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'''OVERVIEW'''  
'''OVERVIEW'''  
The story of reproductive and sexual health care in Zambia is a complex one. On the one hand, women in urban areas can find condoms sold in a variety of markets, and birth control pills can be purchased over-the-counter. You can also find longer lasting contraceptive methods, such as IUDs, implants, or injectables, available at clinics and hospitals. Emergency contraceptive pills are available and no prescription is required. On the other hand, Zambia is a generally conservative society, where homosexuality is illegal and many topics related to sexuality are considered taboo. The majority of women in Zambia live in poverty and, in many communities, contraceptives are a stigmatized topic. Rural women may live a day's trek away from the nearest contraceptive distributor, and they are typically expected to marry young and start families at an early age. As of 2018, Zambian women have one of the highest fertility rates in the world.
For many years, Zambia has struggled with an HIV epidemic, though the rate of HIV infection has decreased considerably in recent years. In 2016, a little under 15% of women in Zambia were living with HIV. If you are a foreigner who is visiting Zambia, there are no travel or residency restrictions related to your HIV status. There are also many programs and initiatives related to HIV prevention, treatment, and care in Zambia.
There are various clinics and hospitals that one can visit in Zambia, though quality will vary. For women who cannot afford private providers, Marie Stopes International may be a good place to visit for sexual and reproductive health care. In Zambia, maternity leave is granted to women, but we do not know how widely this policy is enforced (if you do, please update the page). Abortion is also legally permitted, but only in certain circumstances.


==Contraception (Birth Control)==
==Contraception (Birth Control)==
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===Laws & Social Stigmas===
===Laws & Social Stigmas===


In Zambia, you can purchase oral contraceptives (birth control pills) over-the-counter at pharmacies. No prescription is needed.<ref>[http://ocsotc.org/wp-content/uploads/worldmap/worldmap.html Global Oral Contraception Availability]</ref> <ref>[http://freethepill.org/where-on-earth/ Free the Pill: Where on Earth]</ref> You can also find other contraceptive methods, such as implants and intrauterine devices (IUDs), available at clinics and hospitals. For rural women, they can access certain contraceptive methods from Community Based Distributors (CBDs), though the trek to CBD centers may be arduous and they may not receive support from their husbands or communities regarding their contraceptive preferences.<ref>[https://www.ippf.org/blogs/overcoming-family-planning-challenges-zambia Overcoming family planning challenges in Zambia]</ref>
In Zambia, you can purchase oral contraceptives (birth control pills) over-the-counter at pharmacies in urban areas. No prescription is needed.<ref>[http://ocsotc.org/wp-content/uploads/worldmap/worldmap.html Global Oral Contraception Availability]</ref> <ref>[http://freethepill.org/where-on-earth/ Free the Pill: Where on Earth]</ref> You can also find other contraceptive methods, such as implants and intrauterine devices (IUDs), available at clinics and hospitals. For rural women, certain contraceptive methods can be accessed from Community Based Distributors (CBDs), though the trek to CBD centers may be arduous, and they may be discouraged from seeking out contraceptives from their husbands or communities.<ref>[https://www.ippf.org/blogs/overcoming-family-planning-challenges-zambia Overcoming family planning challenges in Zambia]</ref>


