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Moscow: Difference between revisions
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{{setLocation | {{setLocation | ||
|Country=Russia | |Country=Russia | ||
|City=Moscow | |City=Moscow | ||
}} | }} | ||
[[File:Full-view-of-moscow-cathedral-russia.jpg|400px |thumb|right|]] | |||
'''OVERVIEW''' | '''OVERVIEW''' | ||
As the capital of Russia, you will find many health care resources in Moscow. Contraception is widely available; birth control pills and condoms be purchased without a prescription. Emergency contraception requires a prescription yet appears informally available without one. You can receive STI/STD tests at many facilities, though you should be aware that foreigners who apply for long-term residency are expected to be HIV-negative (reports on the enforcement of this policy vary). There are some international hospitals and clinics, such as European Medical Center (EMC), that are widely used by foreigners. Abortion is legal for the first 12 weeks of gestation in Russia, and Russia has the highest per capita rate of abortions in the world. While abortion services at public hospitals are notably cheaper (and often free), the private hospitals will be more closely aligned with current medical standards (as advocated by WHO) and operate in more efficient manners. | |||
==Contraception (Birth Control)== | ==Contraception (Birth Control)== | ||
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===Laws & Social Stigmas=== | ===Laws & Social Stigmas=== | ||
In Russia, you can obtain birth control pills without a prescription. | In Russia, you can obtain birth control pills and condoms without a prescription. | ||
In | In 2015, it was estimated that about 69% of Russian women (who were married/in unions and between ages 15 to 49) used any form of contraception, including traditional methods, and that about 10% of Russian women had unmet family planning needs. The most common forms of contraception for Russian women were the usage of male condoms with their partners (about 26%), IUDs (about 14%), and birth control pills (about 13%). The most common traditional method was withdrawal (about 12% of women) while the rhythm method was much less common (about 1%). There were low rates of usage for vaginal barrier methods (about 2%), female sterilization (about 1%), and practically no usage of contraceptive implants (0.0%) and contraceptive injectables (0.0%). | ||
Generally speaking, sex education remains very low in Russia, contributing to limited knowledge of contraceptive methods. Sex education is not compulsory in Russian public schools. It's estimated that only 5% of Russian teens have been educated on contraception and family planning.<ref>[https://en.wikipedia.org/wiki/Women's_reproductive_health_in_Russia Women's Reproductive Health In Russia]</ref> | |||
Fortunately, contraception is becoming a more dominant method in Russian society. In 2003, the NYTimes reported, "For 50 years, Russian women relied on state-financed abortions as their main form of birth control. With pills, condoms and other contraceptives often in short supply, most women in Russia expected to face at least one and sometimes more than a dozen trips to the abortion clinic over their childbearing years. Now the Russian government is attempting to slow the abortion rate. It is an admirable goal, given the toll that multiple abortions have taken on the health and fertility of Russia's women."<ref>[http://www.nytimes.com/2003/09/02/opinion/birth-control-in-russia.html Birth Control in Russia]</ref> | |||
===What to Get & Where to Get It=== | |||
For a list of pharmacies in Moscow, including 24-hour pharmacies, you can visit [http://www.vapteky.ru/ Vapteky]. The website is in Russian. Also, here's a list of some recommended pharmacies in Moscow: | * You can buy birth control pills at pharmacies ("apteka" in Russian). One brand, Jess, is approximately $30/month. But there are cheaper brands. You can also expect to see brands like Microlut, Ovidon, Microgynon, Minisiston and Rigevidon. | ||
* [http://apteka5.ru/ A5 Pharmacy]: This is a large chain of pharmacies, so you can trust it be standardized. | * You can buy condoms in many shops and markets, some of which are open 24 hours. | ||
