala, you may not find any feminine hygiene products at all, aside from occasionally seeing Kotex pads.


===Costs===
===Costs===
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==List of Additional Resources==
==List of Additional Resources==


* [https://www.mspas.gob.gt/ Ministry of Public Health]
* [http://www.aprofam.org.gt/ Asociación Pro-bienestar de la Familia de Guatemala (APROFAM)]: "With more than forty years’ experience, APROFAM is the largest non-governmental sexual and reproductive healthcare provider in Guatemala. One of APROFAM’s key areas of work is reaching marginalized and low-income individuals—including indigenous communities, people living in rural areas, and LGBTQI+ individuals—with non-discriminatory and subsidized services through its clinics and mobile health units located across the country." Main Office Address: 5a Ave. 13-18 Zona 1 01000 Guatemala, Guatemala. Phone: (502) 2321-0101
* [http://www.wingsguate.org/ Wings]: "WINGS is a US and Guatemala registered nonprofit which for 15 years has provided family planning education and reproductive health services to marginalized communities in Guatemala. We believe that reproductive health is the first step in the fight against poverty, chronic malnutrition, maternal and infant deaths and gender inequality." Address: 9a Calle Poniente #17, Residenciales El Rosario #3, La Antigua Guatemala, (+502) 7832-5130
* [http://www.wingsguate.org/ Wings]: "WINGS is a US and Guatemala registered nonprofit which for 15 years has provided family planning education and reproductive health services to marginalized communities in Guatemala. We believe that reproductive health is the first step in the fight against poverty, chronic malnutrition, maternal and infant deaths and gender inequality." Address: 9a Calle Poniente #17, Residenciales El Rosario #3, La Antigua Guatemala, (+502) 7832-5130
* [http://www.upavim.org/ UPAVIM]: "The mission of our organization, UPAVIM, is to empower the women of our community, giving them an opportunity to improve the quality of life, for themselves and for their families. We pursue this mission by giving them access to education, employment opportunities, daycare services for their children, health care services, and programs for personal and professional development. We are a group of  75 women who live in the marginalized communities of Búcaro, La Esperanza, El Mezquital and Villa Lobos I and II, in Zone 12 of Guatemala City. We are all mothers and homemakers. Some of us are widows, some of us have been abandoned by our husbands or we confront alcoholism and/or domestic violence in our families. Many of us are the sole providers of economic support for our families."
* [http://www.upavim.org/ UPAVIM]: "The mission of our organization, UPAVIM, is to empower the women of our community, giving them an opportunity to improve the quality of life, for themselves and for their families. We pursue this mission by giving them access to education, employment opportunities, daycare services for their children, health care services, and programs for personal and professional development. We are a group of  75 women who live in the marginalized communities of Búcaro, La Esperanza, El Mezquital and Villa Lobos I and II, in Zone 12 of Guatemala City. We are all mothers and homemakers. Some of us are widows, some of us have been abandoned by our husbands or we confront alcoholism and/or domestic violence in our families. Many of us are the sole providers of economic support for our families."
* [https://www.equaldex.com/region/guatemala Equaldex Guatemala]: This website provides information on LGBTQ rights and laws in Guatemala.
* [https://www.outrightinternational.org/region/guatemala Outright Action International - Guatemala]: This global human rights organization provides information on Guatemala's LGBT community and related advocacy on this page.


==References==
==References==
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|description=Find sexual, reproductive and women's health care in Guatemala City.
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