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Lilongwe: Difference between revisions

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


* While you can find condoms and pills at pharmacies, it may difficult to find contraceptive patches or rings (as of 2020).
* [https://mariestopes.org/where-in-the-world#malawi Marie Stopes International - Malawi]: "We’ve been providing sexual and reproductive health services in Malawi since 1987. We provide long acting and permanent methods of contraception to women and men, in our clinics, through outreach and through our social franchising network. We measure our results using couple years of protection (CYP), a measure estimating the protection offered to a couple from using contraceptives during a one year period." Contact Details: Banja La Mtsogolo - Mpatsa House - Off Paul Kagame Road - P.O. Box 1854 - Lilongwe - Malawi - +265 01 772 497 / 498 - banja@banja.org.mw
* [https://mariestopes.org/where-in-the-world#malawi Marie Stopes International - Malawi]: "We’ve been providing sexual and reproductive health services in Malawi since 1987. We provide long acting and permanent methods of contraception to women and men, in our clinics, through outreach and through our social franchising network. We measure our results using couple years of protection (CYP), a measure estimating the protection offered to a couple from using contraceptives during a one year period." Contact Details: Banja La Mtsogolo - Mpatsa House - Off Paul Kagame Road - P.O. Box 1854 - Lilongwe - Malawi - +265 01 772 497 / 498 - banja@banja.org.mw
* [https://mitch-pharmacy.business.site/ Mitch Pharmacy]: They have an online form on their website, where you can get a quote for various products. They sell birth control pills, but they said contraceptive rings or patches weren't available when we asked (March 2020).
* [https://mitch-pharmacy.business.site/ Mitch Pharmacy]: They have an online form on their website, where you can get a quote for various products. They sell birth control pills, but they said contraceptive rings or patches weren't available when we asked (March 2020).
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In Malawi, there are no known travel or residency restrictions for people with HIV/AIDS. This means that you can enter the country, regardless of your HIV status, and you should not be deported if you test positive for HIV while you are in the country.<ref>[http://www.hivtravel.org/Default.aspx?PageId=143&CountryId=114 MALAWI - REGULATIONS ON ENTRY, STAY AND RESIDENCE FOR PLHIV]</ref>
In Malawi, there are no known travel or residency restrictions for people with HIV/AIDS. This means that you can enter the country, regardless of your HIV status, and you should not be deported if you test positive for HIV while you are in the country.<ref>[http://www.hivtravel.org/Default.aspx?PageId=143&CountryId=114 MALAWI - REGULATIONS ON ENTRY, STAY AND RESIDENCE FOR PLHIV]</ref>
Generally speaking, Malawi has a high HIV infection rate. In 2018, 1 million people living with HIV in Malawi, which was 9.2% of the adult population (ages 15-49). There were 38,000 new infections per year and 13,000 AIDS-related deaths per year. In terms of treatment, 79% of adults and 61% of children with HIV were on antiretroviral treatment.<ref name="avert_malawistats">[https://www.avert.org/professionals/hiv-around-world/sub-saharan-africa/malawi HIV AND AIDS IN MALAWI]</ref>
Despite these high numbers, there are various programs that focus on the treatment and prevention of HIV. The new infection rate has dramatically declined, going from 66,000 infections per year in 2005 to 38,000 infections per year in 2018. Furthermore, an estimated 90% of people living with HIV in 2018 were aware of their status.<ref name="avert_malawistats" />


There are some initiatives to help sex workers access STI tests, prevention, treatment, and counseling in Malawi. To learn more about this work, you can read this report from Doctors without Borders: [https://www.msf.org/sex-workers-frontlines-hiv-response-malawi The sex workers on the frontlines of the HIV response].
There are some initiatives to help sex workers access STI tests, prevention, treatment, and counseling in Malawi. To learn more about this work, you can read this report from Doctors without Borders: [https://www.msf.org/sex-workers-frontlines-hiv-response-malawi The sex workers on the frontlines of the HIV response].