* Stariy Lekar: This is a larger brand that has multiple locations, including Kievsky Vokzal Square, 1, Moscow. +7 (495) 978 1827, +7 (901) 517 1827 | * If you would like to get an IUD, you can get insertion done at European Medical Center (EMC) for about $238. You can also probably get IUD insertion at Premier Medica or JSC Medicina Clinic. | ||
* 36.6: Network of pharmacies in Moscow. Addresses: Tverskaya Ulitsa, 25 (Tverskaya area, metro Mayakovskaya (green), walk to the centrum direction 4 mins) | Zemlyanoi Val, 25 (east center, metro Kurskaya (blue)) | Novy Arbat, 15 (Arbat area, west center, metro Arbatskaya (blue) or Smolenskaya (blue)). Phone: 797-6366. | * For a list of pharmacies in Moscow, including 24-hour pharmacies, you can visit [http://www.vapteky.ru/ Vapteky]. The website is in Russian. Also, here's a list of some recommended pharmacies in Moscow: | ||
* "24-hour pharmacies are at the beginning of Novy Arbat street (metro Arbatskaya) and the one at the beginning of Nikolskaya street (Kitai Gorod or Kremlin area, metro Lubyanka (red) or Ploshchad Revolutsii (blue)."<ref>[Way To Russia: Useful information about Moscow]</ref> | ** [http://apteka5.ru/ A5 Pharmacy]: This is a large chain of pharmacies, so you can trust it be standardized. | ||
* Rigla: Network of pharmacies in Moscow | ** Stariy Lekar: This is a larger brand that has multiple locations, including Kievsky Vokzal Square, 1, Moscow. +7 (495) 978 1827, +7 (901) 517 1827 | ||
* Самсон-Фарма8.5: ул. Генерала Кузнецова, 17, Moscow, Moscow | ** 36.6: Network of pharmacies in Moscow. Addresses: Tverskaya Ulitsa, 25 (Tverskaya area, metro Mayakovskaya (green), walk to the centrum direction 4 mins) | Zemlyanoi Val, 25 (east center, metro Kurskaya (blue)) | Novy Arbat, 15 (Arbat area, west center, metro Arbatskaya (blue) or Smolenskaya (blue)). Phone: 797-6366. | ||
* Аптека Здоров.Ру: Академика Петровского | ** "24-hour pharmacies are at the beginning of Novy Arbat street (metro Arbatskaya) and the one at the beginning of Nikolskaya street (Kitai Gorod or Kremlin area, metro Lubyanka (red) or Ploshchad Revolutsii (blue)."<ref>[Way To Russia: Useful information about Moscow]</ref> | ||
** Rigla: Network of pharmacies in Moscow | |||
** Самсон-Фарма8.5: ул. Генерала Кузнецова, 17, Moscow, Moscow | |||
** Аптека Здоров.Ру: Академика Петровского | |||
===Costs=== | ===Costs=== | ||
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====Dedicated Emergency Contraception==== | ====Dedicated Emergency Contraception==== | ||
[[File:Escapelle russia.jpg|200px | thumb|left|frame|'''Escapelle emergency contraception, purchased in Russia for 630 rubles''']] | |||
In Russia, if you want dedicated emergency contraception that's progestin | * In Russia, if you want dedicated emergency contraception that's anti-progestin, you'll find some of these pill brands. You should take 1 pill within 120 hours after unprotected sex. Here are the brands: Agesta, Gynepriston, Mifepristone 72 and Negele.<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref> | ||
* Escapelle | * If you want dedicated emergency contraception that's progestin only, you'll find some of these pill brands. You should take 1 pill within 120 hours after unprotected sex. Here are the brands: Escapelle, Escinor 1.5<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref> | ||
* You can also find these progestin only brands. You should take 2 pills within 120 hours after unprotected sex. Here are the brands: Escinor 0.75, Postinor.<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref> | |||
You can also find these progestin only brands. You should take 2 pills within 120 hours after unprotected sex. | |||
====Oral Contraceptives Used as EC==== | ====Oral Contraceptives Used as EC==== | ||
If you can't access dedicated emergency contraception, you can also use normal contraceptives (i.e. birth control pills) as replacement emergency contraception. To do this, you take progestin-only oral contraceptives. For these brands, take 50 pills within 120 hours after unprotected sex. | * If you can't access dedicated emergency contraception, you can also use normal contraceptives (i.e. birth control pills) as replacement emergency contraception. To do this, you take progestin-only oral contraceptives. For these brands, take 50 pills within 120 hours after unprotected sex. Here are the brands: Microlut<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref> | ||
