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Lima: Difference between revisions
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{{setLocation | {{setLocation | ||
|Country=Peru | |Country=Peru | ||
|State=Central Coast | |State=Central Coast (Peru) | ||
|City=Lima | |City=Lima | ||
}} | }} | ||
[[File: | [[File:Limaskyline.jpg|400px | thumb|right|]] | ||
'''OVERVIEW''' | '''OVERVIEW''' | ||
As the capital city of Peru, Lima has perhaps the most health care options available. Contraception, such as the birth control pill, is accessible in pharmacies without a prescription. While emergency contraception is also available, it is not sold in public hospitals, and many pharmacies refuse to sell the pill or sell fake pills. For this reason, exercise caution and | As the capital city of Peru, Lima has perhaps the most health care options available. Contraception, such as the birth control pill, is accessible in pharmacies without a prescription. While emergency contraception is also available, it is not sold in public hospitals, and many pharmacies refuse to sell the pill or sell fake pills. For this reason, exercise caution and conduct research before buying EC. There are some menstrual cups available for purchase in Lima, and many medications are available as well. Peru is also one of the few countries that have PrEP trials in place. Perhaps the most severe of restrictions is tied to abortion. Abortion is illegal under all but very special circumstances, causing many Peruvian women to endure unsafe, underground abortions, and putting them at risk of imprisonment. | ||
==Contraception== | ==Contraception (Birth Control)== | ||
'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here]. | |||
===Laws & Social Stigmas=== | ===Laws & Social Stigmas=== | ||
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===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
At Peruvian pharmacies ("farmacias" or "boticas"), you can buy | * For a complete list of contraceptive options available in Peru, click [http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=PE here]. | ||
* At Peruvian pharmacies ("farmacias" or "boticas"), you can buy '''birth control pills''' without a prescription. There are over 30 brands of birth control pills, including Anulette, Cerazette, Diane-35, Exluton, Gynera, Lo-Femenal, Marvelon, Mercilon, Microgen, Microgynon, Nordette, Trinordiol, Yasmin and more. For a full list of pill options, click [http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=PE here]. | |||
* If you are buying '''condoms''', it is recommended to ask for a brand-name condom. Otherwise, you will be sold the cheap rainbow brand, which may be less effective than some other brands. Some recommended pharmacies are Boticas y Salud, Inkafarma and Mifarma. Hospitals should also have pharmacies. | |||
* If you want the '''contraceptive implant''', you can find Implanon, Jadelle and Norplant in Peru.<ref>[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=PE IPPF Peru]</ref> | |||
* If you want the '''contraceptive shot/injectable''', there are a lot of options. You can find Cyclofem, Cyclofemina, Depo-Provera, Exuna, Megestron, Mesigyna, Mesigyna Instayect, Patector, Perlutal and Soluna in Peru.<ref>[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=PE IPPF Peru]</ref> | |||
* If you want the '''contraceptive patch''', you can find Evra in Peru.<ref>[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=PE IPPF Peru]</ref> | |||
* If you want an '''IUD''', you can find Mirena in Peru.<ref>[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=PE IPPF Peru]</ref> | |||
===Costs=== | ===Costs=== | ||
==Emergency Contraception== | ==Emergency Contraception (Morning After Pill)== | ||
'''Important | '''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 [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here]. | ||
===Laws & Social Stigmas=== | ===Laws & Social Stigmas=== | ||
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More on fake medicine from a travel blogger in Peru: "Sales of fake medicines or medicines past their expiration time (re-branded to appear as new) or medicines of dubious origins are a constant problem in Lima, Peru. Most of these medicines are sold around the poorest areas of Lima and as long as you stick to any of the good pharmacies mentioned above everything should be okay. Always look at your medicine and check the expiration date anyways."<ref>[http://perutravelerblog.com/tips/10-things-know-pharmacies-lima-peru/ 10 Things to Know about Pharmacies in Lima Peru]</ref> | More on fake medicine from a travel blogger in Peru: "Sales of fake medicines or medicines past their expiration time (re-branded to appear as new) or medicines of dubious origins are a constant problem in Lima, Peru. Most of these medicines are sold around the poorest areas of Lima and as long as you stick to any of the good pharmacies mentioned above everything should be okay. Always look at your medicine and check the expiration date anyways."<ref>[http://perutravelerblog.com/tips/10-things-know-pharmacies-lima-peru/ 10 Things to Know about Pharmacies in Lima Peru]</ref> | ||