Generally speaking, Zambia has a high fertility rate (nearly 6 children per woman), making it the country with the eighth highest fertility rate in the world.<ref>[https://www.cia.gov/library/publications/the-world-factbook/geos/za.html CIA World Factbook7]</ref> According to a 2015 United Nations report, it was found that about 52% of Zambian women (who were of reproductive age and married/in unions) used any form of contraception, including traditional methods. This rate was notably higher than the Eastern African regional average for contraceptive use among women in 2015 (40%). The most common contraceptive methods for Zambian women were found to be contraceptive injectables (20%), birth control pills (12%), and contraceptive implants (6%). Male condoms were used by some couples (about 4%). While some couples opted for sterilization, the rates were rather low (2% for women and 0% for men). There were especially low rates of usage for IUDs (1%) and practically no users of the vaginal barrier method (0%). Traditional methods were also used at a very low rate, such as the rhythm method (less than 1%) and withdrawal (less than 1%).<ref>[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in Contraceptive Use Worldwide 2015]</ref>
Zambia has a high fertility rate (nearly 6 children per woman), making it the country with the eighth highest fertility rate in the world.<ref>[https://www.cia.gov/library/publications/the-world-factbook/geos/za.html CIA World Factbook7]</ref> According to a 2015 United Nations report, it was found that about 52% of Zambian women (who were of reproductive age and married/in unions) used any form of contraception, including traditional methods. The most common contraceptive methods for Zambian women were found to be contraceptive injectables (20%), birth control pills (12%), and contraceptive implants (6%). Male condoms were used by some couples (about 4%). While some couples opted for sterilization, the rates were rather low (2% for women and 0% for men). There were especially low rates of usage for IUDs (1%) and practically no users of the vaginal barrier method (0%). Traditional methods were also used at a very low rate, such as the rhythm method (less than 1%) and withdrawal (less than 1%).<ref>[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in Contraceptive Use Worldwide 2015]</ref>


Generally speaking, Zambian women experience vastly different lives, depending on their economic and social status, whether they live in rural or urban areas, and the agency that they are granted in their families and communities. Women who are more wealthy, educated, urbanized, and independent tend to have greater access to family planning options, particularly if they live in bigger cities like Lusaka or Kitwe, and may be able afford higher quality care at private clinics and hospitals.<ref>[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5363807/ Why don’t urban youth in Zambia use condoms? The influence of gender and marriage on non-use of male condoms among young adults]</ref> However, this is not the case for most women in Zambia, where 64% of people live in poverty (and, in rural areas, 80% of people live in poverty).<ref>[https://www.unicef.org/zambia/children_5157.html UNICEF Zambia - Poverty]</ref> The lack of educational, economic, and social opportunities hit women particularly hard. In 2015, it was estimated that women had a 56% literacy rate (compared to 70.9% literacy rate for men).<ref>[https://www.cia.gov/library/publications/the-world-factbook/geos/za.html CIA World Factbook 2017]</ref> Patriarchal social structures and norms also grant many women limited agency over their property, land, sex lives, and contraceptive decisions. As a result, women may not seek out contraception because their husbands or communities do not approve.<ref>[https://www.genderindex.org/country/zambia/ Gender Index - Zambia]</ref> <ref>[https://www.daily-mail.co.zm/family-planning-the-grim-reality-in-rural-areas/ Family planning: The grim reality in rural areas]</ref> This issue is compounded by the fact that there are widespread stigmas around contraceptives. For example, surveys in 2009 showed that two-thirds of young adults in Zambia believed that condoms promoted promiscuity.<ref>[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5363807/ Why don’t urban youth in Zambia use condoms? The influence of gender and marriage on non-use of male condoms among young adults]</ref> You can read an article from the Lusaka Times, which tried to dispel many of the myths surrounding condoms, [https://www.lusakatimes.com/2016/12/05/facts-about-condoms/ here].
Generally speaking, Zambian women experience vastly different lives, depending on their economic and social status, whether they live in rural or urban areas, and the agency that they are granted in their families and communities. Women who are more wealthy, educated, urbanized, and independent tend to have greater access to family planning options, particularly if they live in bigger cities like Lusaka or Kitwe, and may be able afford higher quality care at private clinics and hospitals.<ref>[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5363807/ Why don’t urban youth in Zambia use condoms? The influence of gender and marriage on non-use of male condoms among young adults]</ref> However, this is not the case for most women in Zambia, where 64% of people live in poverty (and, in rural areas, 80% of people live in poverty).<ref>[https://www.unicef.org/zambia/children_5157.html UNICEF Zambia - Poverty]</ref> The lack of educational, economic, and social opportunities hit women particularly hard. In 2015, it was estimated that women had a 56% literacy rate (compared to 70.9% literacy rate for men).<ref>[https://www.cia.gov/library/publications/the-world-factbook/geos/za.html CIA World Factbook 2017]</ref> Patriarchal social structures and norms also grant many women limited agency over their property, land, sex lives, and contraceptive decisions. As a result, women may not seek out contraception because their husbands or communities do not approve.<ref>[https://www.genderindex.org/country/zambia/ Gender Index - Zambia]</ref> <ref>[https://www.daily-mail.co.zm/family-planning-the-grim-reality-in-rural-areas/ Family planning: The grim reality in rural areas]</ref> This issue is compounded by the fact that there are widespread stigmas around contraceptives. For example, it is a common misconception among many women that contraceptives cause permanent infertility.<ref>[https://globalpressjournal.com/africa/zambia/myths-infertility-mean-many-young-zambian-women-dont-use-contraception-already-late/ Fertility Myths – Not Access – Stand Between Zambian Women and Contraception]</ref> Furthermore, surveys in 2009 showed that two-thirds of young adults in Zambia believed that condoms promoted promiscuity.<ref>[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5363807/ Why don’t urban youth in Zambia use condoms? The influence of gender and marriage on non-use of male condoms among young adults]</ref> You can read an article from the Lusaka Times, which tried to dispel many of the myths surrounding condoms, [https://www.lusakatimes.com/2016/12/05/facts-about-condoms/ here].