* | * If you have progestin-estrogen combined pills, take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later. Note that only the first 21 pills can be used. Here are the brands: Ovidon<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref> | ||
If you have progestin-estrogen combined pills, take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later. Note that only the first 21 pills can be used. | * For these brands, take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later. Note that only the first 21 pills can be used: Microgynon, Minisiston, Rigevidon<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref> | ||
* | |||
For these brands, take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later. Note that only the first 21 pills can be used | |||
===Costs=== | ===Costs=== | ||
You can expect to pay € 7 – 10 for dedicated emergency contraception. | You can expect to pay € 7 – 10 for dedicated emergency contraception. Escapelle is 630 rubles (about €10 as of February 2017). | ||
==Sexually Transmitted Infections (STIs/STDs)== | ==Sexually Transmitted Infections (STIs/STDs)== | ||
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===Laws & Social Stigmas=== | ===Laws & Social Stigmas=== | ||
On January 1 2017, President Vladmir Putin announced the establishment of a national HIV registry. The government claims that the registry is not mandatory, but people may need to be registered in order to receive their HIV treatment. Although other countries have some form of HIV registry, including the USA, activists in Russia worry about this registry falling into the wrong hands. Tor read more about the registry, click [https://www.vice.com/en_us/article/how-russias-new-hiv-registry-puts-women-in-danger?utm_source=vicefbus here] and [http://www.hivequal.org/hiv-equal-online/russia-s-plan-to-combat-hiv-a-national-hiv-registry here]. | |||
If you are a tourist visiting Russia, there are no restrictions imposed based on your STI status. However, if you are applying to be long-term stay (i.e. over 3 months), and if you want a student or worker visa, you will probably be required to take some tests. If you test negative for HIV, you will be given an "HIV Certificate" that verifies that you're HIV-negative. If you test positive for HIV or TB, you may be expelled from the country. However, as reported by HIVTravel, "According to the feedback we received from a number of EU citizens, an HIV test is not required in order to apply for a work permit or a multy entry visa. We have no evidence that Russia has changed its policy. There might be a softening of requirements for citizens of specific countries."<ref>[http://www.hivtravel.org/Default.aspx?PageId=143&CountryId=149 RUSSIA - REGULATIONS ON ENTRY, STAY AND RESIDENCE FOR PLHIV]</ref> | If you are a tourist visiting Russia, there are no restrictions imposed based on your STI status. However, if you are applying to be long-term stay (i.e. over 3 months), and if you want a student or worker visa, you will probably be required to take some tests. If you test negative for HIV, you will be given an "HIV Certificate" that verifies that you're HIV-negative. If you test positive for HIV or TB, you may be expelled from the country. However, as reported by HIVTravel, "According to the feedback we received from a number of EU citizens, an HIV test is not required in order to apply for a work permit or a multy entry visa. We have no evidence that Russia has changed its policy. There might be a softening of requirements for citizens of specific countries."<ref>[http://www.hivtravel.org/Default.aspx?PageId=143&CountryId=149 RUSSIA - REGULATIONS ON ENTRY, STAY AND RESIDENCE FOR PLHIV]</ref> | ||
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* AIDS Infoshare: American organization in Moscow providing support and information on HIV and AIDS (in English and Russian) | * AIDS Infoshare: American organization in Moscow providing support and information on HIV and AIDS (in English and Russian) | ||
* Positive News (in Russian) | * Positive News (in Russian) | ||
