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Contraception is widely used in Zimbabwe and, in fact, Zimbabwean women have higher rates of contraceptive usage than nearly all other African countries, with the exception of [[Morocco]] and the island nations of [[Mauritius]] and [[Réunion]]. In Eastern Africa, Zimbabwe has the highest rate of contraceptive usage overall. However, it should be understood that not all Zimbabwean women have adequate access to contraceptives, and 11.4% of Zimbabwean women still have unmet family planning needs.<ref>[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in Contraceptive Use 2015]</ref> | Contraception is widely used in Zimbabwe and, in fact, Zimbabwean women have higher rates of contraceptive usage than nearly all other African countries, with the exception of [[Morocco]] and the island nations of [[Mauritius]] and [[Réunion]]. In Eastern Africa, Zimbabwe has the highest rate of contraceptive usage overall. However, it should be understood that not all Zimbabwean women have adequate access to contraceptives, and 11.4% of Zimbabwean women still have unmet family planning needs.<ref>[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in Contraceptive Use 2015]</ref> | ||
Women in Zimbabwe may not always have autonomy regarding health decisions. A United Nations report, released in 2019, found that only 57% of women in Zimbabwe were able to make their own choices regarding their reproductive health and rights (which include sexual intercourse with their partner, contraception use and health care).<ref>[https://www.chronicle.co.zw/only-60percent-of-zimbabwe-women-have-say-in-safer-sex-negotiations/ ‘Only 60percent of Zimbabwe women have say in safer sex negotiations’]</ref> | |||
For Zimbabwean women, the vast majority who use contraceptives tend to use birth control pills. According to a 2015 report, the most common forms of contraception for Zimbabwean women (who are married and of reproductive age) are birth control pills (42.8%), contraceptive injectables (8.8%) and contraceptive implants (8.2%). There are generally low rates of usage of condoms (3.2%), female sterilization (0.9%), IUDs (0.4%) and vaginal barrier methods (0.2%). The traditional family planning methods, such as withdrawal (0.6%) and rhythm method (0.2%), are extremely uncommon.<ref>[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in Contraceptive Use 2015]</ref> | For Zimbabwean women, the vast majority who use contraceptives tend to use birth control pills. According to a 2015 report, the most common forms of contraception for Zimbabwean women (who are married and of reproductive age) are birth control pills (42.8%), contraceptive injectables (8.8%) and contraceptive implants (8.2%). There are generally low rates of usage of condoms (3.2%), female sterilization (0.9%), IUDs (0.4%) and vaginal barrier methods (0.2%). The traditional family planning methods, such as withdrawal (0.6%) and rhythm method (0.2%), are extremely uncommon.<ref>[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in Contraceptive Use 2015]</ref> | ||
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* In Zimbabwe, '''condoms''' are sold by local shops and street vendors, government initiatives and social networking programs (such as Marie Stopes International, Population Services International and DKT International). They are also sold in front of clubs and beer halls in cities, such as Harare. The vendors who sell condoms at night report that many people feel more comfortable buying condoms from them than from the local shops, which can feel more public and exposed.<ref>[http://www.thezimbabwean.co/2015/05/people-shun-free-condoms/ The Zimbabwean: People shun free condoms]</ref> Some night club bathrooms also have free condoms, which come in blue colors. Finally, while it's a more expensive option, condoms can also be purchased online and delivered to a Zimbabwe address. For example, you can [https://www.caretobeauty.com/zw/condoms/ buy Durex condoms from the Care to Beauty website]. | * In Zimbabwe, '''condoms''' are sold by local shops and street vendors, government initiatives and social networking programs (such as Marie Stopes International, Population Services International and DKT International). They are also sold in front of clubs and beer halls in cities, such as Harare. The vendors who sell condoms at night report that many people feel more comfortable buying condoms from them than from the local shops, which can feel more public and exposed.<ref>[http://www.thezimbabwean.co/2015/05/people-shun-free-condoms/ The Zimbabwean: People shun free condoms]</ref> Some night club bathrooms also have free condoms, which come in blue colors. Finally, while it's a more expensive option, condoms can also be purchased online and delivered to a Zimbabwe address. For example, you can [https://www.caretobeauty.com/zw/condoms/ buy Durex condoms from the Care to Beauty website]. | ||