While Zambia has a large urban population (43.5% of total population in 2018), there are still many women who live in remote and rural areas. For these women, it is particularly difficult to access family planning services. They may need to travel long distances, often by foot, to access family planning services from Community Based Distributors (CBDs). The CBDs typically have condoms available, but as of 2016, they were not trained or authorized to offer longer-lasting contraceptive methods, such as IUDs or implants.<ref>[https://www.ippf.org/blogs/overcoming-family-planning-challenges-zambia Overcoming family planning challenges in Zambia]</ref> Rural women typically tend to marry young and give birth early, as children are seen as a sign of prestige.<ref>[https://www.cia.gov/library/publications/the-world-factbook/geos/za.html CIA World Factbook7]</ref>
While Zambia has a large urban population (43.5% of total population in 2018), there are still many women who live in remote and rural areas. For these women, it is particularly difficult to access family planning services. They may need to travel long distances, often by foot, to access family planning services from Community Based Distributors (CBDs). The CBDs typically have condoms available, but as of 2016, they were not trained or authorized to offer longer-lasting contraceptive methods, such as IUDs or implants.<ref>[https://www.ippf.org/blogs/overcoming-family-planning-challenges-zambia Overcoming family planning challenges in Zambia]</ref> Rural women typically tend to marry young and give birth early, as children are seen as a sign of prestige.<ref>[https://www.cia.gov/library/publications/the-world-factbook/geos/za.html CIA World Factbook7]</ref>
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===What to Get & Where to Get It===
===What to Get & Where to Get It===