* [http://evanetwork.ru/en/ E.V.A.]: "NP E.V.A. is the first non-governmental network organization in Russian that was established to protect women who are affected by the HIV epidemic and other socially significant diseases. E.V.A.’s mission is to improve the quality of life of women who live with socially significant diseases." The group is also a member of the World Hepatitis Alliance. E.V.A.'s Helpline: +7 921 913 03 04. On weekdays, from 10.00 to 19.00. Email: office@evanetwork.ru | |||
===Costs=== | ===Costs=== | ||
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===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
* Here's how you say "vaginal infection" in Russian: Вагинальная инфекция. | |||
* If you have a yeast infection, you can ask the pharmacist for Fluconazole and they'll give you some version of the treatment. | |||
* There is no HPV vaccination program in Russia.<ref>[http://www.hpvcentre.net/statistics/reports/RUS_FS.pdf Russian Federation | |||
Human Papillomavirus and Related Cancers, Fact Sheet 2016]</ref> But you can probably access the HPV vaccine at clinics and hospitals. | |||
* There are no PrEP programs in Russia (as of 2016). | |||
===Costs=== | ===Costs=== | ||
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===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
* [http://www.emcmos.ru/main European Medical Center]: Open 24 hours. Some people say that this is a great (but expensive) facility, and they highly recommend it. Other people didn't have good experiences at ECM ad feel like "they only care about money." Medical Center address: 10 2nd Tverskoi-Yamskoi Pereulok, 125047 Moscow, Phone: 787-7000, Dentistry Center address: 34 Konushkovskaya Ul., 123242. | |||
* European Medical Center: Medical Center address: 10 2nd Tverskoi-Yamskoi Pereulok, 125047 Moscow, Phone: 787-7000, Dentistry Center address: 34 Konushkovskaya Ul., 123242 | |||
* International SOS Clinic: Address: 10th Floor, Polyclinic No. 1, 31 Grokholsky Pereulok, 129010 Moscow, Phone: (7-095) 937-5760, Emergency Phone: (7-095) 937-6477, Contact: Maxine Ash, 937-5760, E-mail: mow.marketing@internationalsos.com to make an appointment or askthedoctor@internationalsos.com for free medical advice. | * International SOS Clinic: Address: 10th Floor, Polyclinic No. 1, 31 Grokholsky Pereulok, 129010 Moscow, Phone: (7-095) 937-5760, Emergency Phone: (7-095) 937-6477, Contact: Maxine Ash, 937-5760, E-mail: mow.marketing@internationalsos.com to make an appointment or askthedoctor@internationalsos.com for free medical advice. | ||
* American Medical Center: Open 24/7, Address: 26, build. 6, Prospekt Mira (entrance from Grokholsky Pereulok), Tel: (495) 933-77-00, Fax:(495) 933-77-01, E-mail: info@amcenter.ru | * American Medical Center: Open 24/7, Address: 26, build. 6, Prospekt Mira (entrance from Grokholsky Pereulok), Tel: (495) 933-77-00, Fax:(495) 933-77-01, E-mail: info@amcenter.ru | ||
* JSC Medicina Clinic: "JSC Medicina is a multidisciplinary clinic that was founded in 1990. The clinic has been accredited by the US Joint Commission International (JCI) and is partnered with the Russian National Research Medical University. JSC Medicina practices interdisciplinary medicine and is home to one of the best diagnostic facilities in Moscow. The clinic has 44 specialized medical departments that include orthopedics, cardiology, gastroenterology, nephrology, ENT, gynecology, reproductive medicine, general surgery, neurology, neurosurgery, oncology, and urology, amongst others." Address:10 Vtoroy Tverskoy-Yamskoy pereulok, 125047 Moscow, Russian Federation. | |||
* Premier Medica: "Premier Medica is a multidisciplinary private clinic, with particular expertise in pediatric medicine. The clinic has a range of medical departments that include orthopedics, gynecology, urology, neurology, gastroenterology, and reproductive medicine, amongst others." Address: 5-й км Новорижского ш., 1,пос. Новоархангельское,Moscow Oblast, Russland,143420 Moscow, Russian Federation | |||
* [http://medsi.ru/ Medsi] - A large chain of private hospitals in Russia | |||
* [http://www.mosgid.ru Burdenko General Military Clinical Hospital]: Gospitalnaya ploshad, 3 Moscow, 105229, Tel: + 8 (499) 263 5697, E-mail: GVKG.300m@mail.ru | |||
* [http://www.mosgorzdrav.ru City Clinical Hospital]: No. 50: Vucheticha st., 21 Moscow, 127206 , Tel: + 7 (499) 760-79-33, Fax: + 7 (499) 760-81-99, E-mail: gkb50@mosgorzdrav.ru | |||