* In Zimbabwe, you can find '''birth control pills''' at pharmacies, clinics and social networking programs (such as Marie Stopes International, Population Services International and DKT International). You need a prescription to access birth control pills. Some of the birth control brands you may find in Zimbabwe are brands called Safe or Control, which are distributed by local NGOs and sold at pharmacies and health centers. You may also find Microgynon (which is not sold in most pharmacies, but is certainly sold in some, such as Booties Pharmacy), Ovidon, Ovral, Lo-Femenal, Nordette and Rigevidon. One Harare pharmacy reported carrying pills called 'Control' and 'Secure,' which sold for about $1 per packs of two. | * In Zimbabwe, you can find '''birth control pills''' at pharmacies, clinics and social networking programs (such as Marie Stopes International, Population Services International and DKT International). You need a prescription to access birth control pills. Some of the birth control brands you may find in Zimbabwe are brands called Safe or Control, which are distributed by local NGOs and sold at pharmacies and health centers. You may also find Microgynon (which is not sold in most pharmacies, but is certainly sold in some, such as Booties Pharmacy), Ovidon, Ovral, Lo-Femenal, Nordette and Rigevidon. One Harare pharmacy reported carrying pills called 'Control' and 'Secure,' which sold for about $1 per packs of two. | ||
* At Chisipite Medical & Dental Centre, contraceptive injectables (Depo-Provera) are $10 and implants (Norplant, Implanon, etc) are $50 for insertion and $30 for removal, as of December 2017. These price quotes came directly from the medical centre. | |||
===Costs=== | ===Costs=== | ||
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Generally speaking, Zimbabwe is considered to have a "high prevalence" of HIV. In 2016, it was estimated that 13.5% of the population was living with HIV/AIDS and that 74% of infected adults were on antiretroviral treatment. The most common form of transmission was unprotected heterosexual sex.<ref>[https://www.avert.org/professionals/hiv-around-world/sub-saharan-africa/zimbabwe Avert: HIV/AIDS in Zimbabwe]</ref> However, certain populations experienced higher rates of infections, including sex workers (57.1% infection rate), men who have sex with men (also known as "MSM") and prisoners (28% infection rate).<ref>[http://www.unaids.org/en/regionscountries/countries/zimbabwe UNAIDS - Zimbabwe]</ref> When sex workers or MSM have sought out treatment or care for HIV in Zimbabwe, especially when they have developed efforts specifically to serve their communities, they have often encountered barriers, including intimidation, arrests and condom confiscation from police. Sex work and homosexuality are illegal in Zimbabwe, and police often respond with intimidation and arrests.<ref>[https://www.avert.org/professionals/hiv-around-world/sub-saharan-africa/zimbabwe Avert: HIV/AIDS in Zimbabwe]</ref> | Generally speaking, Zimbabwe is considered to have a "high prevalence" of HIV. In 2016, it was estimated that 13.5% of the population was living with HIV/AIDS and that 74% of infected adults were on antiretroviral treatment. The most common form of transmission was unprotected heterosexual sex.<ref>[https://www.avert.org/professionals/hiv-around-world/sub-saharan-africa/zimbabwe Avert: HIV/AIDS in Zimbabwe]</ref> However, certain populations experienced higher rates of infections, including sex workers (57.1% infection rate), men who have sex with men (also known as "MSM") and prisoners (28% infection rate).<ref>[http://www.unaids.org/en/regionscountries/countries/zimbabwe UNAIDS - Zimbabwe]</ref> When sex workers or MSM have sought out treatment or care for HIV in Zimbabwe, especially when they have developed efforts specifically to serve their communities, they have often encountered barriers, including intimidation, arrests and condom confiscation from police. Sex work and homosexuality are illegal in Zimbabwe, and police often respond with intimidation and arrests.<ref>[https://www.avert.org/professionals/hiv-around-world/sub-saharan-africa/zimbabwe Avert: HIV/AIDS in Zimbabwe]</ref> | ||
For women in Zimbabwe, STI prevention can be difficult, who often encounter gender inequality in marriages in relationships. For example, only 68% of Zimbabwean men believe that women have the right to refuse intercourse if they know the man is having sex with other women. Furthermore, only 8 out of 10 Zimbabwean women believe that they have the right to ask their partner to use a condom if the partner has a sexually-transmitted disease.<ref>[https://www.avert.org/professionals/hiv-around-world/sub-saharan-africa/zimbabwe Avert: HIV/AIDS in Zimbabwe]</ref> | For women in Zimbabwe, STI prevention can be difficult, who often encounter gender inequality in marriages and in relationships. For example, only 68% of Zimbabwean men believe that women have the right to refuse intercourse if they know the man is having sex with other women. Furthermore, only 8 out of 10 Zimbabwean women believe that they have the right to ask their partner to use a condom if the partner has a sexually-transmitted disease.<ref>[https://www.avert.org/professionals/hiv-around-world/sub-saharan-africa/zimbabwe Avert: HIV/AIDS in Zimbabwe]</ref> | ||