* You can find '''male condoms''' sold at a variety of markets.
* You can find '''male condoms''' sold at a variety of markets, including kiosks, grocery stores, and pharmacies. There are also initiatives, like social marketing programs and donor subsidized programs, which allow people to access condoms at reduced rates (for example, these programs may allow people to purchase condoms at one tenth of the typical price).<ref>[https://pdfs.semanticscholar.org/0f72/d2877020f78351558be8add36923cfdf491a.pdf Equity in access to condoms in urban Zambia]</ref> Some of the condom brands you can expect to find in pharmacies are Carex, Contempo, Durex, Maximum, Moods, Manforce, and Rough Rider.
* You can find a variety of '''contraceptive pills (birth control pills)''' available at pharmacies, clinics, hospitals, and NGOs that provide health services. Some of the birth control pill brands you can expect to see are Microgynon and Diane.
* You can find '''female condoms''' sold in pharmacies in Zambia. However, they do not appear to be widely used and there are reports of women rejecting them as an option. You can read a story about rural women rejecting female condoms [https://www.daily-mail.co.zm/why-women-shun-their-condoms/ here].
* You can find a variety of '''oral contraceptive pills (birth control pills)''' available at pharmacies, clinics, hospitals, and NGOs that provide health services. Some of the birth control pill brands you can expect to see are Diane 35, Safe Plan, Microgynon, and Oraclon.
** Note: If you obtain birth control pills with instructions that are only in non-English languages (such as Chinese), they may be in the country illegally, and the Zambian government warns against using them. You can read more about this issue [https://www.daily-mail.co.zm/chinese-contraceptive-pill-worries-state-medical-bodies/ here].
* If you want an '''intrauterine device (IUD)''', you can get it inserted it at various hospitals and clinics in Zambia. For example, at [http://victoriahospitals.org/ Victoria Hospital], you can get a copper IUD inserted for k1600 (as of June 2018). For women who are low-income, there may be free or low-cost options available at NGOs and public sector facilities, such as Marie Stopes International (see below for more information on MSI).
* If you want an '''intrauterine device (IUD)''', you can get it inserted it at various hospitals and clinics in Zambia. For example, at [http://victoriahospitals.org/ Victoria Hospital], you can get a copper IUD inserted for k1600 (as of June 2018). For women who are low-income, there may be free or low-cost options available at NGOs and public sector facilities, such as Marie Stopes International (see below for more information on MSI).
* If you want an '''contraceptive implant''', you can get it inserted at various hospitals and clinics in Zambia. For example, at [http://victoriahospitals.org/ Victoria Hospital], you can get the Jadelle implant inserted for k1000 (as of June 2018). For women who are low-income, there may be free or low-cost options available at NGOs and public sector facilities, such as Marie Stopes International (see below for more information on MSI).
* If you want an '''contraceptive implant''', you can get it inserted at various hospitals and clinics in Zambia. For example, at [http://victoriahospitals.org/ Victoria Hospital], you can get the Jadelle implant inserted for k1000 (as of June 2018). For women who are low-income, there may be free or low-cost options available at NGOs and public sector facilities, such as Marie Stopes International (see below for more information on MSI).
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===Costs===
===Costs===
* For a box of '''condoms,''' you can expect to pay between K1 to K35 at pharmacies (as of July 2018). For example, here are the prices for condoms provided by two Lusaka pharmacies, July 2018: Maximum - K1 to K2.5, Manforce - K5, Moods - K7.50 to K15, Carex - K15, Rough Rider - K18, Contempo - K22.00, Durex K39.00 However, you can probably find free condoms from certain clinics and social marketing programs.
* For a month (or many months) supply of '''oral contraceptives (birth control pills)''', you can expect to pay between K15 to K200, if you're paying the full price at pharmacies (as of July 2018). For example, here are the prices for birth control pills at one Lusaka pharmacy in July 2018: Diane 35 - K170.00/28 tabs, Safe Plan - K15.00/3 months, Oralcon F - K45.00/3 months. However, you can probably find reduced cost control pills from certain clinics and social marketing programs.


==Emergency Contraception (Morning After Pill)==
==Emergency Contraception (Morning After Pill)==
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===Laws & Social Stigmas===
===Laws & Social Stigmas===


In Zambia, it appears that you can only access emergency contraceptive pills (morning after pills) with a prescription. However, the usage of ECPs is extremely low. In 2007, it was reported that only 0.5% of women had ever used ECPs and 9.3% had knowledge of them.<ref>[http://www.cecinfo.org/country-by-country-information/status-availability-database/countries/zambia/ EC Status and Availability: Zambia]</ref> However, in the years since this data was collected, the rate of usage and knowledge may have increased.
In Zambia, you can access emergency contraceptive pills (morning after pills) from pharmacies without a prescription. We have confirmed this by talking to two separate pharmacies in Lusaka (July 2018). However, if you look at official online sources, it may state that you can only access emergency contraceptive pills (morning after pills) with a prescription. This information may be the "official" law, but it may not be practiced or it may be outdated and no longer valid.
 