* [http://www.americanclinic.ru American Clinic]: 2-ya Yamskaya ulitsa, Moscow, 11/13, 129090, Tel: +7 (495) 781 5576, E-mail: info@americanclinic.ru, Ambulance, in-patient and dental services. | |||
* [http://www.amcenter.ru American Medical Center (AMC)]: 26/6 Prospekt Mira, Moscow, 129090 (entrance from Grokholsky Pereulok), Tel: +7 495 933 77 00, Fax: + 7 495 933 77 01, E-mail: info@amcenter.ru | |||
* [http://www.medin.ru Medincentre]: 4-th Dobrininsky lane, 4, Moscow, Tel: +7 (495) 236-3116, E-mail: main@medin.ru | |||
* [http://www.gorki-8.com Gorki-8" Medical Clinic LLC]: 275 Solosovo, KIZ Gorki-8, Odincovsky district, Moscow, 143081 , Tel: + 7 (495) 661 32 88 | |||
* [http://www.intac.ru International Hospital Medical Centre - Intermedcenter]: 31 Grokholsky pereulok,Moscow, Tel: + 7 (495) 937-57-57, E-mail: info@intac.ru | |||
* [http://www.medicina.ru JSC 'Medicina']: 10 2-ya Tverskoya-Yamskoya per., Moscow, 125047, Tel: + 7 (495) 995 0033 | |||
* [http://www.alliancemedicale.ru LLC 'Alliance Medicale']: 1/7,Kutuzovskiy Prospect, Moscow, 121248 , Tel: +8 (499) 243-49-69, E-mail: admin@alliancemedicale.ru | |||
===Costs=== | ===Costs=== | ||
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===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
* [http://mamadeti.ru/clinics/moscow/perinatal-medical-centre-pmc/ Perinatal Medical Center] - "This one is really good .. my friend's wife was admitted here .. and though my friend could speak very little Russian, the staff and the doctors were very helpful and made them feel at home. The hospital is near Novye Cheremushki metro." | |||
* [http://www.mcclinics.com/hospitals/moscow/lapino/ Hospital Lapino]: "The Lapino Clinical Hospital will be MD Medical Group’s ninth healthcare centre and the Group’s largest to date. The hospital totals 42,000 square meters and will offer obstetrics and gynecology, pediatrics, diagnostics, trauma and rehabilitation. The Lapino Clinical Hospital will welcome its first patients before the end of 2012." | |||
===Costs=== | ===Costs=== | ||
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===Laws & Social Stigmas=== | ===Laws & Social Stigmas=== | ||
In Russia, abortion is fully legal for women over 16 years old. If women are under 16 years old, they must receive parental permission.<ref>[https://www.angloinfo.com/how-to/russia/healthcare/pregnancy-birth/termination-abortionTermination of Pregnancy and Abortion in Russia]</ref> In the first twelve weeks of gestation, all reasons for abortions are accepted, including to save the life of the woman, to preserve physical health, to preserve mental health, rape or incest, risk of fetal impairment, economic or social reasons or upon general request. To obtain an abortion, the patient must first give "informed consent," meaning she must formally consent to the abortion at least 48 before the procedure. The abortion must be performed by a licensed physician in a hospital or another recognized institution. Note that a doctor is allowed to refuse giving abortion services, unless it's medically necessary to save the life of a woman. If you get an abortion at a public hospital, you need a referral from a doctor. If you get it at a private hospital, you don't need a referral. | |||
After 12 weeks of gestation, abortion is sometimes permitted. You can receive an abortion within 28 weeks from conception, but this only under special circumstances, such as risk to a woman's life if the pregnancy continues, and the patient must receive special authorization from a committee of local physicians. | |||
After an abortion, a woman is entitled to 3 days of sick leave. They will also be directed to visit a family planning center to learn about contraceptive methods. | |||
Historically, Russia was the first European country to grant abortions upon request in 1920 (then under the Soviet Union). At that time, abortions were free of charge and so in demand that hospitals became congested with abortion patients. As a result, special clinics for abortion procedures opened up. From 1936-1955, abortion was made illegal in the Soviet Union. Following Stalin's death in 1955, it was once again made legal, and it was estimated in the 1950s and 1960s that the Soviet Union had some of the highest abortion rates in the world. After the fall of the Soviet Union, abortion remained very common in the country. This was also due to the closure of condom