In Zimbabwe, HIV transmission rates have been dropping -- for example, 79,000 people contracted HIV in 2010 compared to 40,000 in 2016. Furthermore, the number of people who have died due to AIDS-related illness has also declined in recent years. However, HIV/AIDS remains a serious issue for the country. Currently, the majority of HIV expenditures in the country (an estimated 75%) | In Zimbabwe, HIV transmission rates have been dropping -- for example, 79,000 people contracted HIV in 2010 compared to 40,000 in 2016. Furthermore, the number of people who have died due to AIDS-related illness has also declined in recent years. However, HIV/AIDS remains a serious issue for the country. Currently, the majority of HIV expenditures in the country (an estimated 75%) come from international donors.<ref>[https://www.avert.org/professionals/hiv-around-world/sub-saharan-africa/zimbabwe Avert: HIV/AIDS in Zimbabwe]</ref> | ||
===Testing Facilities=== | ===Testing Facilities=== | ||
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===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
* [http://wellwomanclinic.co.zw/ Well Woman Clinic]: Recommended by a Harare local. The practitioners have been trained in a variety of countries, including Zimbabwe, South Africa, Germany and | * [http://wellwomanclinic.co.zw/ Well Woman Clinic]: Recommended by a Harare local. The practitioners have been trained in a variety of countries, including Zimbabwe, South Africa, Germany and the USA. "General practitioners, with a specific interest in woman’s health, will see patients for the whole range of women’s health problems including Pap Smears, HRT, Osteoporosis etc." 18 East Road, Avondale, Harare, Zimbabwe. Tel: (+263) 4 796 492/3/4/6. Fax: (+263) 4 704 200. Email: wellwoman@zol.co.zw | ||
* Dr Djordjevic: Address: 11 Dunkirk Drive, Alexandra Park, Harare. +263 77 701 9485 | * Dr Djordjevic: Address: 11 Dunkirk Drive, Alexandra Park, Harare. +263 77 701 9485 | ||
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In Zimbabwe, abortion is only permitted in certain cases, which are the following: if the pregnancy endangers the life or physical health of the woman, if the pregnancy is the result of rape or incest, or if the fetus has a serious risk of impairment.<ref>[https://www.womenonwaves.org/en/page/2797/zimbabwe Women on Waves: Zimbabwe]</ref> In all other cases, abortion is illegal. In order for an abortion to be legal, it must be performed in specific institutions that are designated for abortions. Furthermore, the superintendent of the institution must approve of the abortion. | In Zimbabwe, abortion is only permitted in certain cases, which are the following: if the pregnancy endangers the life or physical health of the woman, if the pregnancy is the result of rape or incest, or if the fetus has a serious risk of impairment.<ref>[https://www.womenonwaves.org/en/page/2797/zimbabwe Women on Waves: Zimbabwe]</ref> In all other cases, abortion is illegal. In order for an abortion to be legal, it must be performed in specific institutions that are designated for abortions. Furthermore, the superintendent of the institution must approve of the abortion. | ||
For more information, you can read a report from the Guttmacher Institute: [https://www.guttmacher.org/article/2018/10/abortion-zimbabwe-national-study-incidence-induced-abortion-unintended-pregnancy-and Abortion in Zimbabwe: A National Study of the Incidence of Induced Abortion, Unintended Pregnancy and Post-Abortion Care in 2016] | |||
===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
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|title=Gynopedia | |title=Gynopedia | ||
|titlemode=append | |titlemode=append | ||
|keywords=harare, zimbabwe, contraception, birth control, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampons, women's health, | |keywords=harare, zimbabwe, contraception, birth control, birth control pills, condoms, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampon, tampons, menstrual cup, menstrual cups, women's health, lgbt, lgbtq, sexual health, sexual rights, reproductive health, reproductive rights | ||
|description=Find sexual, reproductive and women's health care in Harare. | |description=Find sexual, reproductive and women's health care in Harare. | ||
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