In Zambia, the usage of ECPs is extremely low. In 2007, it was reported that only 0.5% of women had ever used ECPs and 9.3% had knowledge of them.<ref>[http://www.cecinfo.org/country-by-country-information/status-availability-database/countries/zambia/ EC Status and Availability: Zambia]</ref> However, in the years since this data was collected, the rate of usage and knowledge may have increased.


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


* In Zambia, you can find emergency contraceptive pills (morning after pills) at public sector clinics, hospitals (such as [http://victoriahospitals.org/ Victoria Hospital)], pharmacies, and NGOS/programs affiliated with the International Planned Parenthood Foundation (IPPF) or [https://mariestopes.org/where-we-work/zambia/ Marie Stopes International - Zambia]. You need a prescription to obtain emergency contraceptive pills. Some of the brands you can expect to find are Lenor 72, Pregnon, and Revoke 72. These brands are produced by Indian pharmaceutical companies and are imported into Zambia.
* In Zambia, you can find emergency contraceptive pills (morning after pills) at public sector clinics, hospitals (such as [http://victoriahospitals.org/ Victoria Hospital)], pharmacies, and NGOS/programs affiliated with the International Planned Parenthood Foundation (IPPF) or [https://mariestopes.org/where-we-work/zambia/ Marie Stopes International - Zambia]. You don't need a prescription to obtain emergency contraceptive pills, as of July 2018. Some of the brands you can expect to find are Lenor 72, Pregnon, Revoke 72, Safe Pill, and Today Pill. Some of these brands are produced by Indian pharmaceutical companies and are imported into Zambia.
* If you cannot access dedicated emergency contraceptive pills, you can use regular birth control pills as replacement ECPS. To do this, you can take progestin-only pills, like Microlut or Microval (for these pills, you take 50 pills within 120 hours after unprotected sex), or you can take combined progestin-estrogen pills, like Eugynon, Neogynon or Ovral (for these pills, take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later), or Lo-Femenal, Microgynon-30 or Nordette (for these pills, take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later). For combined pills, remember that in in 28-day packs, only the first 21 pills can be used.<ref>[http://ec.princeton.edu/ Princeton EC Website]</ref>
* If you cannot access dedicated emergency contraceptive pills, you can use regular birth control pills as replacement ECPS. To do this, you can take progestin-only pills, like Microlut or Microval (for these pills, you take 50 pills within 120 hours after unprotected sex), or you can take combined progestin-estrogen pills, like Eugynon, Neogynon or Ovral (for these pills, take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later), or Lo-Femenal, Microgynon-30 or Nordette (for these pills, take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later). For combined pills, remember that in in 28-day packs, only the first 21 pills can be used.<ref>[http://ec.princeton.edu/ Princeton EC Website]</ref>
* You can also get an '''IUD''' to prevent pregnancy after unprotected sex. You should ask your health care provider for details.


===Costs===
===Costs===
* If you go to a pharmacy to purchase emergency contraceptive pills, you can expect to pay around K10 to K20, as of July 2018. Here are the prices quoted by one Lusaka pharmacy (July 2018): Lenor 72 @ K10.00, Safe pill @ K10.00, and Today pill @ K20.00. However, you may be able to find reduced cost or free emergency contraceptive options from certain clinics and social marketing programs, if you qualify for a discount.


==Sexually Transmitted Infections (STIs/STDs)==
==Sexually Transmitted Infections (STIs/STDs)==
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===What to Get & Where to Get It===
===What to Get & Where to Get It===