and IUD factories, making contraceptive options less available for many women. However, with the legalization of sterilization in 1993, abortion rates did begin to go down. In Russia today, abortion still remains incredibly common, and many women still appear to not regularly take contraceptives and have multiple abortions performed on them. While China has the most abortions in the world, Russia was found to have the most abortions per capita. In the last few years, there have been some legal and political challenges to the abortion law, such as the 2015 proposed fine if women obtained abortions outside state clinics and mandatory ultrasounds. | |||
However, public opinion remains generally pro-choice. As reported by AngloInfo, "In general, public opinion is that the woman has the right to choose between abortion and giving birth. Recently though, some thinking is that fathers should also have some right to take part in the decision making process. Most people support abortions being kept legal and the procedure should not be made complicated. However, there are some who believe it should be taken out of insurance packages for free medical care and should be a paid procedure."<ref>[https://www.angloinfo.com/how-to/russia/healthcare/pregnancy-birth/termination-abortionTermination of Pregnancy and Abortion in Russia]</ref> | |||
===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
If you go to a state hospital, you'll need to be referred to a hospital. The abortion will generally be free (but you'll have to pay for anesthetic). You're more likely to get the dilation and curettage (75 percent in 2011) procedure. This procedure is not recommended by the World Health Organization and there are greater risks, particularly to fertility. The procedure requires anesthetic. You can also choose to vacuum aspiration or medical abortion (i.e. "the abortion pill") but these procedures are not free. | |||
If you go to a private hospital, you won't need a referral. There's a generally higher-level of care than at public facilities, and the abortion procedures comply with WHO guidelines. However, private hospitals are also more expensive. | |||
===Costs=== | ===Costs=== | ||
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===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
* [http://www.anna-center.ru Center Anna]: "Regional Public Organization for Assisting Women and Children in Crisis Situations “Informational Methodological Center “ANNA” (ROO Center «ANNA») was founded in 1993 in Moscow, Russia. The purpose of the organization was to bring attention to the issue of violence against women as well as to establish the first helpline and services for female survivors of domestic violence in Russia. ANNA provides free psychological and legal aid to victims of violence against women." Address: Of. 25, 5/1 Verkhnyaya Radishchevskaya Str., 109240 Moscow, Russia. Telephone (admin): +7 499 225 08 72; +7 926 212 14 42. Telephone (support): 8 800 700 06 00. Email: annaruss93@gmail.com. | |||
* [http://www.soprotivlenie.org HRO Soprotivlenie (Victim Support Russia) / Межрегиональная правозащитная общественная организация - Сопротивление]: "Soprotivlenie is a non-governmental, non-profit organization, founded in 2005 in Moscow, Russia. Soprotilenie provides free legal aid to victims and witnesses of crime (HRO Soprotivlenie provides free legal advice to victims of crime, punishable under the Criminal Code, be it violence, rape, fraud, etc. We do welcome female survivors of sexual violence to enlist our service." Address: 14 Bolshoy Vlasyevsky pereulok, 119002 Moscow, Russia | |||
===Costs=== | ===Costs=== | ||
==List of Additional Resources== | ==List of Additional Resources== | ||
* | |||
* [http://amnesty.org.ru/ Amnesty International Russia]: Email: msk@amnesty.org. | |||
==References== | ==References== | ||
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{{#seo: | {{#seo: | ||
|title= | |title=Gynopedia | ||
|titlemode=append | |titlemode=append | ||
|keywords=moscow, | |keywords=moscow, russia, contraception, birth control, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampons, women's health | ||
|description=Find sexual, reproductive and women's health care in Moscow. | |description=Find sexual, reproductive and women's health care in Moscow. | ||
}} | }} | ||