Gynopedia needs your support! Please consider contributing content, translating a page, or making a donation today. With your support, we can sustain and expand the website. Gynopedia has no corporate sponsors or advertisers. Your support is crucial and deeply appreciated.
Peru: Difference between revisions
Jump to navigation
Jump to search
→What to Get & Where to Get It
No edit summary |
|||
| (11 intermediate revisions by 3 users not shown) | |||
| Line 1: | Line 1: | ||
[[File:Flagperu.png|300px|right|]] | |||
'''OVERVIEW''' | '''OVERVIEW''' | ||
In Peru, contraception, such as the birth control pills, is accessible 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 | In Peru, contraception, such as the birth control pills, is accessible 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 (Birth Control)== | ==Contraception (Birth Control)== | ||
| Line 13: | Line 15: | ||
===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 Mifarma, Inkafarma and Boticas y Salud. 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=== | ||
| Line 29: | Line 37: | ||
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=== | ||
| Line 41: | Line 49: | ||
====Avoiding Fake Pills==== | ====Avoiding Fake Pills==== | ||
While you cannot always predict which pharmacies sell fake EC, you can reduce the chances by doing the following: 1) Go to larger and trusted pharmacies, like Boticas | While you cannot always predict which pharmacies sell fake EC, you can reduce the chances by doing the following: 1) Go to larger and trusted pharmacies, like Boticas y Salud, Boticas Inkafarma and Boticas Mifarma, or pharmacies attached to large hospitals. These pharmacies are more likely to be legit and sell real medicine. 2) Go to pharmacies in central urban areas, as they are also more likely to sell real medicine. | ||
Some bigger pharmacies in Lima offer a 24 hours delivery service. You order by phone and a motorbike courier delivers to your home. Here are some pharmacies that deliver and seem to also cater to foreigners/travelers: | Some bigger pharmacies in Lima offer a 24 hours delivery service. You order by phone and a motorbike courier delivers to your home. Here are some pharmacies that deliver and seem to also cater to foreigners/travelers: | ||
| Line 58: | Line 66: | ||
===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.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.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/ | * [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.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. | ||
| Line 80: | Line 87: | ||
===What to Get & Where to Get It=== | ===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]. | * 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. | |||
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> | * 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 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> | |||
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=== | ||
| Line 96: | Line 102: | ||
===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, Wong or Vivanda, 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: +51 987624667 and two in [[Arequipa]]. There are no registered LadyCup sellers in Peru. | ||
===Costs=== | ===Costs=== | ||
| Line 170: | Line 176: | ||
* “la voz de la mujer” shelter Center of Lima | * “la voz de la mujer” shelter Center of Lima | ||
* “tierra viva” women shelter district of Puente Piedra | * “tierra viva” women shelter district of Puente Piedra | ||
* Women shelter for develpment and life Ate Vitarte | * Women shelter for develpment and life Ate Vitarte huaycán district | ||
* The shelter of the Philological and physical hurt woman San Juan de Lurigancho District. | * The shelter of the Philological and physical hurt woman San Juan de Lurigancho District. | ||
* warmikolleq shelter Comas - Collique district | * warmikolleq shelter Comas - Collique district | ||
| Line 176: | Line 182: | ||
* “Los Quinuales” shelters Huancavelica Yauli region | * “Los Quinuales” shelters Huancavelica Yauli region | ||
* Children and women departmental association and another unprotected AMUNIDE in Moquegua region | * Children and women departmental association and another unprotected AMUNIDE in Moquegua region | ||
* “Abrec unidos” shelter Villa | * “Abrec unidos” shelter Villa maría del Triunfo district | ||
* Rural development center of Yanavaca Junin region | * Rural development center of Yanavaca Junin region | ||
* Santo toribio shelter Ancash - Huaylas district. | * Santo toribio shelter Ancash - Huaylas district. | ||
* Woman for the peace shelter | * Woman for the peace shelter Chorrillos district | ||
* Female union Ate Vitarte district | * Female union Ate Vitarte district | ||
* “Paradigma” association Callao province. Ventanilla district | * “Paradigma” association Callao province. Ventanilla district | ||
* “Nuevo Amanecer” association San Martin de | * “Nuevo Amanecer” association San Martin de Porres district | ||
* Shelter of the women “San Martinence” San Martin selva region | * Shelter of the women “San Martinence” San Martin selva region | ||
* Shelter of the woman from Ayacucho Ayacucho region | * Shelter of the woman from Ayacucho Ayacucho region | ||