* You can find '''pads/pantyliners''' for sale in stores in Zambia, particularly in larger cities like Lusaka.
* You can find '''pads/pantyliners''' for sale in stores and pharmacies in Zambia, particularly in larger cities like Lusaka. Some of the brands you can expect to see are Always, Stay Free, and Kotex.
* You can find '''tampons''' for sale in stores in Zambia, particularly in larger cities like Lusaka.
* You can find '''tampons''' for sale in stores and pharmacies in Zambia, particularly in larger cities like Lusaka. Some of the brands you can expect to see are Kotex and Lilets.
* If you are interested in '''menstrual cups''', there may be online vendors of menstrual cups that can deliver to your local address in Zambia, such as [http://umoyo.com/shop/product/menstrual-cup/ Umoyo]. You can check out [http://www.talulacup.com/ Talula Cup], a Zambia-based menstrual cup (contact: Alice Fircks - Druadan Estate, Mkushi, Zambia; Email: alice@talulacup.com). About Talula Cup: "The Talula Cup is a medical grade silicone cup, shaped like a bell and is flexible. It's a clean and convenient solution for local African women in Zambia. Menstruation products aren't always accessible, so we're working to bring Talula cups to them."
* If you are interested in '''menstrual cups''', there may be online vendors of menstrual cups that can deliver to your local address in Zambia, such as [http://umoyo.com/shop/product/menstrual-cup/ Umoyo]. You can check out [http://www.talulacup.com/ Talula Cup], a Zambia-based menstrual cup (contact: Alice Fircks - Druadan Estate, Mkushi, Zambia; Email: alice@talulacup.com). About Talula Cup: "The Talula Cup is a medical grade silicone cup, shaped like a bell and is flexible. It's a clean and convenient solution for local African women in Zambia. Menstruation products aren't always accessible, so we're working to bring Talula cups to them."


===Costs===
===Costs===
* Here are the price quotes for '''pads/pantyliners''' at a pharmacy in Lusaka (July 2018): Always K19.50, Stay Free K10, Kotex K15
* Here are the price quotes for '''tampons''' at a pharmacy in Lusaka (July 2018): Kotex K22.50 and Lilets K25


==Gynecological Exams==
==Gynecological Exams==
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* [http://ses-zambia.com/ SES Zambia]: "SES has an established network of contacts within Zambia and neighbouring territories. In addition to our headquarters in Lusaka, we have offices in Kitwe, Livingstone and partners in Johannesburg and Lubumbashi. From our central base in Zambia we are able to provide rapid emergency response services across the Sub Saharan Africa region."
* [http://ses-zambia.com/ SES Zambia]: "SES has an established network of contacts within Zambia and neighbouring territories. In addition to our headquarters in Lusaka, we have offices in Kitwe, Livingstone and partners in Johannesburg and Lubumbashi. From our central base in Zambia we are able to provide rapid emergency response services across the Sub Saharan Africa region."
** Recommended Doctor: Dr Bastian
** Recommended Doctor: Dr Bastian
* Consultation for Dr Nargis is 300 K and scan is at 300 K. Phone: ‭+260 97 9777166‬
* Consultation for Dr. Nargis Ashurova is 300 K and scan is at 300 K. Phone: ‭+260 97 9777166‬
* Fairview Hospital: You can expect to pay K450 for a consultation and you're then entitled to a free follow-up check within 7 days of your consultation, as of June 2018.
* Fairview Hospital: You can expect to pay K450 for a consultation and you're then entitled to a free follow-up check within 7 days of your consultation, as of June 2018.
** Recommended doctor: Dr. Gangat
** Recommended doctor: Dr. Gangat
** Recommended doctor: Dr. Nasreddine
** Recommended doctor: [https://www.zoominfo.com/p/Souhail-Nasreddine/1843293154 Dr. Souhail Nasreddine]
* Dr. Saida at Medcross: She comes highly recommended by a local. You can expect to pay around K200 to K250, as of June 2018 for a consultation, and then additional services will be extra fees.
* Dr. Saida Mukhitdinova at Medcross: She comes highly recommended by a local. You can expect to pay around K200 to K250, as of June 2018 for a consultation, and then additional services will be extra fees. Address: Med Cross Hospital, Plot 555, 65 Independence Ave, Lusaka, Zambia, PO Box 33410, Lusaka, Zambia. Email: medcross@mail.ru. Phone: 0211 25 6148
* Wellspring Hospital: Recommended gynecologists - Dr. Sasa and Dr Nangis. From a local: "The best ever. Personal care. And best prices."