'''Be careful: Public Hospitals:''' Peru has banned the distribution of EC in public hospitals. Don't waste your time trying to get EC there. As reported by | '''Be careful: Public Hospitals:''' Peru has banned the distribution of EC in public hospitals. Don't waste your time trying to get EC there. As reported by the Center for Reproductive Rights in May 2016: "Peru’s ban on the distribution of emergency contraception in public hospitals denied a rape survivor access to essential medical treatment following her assault, according to a new case filed in the Inter-American Commission on Human Rights (IACHR) – a principal human rights body for the Americas.... Peru has the highest reported rate of rape in South America, yet in 2009, Peru’s Constitutional Tribunal ordered the Ministry of Health to stop distributing emergency contraception in public hospitals, wrongfully claiming the medicine induces abortion and that the government therefore cannot distribute it through public institutions."<ref>[http://www.reproductiverights.org/press-room/new-human-rights-case-filed-on-behalf-of-peruvian-rape-survivor-denied-emergency-contraception New Human Rights Case Filed on Behalf of Peruvian Rape Survivor Denied Emergency Contraception at Public Hospital]</ref> | ||
===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. Check to see if your country carries ellaOne. If your country doesn't 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. | |||
====Pill Details==== | ====Pill Details==== | ||
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===Costs=== | ===Costs=== | ||
== | ==Sexually Transmitted Infections (STIs/STDs)== | ||
'''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 [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ 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 [http://www.whatisprep.org/ here]. | |||
===Laws & Social Stigmas=== | ===Laws & Social Stigmas=== | ||
=== | ===Testing Facilities=== | ||
* [http://www.vialibre.org.pe/ Via Libre]: "VÍA LIBRE trabaja a favor del acceso universal a la salud integral; con énfasis en la salud sexual, reproductiva y VIH; generando evidencias a partir de programas, servicios e investigaciones." Address: Paraguay 478, Distrito de Lima LIMA 01, Peru. Phone: +51 1 2039900. Facebook: https://www.facebook.com/vialibre.org/ | |||
* [http://www.clinicagonzalez.com/ Clínica Gonzalez:] Cheaper but may not have any English speakers. Address: Av. Ignacio Merino 1884, Lince 15046, Peru. Phone: +51 1 4711579 | |||
* [http://www.inppares.org/ Inppares]: Tests for HIV/AIDS and maybe more STDs/STIs as well. Address: Centro Médico. Dirección: Av. Giuseppe Garibaldi 125 (antes Gregorio Escobedo). | |||
* Hospital Nacional Arzobispo Loayza: This clinic is included in the AIDS Healthcare Foundation Global Directory, so they should either provide HIV tests or be able to direct you to a clinic that does. Address: Av. Alfonso Ugarte 848, Lima, Perú. Phone: (+51) 16144646 | |||
===Support=== | |||
* [http://www.accionensida.org.pe/ Acción en SIDA]: "Publishes a bulletin of HIV/AIDS-related information aimed at the Latin American and Caribbean communities. Website features regional forums and a resource bank of articles. Offices in Lima. | |||
* [http://www.impactaperu.org/ Para T]i: "Offers research studies, a free telephone hotline and information groups for HIV-positive women in Lima." | |||
* [http://www.redsidaperu.org.pe/Red SIDA Perú]: "A list of Peruvian organizations offering legal assistance, prevention and education workshops, courses and chats, psychological assistance, HIV and STD testing, treatment, medical care, social work, medicine banks, group therapy, nutritional assistance, telephone hotlines, prevention events, publications and articles for HIV-positive people." | |||
===Costs=== | |||
==Medications & Vaccines== | |||
===Laws & Social Stigmas=== | |||