===Testing Facilities===
===Testing Facilities===
* [https://www.mariestopes.org/where-we-work/malawi/ Banja La Mtsogolo (Marie Stopes Malawi)]: "Our programme in Malawi, called Banja La Mtsogolo, was established in 1987 to address the country's high maternal mortality and unsafe abortion rates, while combating HIV/AIDs and poor sexual health." Phone: +265 01 873 240. Email: banja@banja.org.mw
* [https://www.psi.org/country/malawi/#about  PSI Malawi]: "PSI/Malawi’s portfolio includes a range of products and services to include HIV self-testing, voluntary medical male circumcision, water-borne disease prevention, malaria prevention, male condoms (Chishango), female condoms (Care and Whisper), family planning services and products (Safe Plan) and Tunza franchise clinics." Phone: +265 (0) 1711484. Phone: +265(0) 1711487. Phone: +265 (0) 1711488


===Support===
===Support===
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===What to Get & Where to Get It===
===What to Get & Where to Get It===
* Daeyang Luke Hospital: This private hospital is supposed to be one of the better medical centers in Malawi. Be aware that this is a faith-based hospital. Phone: +265 1 711 398
* Medical Aid Society of Malawi Clinic: Phone: +265 1 794 266
* Good Hope Private Clinic: Phone: +265 997 69 16 06
* Likuni Mission Hospital: According to Lonely Planet, " A better option than Lilongwe Central Hospital, this hospital, 7km southwest of Old Town, has public wards, private rooms and some expat European doctors on staff."<ref>[https://www.lonelyplanet.com/malawi/lilongwe/health Lilongwe Health]</ref>


===Costs===
===Costs===
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In Malawi, abortion is only legally permitted to save the life of a pregnant person.<ref>[https://www.womenonwaves.org/en/page/3180/malawi Women on Waves - Malawi]</ref> <ref>[http://worldabortionlaws.com/map/ World Abortion Laws]</ref> If someone is caught trying to obtain an illegal abortion, they can face seven to fourteen years in prison. If someone helps procure drugs or medication for an illegal abortion, they can face up to three years in prison.<ref name=abortionmalawicnn>[https://www.cnn.com/2018/09/26/health/malawi-abortion-law-as-equals-africa-intl/index.html Women are dying from backstreet abortions. But reforms to Malawi's 157-year-old laws are stuck]</ref>
In Malawi, abortion is only legally permitted to save the life of a pregnant person.<ref>[https://www.womenonwaves.org/en/page/3180/malawi Women on Waves - Malawi]</ref> <ref>[http://worldabortionlaws.com/map/ World Abortion Laws]</ref> If someone is caught trying to obtain an illegal abortion, they can face seven to fourteen years in prison. If someone helps procure drugs or medication for an illegal abortion, they can face up to three years in prison.<ref name=abortionmalawicnn>[https://www.cnn.com/2018/09/26/health/malawi-abortion-law-as-equals-africa-intl/index.html Women are dying from backstreet abortions. But reforms to Malawi's 157-year-old laws are stuck]</ref>


There is a large underground, clandestine abortion scene in Malawi, as in many other countries that have restrictive abortion laws. However, these abortion providers may be unsafe or improperly trained, and women die in Malawi every year due to these clandestine abortion providers. <ref name="abortionmalawicnn" />.
There is a large underground, clandestine abortion scene in Malawi, as in many other countries that have restrictive abortion laws. In Malawi, it is common for women to turn to traditional healers for abortions. However, these abortion providers may be unsafe or improperly trained, and women die in Malawi every year due to these clandestine abortion providers. It is estimated that 6-18% of maternal deaths in Malawi are due to unsafe abortions.<ref name="abortionmalawicnn" />. Furthermore, approximately one third of women who experienced complications from abortions did not seek out the help that they needed.<ref name=guttmacher_malawi>[https://www.guttmacher.org/fact-sheet/abortion-malawi Abortion and Postabortion Care in Malawi]</ref>
 