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


* [https://mariestopes.org/where-we-work/zambia/ Marie Stopes International - Zambia]: This international NGO has provided comprehensive abortion care to patients. You should contact them to learn the current status of what they offer. Phone number to talk to advisors: 5600 (toll-free on MTN or Airtel networks) Email: info@mariestopes.org.zm Facebook: https://m.facebook.com/MarieStopesZambia
* [https://mariestopes.org/where-we-work/zambia/ Marie Stopes International - Zambia]: This international NGO has provided comprehensive abortion care to patients. You should contact them to learn the current status of what they offer. Phone number to talk to advisors: 5600 (toll-free on MTN or Airtel networks) Email: info@mariestopes.org.zm Facebook: https://m.facebook.com/MarieStopesZambia
* If you are considering leaving the country for an abortion, you can get a legal abortion upon request in [[South Africa]]. In the continent of Africa, you can get a legal abortion upon request in [[Tunisia]], [[Mozambique]], and [[Cape Verde]] as well. Outside of Africa, you can receive legal abortions upon request in many countries, such as [[India]], [[Turkey]], [[China]], [[Vietnam]], and many European countries.


===Costs===
===Costs===
* If you are pregnant and considering getting an abortion outside Zambia, you will need to consider the following costs: visa processing fees, transportation to the country where you will be obtaining an abortion, hotel or accommodation costs in that country, cost of the abortion in the country and the total amount of days you may need to be in the country both before and after the abortion.


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


* Kara-Counseling: Plot No. 174, Villa Elizabeth, Along Luanshya Road. Telephone: +260 21 1227086; Fax: +260 21 1227087.
* [https://www.facebook.com/pages/biz/Kara-Counselling-and-Training-Trust-241069600569/ Kara Counseling & Training Trust]: "Kara counseling and Training Trust ltd (KCTT) was founded in 1989 as a centre for People Living With HIV/AIDS, and is now one of the leading NGO’s in Zambia working in the field of counseling and HIV/AIDS." Address: Plot No. 174, Villa Elizabeth, Along Luanshya Road. Telephone: +260 21 1227086; Fax: +260 21 1227087.
* [http://psychzambia.com/ PsycHealth Zambia]: They offer a General Consultation (55 minutes, k400), Relationship and Marriage Counseling (1 hour, k400; follow-up for k250), Sexual Abuse & Violence Counseling (1 hour and 30 minutes, K400 Consultation; K250 Follow-up), etc. Prices posted as of July 2018. Address: 11 Buchi Road, Northmead, Lusaka, Zambia. Call +260 95 5264975.
* [http://psychzambia.com/ PsycHealth Zambia]: They offer a General Consultation (55 minutes, k400), Relationship and Marriage Counseling (1 hour, k400; follow-up for k250), Sexual Abuse & Violence Counseling (1 hour and 30 minutes, K400 Consultation; K250 Follow-up), etc. Prices posted as of July 2018. Address: 11 Buchi Road, Northmead, Lusaka, Zambia. Call +260 95 5264975.
* [https://thebestofzambia.com/orgs/alcoholics-anonymous/ Alcoholics Anonymous Zambia]: "Alcoholics Anonymous is an international mutual aid fellowship founded in 1935. In Zambia, this fellowship of men and women gather and share their experience, strength and hope with each other in order to solve their common problem and recover from alcoholism. The only requirement for membership is a desire to stop drinking. The primary purpose for Alcoholics Anonymous is to stay sober and help other alcoholics achieve sobriety. The meetings takes place three times a week at the Cathedral of the Holy Cross."
* [https://thebestofzambia.com/orgs/alcoholics-anonymous/ Alcoholics Anonymous Zambia]: "Alcoholics Anonymous is an international mutual aid fellowship founded in 1935. In Zambia, this fellowship of men and women gather and share their experience, strength and hope with each other in order to solve their common problem and recover from alcoholism. The only requirement for membership is a desire to stop drinking. The primary purpose for Alcoholics Anonymous is to stay sober and help other alcoholics achieve sobriety. The meetings takes place three times a week at the Cathedral of the Holy Cross."

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