Regarding PrEP, according to PrEPWatch: "Peru hosted three sites in the phase III iPrEx trial, and the open-label extension of iPrEx. Several studies have shown the cost-effectiveness of rolling out PrEP in Peru, as well as looked at delivery issues such as provider attitudes and acceptability. Truvada is registered for treatment. In April 2016 the Peru Ministry of Health approved the use of fixed-dose combination of tenofovir disoproxyl fumarate and emtricitabine for PrEP. There is no national PrEP policy or guidance at present. Peruvian NGOs, such as Epicentro and Investigaciones Médicas en Salud (Inmensa), have worked on PrEP research and advocacy."<ref>[http://www.prepwatch.org/peru/ PrEP in Peru]</ref> | ===What to Get & Where to Get It=== | ||
* Here's a fantastic site for locating medications in Peru: [http://observatorio.digemid.minsa.gob.pe/# Observatorio de Productos Farmacueticos]. | |||
* 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. | |||
* Regarding HPV, there has been an HPV vaccination program in Peru since 2011. It targets 10 year olds for immunization.<ref>[http://www.hpvcentre.net/statistics/reports/PER.pdf HPV Centre Report on Peru]</ref>. For Peru, vaccine coverage was 82.6% in Peru under school-based outreach between 2006-2010.<ref>[http://www.who.int/bulletin/volumes/91/8/12-113837/en/ Delivery cost of human papillomavirus vaccination of young adolescent girls in Peru, Uganda and Viet Nam]</ref> | |||
* Regarding HIV/AIDS, people are allowed to import antiretrovirals. Also, there are treatment facilities offered to all people, including foreigners. The "TARGA" treatment is provided to Peruvians and foreigners at no charge, which you can find at public hospitals and the Health Centres Network.<ref>[http://www.hivtravel.org/Default.aspx?PageId=143&CountryCode=PE HIV Travel: Peru]</ref> | |||
* Regarding PrEP, according to PrEPWatch: "Peru hosted three sites in the phase III iPrEx trial, and the open-label extension of iPrEx. Several studies have shown the cost-effectiveness of rolling out PrEP in Peru, as well as looked at delivery issues such as provider attitudes and acceptability. Truvada is registered for treatment. In April 2016 the Peru Ministry of Health approved the use of fixed-dose combination of tenofovir disoproxyl fumarate and emtricitabine for PrEP. There is no national PrEP policy or guidance at present. Peruvian NGOs, such as Epicentro and Investigaciones Médicas en Salud (Inmensa), have worked on PrEP research and advocacy."<ref>[http://www.prepwatch.org/peru/ PrEP in Peru]</ref> | |||
===Costs=== | ===Costs=== | ||
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===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
In major supermarkets, like | In major supermarkets, like plazaVea, Tottus, Metro or Wong, you can find pads (large selection) and tampons (limited selection). In pharmacies and smaller supermarkets, you'll be able to find pads and may/may not also see tampons. You can also find pads in many corner stores. | ||
As for menstrual cups, there are some local sellers. For MoonCup, there is one registered seller in Miraflores, Peru: [http://www.dimawe.com Dimawe] - Tel: | As for menstrual cups, there are some local sellers. For MoonCup, there is one registered seller in Miraflores, Peru: [http://www.dimawe.com Dimawe] - Tel: +51 1 4478012. Contact: Linda Rojas. Email: linda.r@dimawe.com. For Mooncup, there is one seller in Lima: Paolo Solis H. - Jiron Sucre 560 casa 96, San Miguel, Lima, Peru. Telephone: 987624667 and two in [[Arequipa]]. There are no registered LadyCup sellers in Peru. | ||
===Costs=== | ===Costs=== | ||
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* [http://www.hejcu.gob.pe/ Emergency Hospital Jose Casimiro Ulloa]: Address: av, Av. República de Panamá 6399, Miraflores 15048, Peru. Phone: +51 1 2040900 | * [http://www.hejcu.gob.pe/ Emergency Hospital Jose Casimiro Ulloa]: Address: av, Av. República de Panamá 6399, Miraflores 15048, Peru. Phone: +51 1 2040900 | ||
* [http://www.clinicamontesur.com.pe/ Clinica Montesur]: Address: El Polo 505, Santiago de Surco, Peru. Phone: +51 1 3174000 | * [http://www.clinicamontesur.com.pe/ Clinica Montesur]: Address: El Polo 505, Santiago de Surco, Peru. Phone: +51 1 3174000 | ||
===Costs=== | ===Costs=== | ||
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==Abortion== | ==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 [https://www.plannedparenthood.org/learn/abortion here]. | |||
===Laws & Social Stigmas=== | ===Laws & Social Stigmas=== | ||
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==References== | ==References== | ||
<references /> | |||
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