The current abortion laws are actually quite old. They were put in place in 1861, under section 243 of the penal code. These abortion laws are largely preserved because of the religious orientation of the country. About 81% of the population is Christian, and many Christians oppose changes to the abortion laws.<ref name="abortionmalawicnn" />


===What to Get & Where to Get It===
===What to Get & Where to Get It===
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==Advocacy & Counseling==
==Advocacy & Counseling==


===Laws & Social Stigmas===
* [http://auntyjanehotlinemalawi.weebly.com/ Aunty Jane Hotline] gives sexual and reproductive health information, including information on the safe use of Misoprostol (one part of the abortion pill). The hotline can be reached at: (+265) (0) 884 773 300  or text (0) 884 773 310.


===What to Get & Where to Get It===
==LGBTQ+ Resources==


===Costs===
* [http://www.equaldex.com/region/malawi Equaldex - Malawi]: Click here to learn about LGBTQ rights and laws in Malawi. It is important to understand that homosexuality is illegal in Malawi, as of December 2018.
* [https://www.expertafrica.com/malawi/info/advice-for-lesbian-gay-bisexual-and-transgender-lgbt-travellers-in-malawi LGBT Travel - Malawi]: This website provides information on LGBTQ+ travel and what this means for people who may want to visit Malawi.
* [https://www.hrw.org/news/2018/10/26/malawi-arrests-violence-against-lgbt-people# Human Rights Watch - Malawi: Arrests, Violence against LGBT People]: This report provides some background on persecution experienced by LGBTQ+ people in Malawi.


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


* [http://auntyjanehotlinemalawi.weebly.com/ Aunty Jane Hotline] gives sexual and reproductive health information, including information on the safe use of Misoprostol (one part of the abortion pill). The hotline can be reached at: (+265) (0) 884 773 300  or text (0) 884 773 310.
* [http://www.health.gov.mw/ Ministry of Health (MOH) - Malawi]
* [http://www.health.gov.mw/ Ministry of Health (MOH) - Malawi]
* [http://www.fpamalawi.org/ Family Planning Association of Malawi]: "When it was founded in 1999, the Family Planning Association of Malawi (FPAM) focused on providing family planning services. As the organization has evolved, it has both refined and expanded its operation. Today, FPAM targets young people primarily, and reaches out to under-served rural communities. As a result, it operates 64 service points, including 53 mobile sexual and reproductive health (SRH) facilities and 4 static clinics. Its community-based distributor/services (CBDs/CBSs) profile is also very strong with 65 additional delivery points. As ever with IPPF Member Associations, the mix of outlets and approaches is very much led by the particular demographic and geographic needs of the country."
* [http://www.fpamalawi.org/ Family Planning Association of Malawi]: "When it was founded in 1999, the Family Planning Association of Malawi (FPAM) focused on providing family planning services. As the organization has evolved, it has both refined and expanded its operation. Today, FPAM targets young people primarily, and reaches out to under-served rural communities. As a result, it operates 64 service points, including 53 mobile sexual and reproductive health (SRH) facilities and 4 static clinics. Its community-based distributor/services (CBDs/CBSs) profile is also very strong with 65 additional delivery points. As ever with IPPF Member Associations, the mix of outlets and approaches is very much led by the particular demographic and geographic needs of the country."
* [http://www.equaldex.com/region/malawi Equaldex - Malawi]: Click here to learn about LGBTQ rights and laws in Malawi. It is important to understand that homosexuality is illegal in Malawi, as of December 2018.
* [http://www.familyplanning2020.org/malawi Family Planning Malawi 2020]: "FP2020 works with governments, civil society, multilateral organizations, donors, the private sector, and the research and development community to enable 120 million more women and girls to use contraceptives by 2020."
* [https://www.usaid.gov/malawi/fact-sheets/malawi-family-planning-and-reproductive-health-fact-sheet USAID - Malawi Family Planning & Reproductive Health Fact Sheet]: "USAID collaborates with development partners and civil society to address rapid population growth, which remains a significant development challenge in Malawi."


==References==
==References==
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