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Quito: Difference between revisions
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[[File:Quito.jpg|400px | thumb|right|]] | [[File:Quito historic.jpg|400px | thumb|right|]] | ||
'''OVERVIEW''' | '''OVERVIEW''' | ||
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===Laws & Social Stigmas=== | ===Laws & Social Stigmas=== | ||
Birth control pills are readily available at pharmacies without a prescription. You will typically find generic pills, like Microgynon, or brand name pills like Yaz or Yasmin. | Birth control pills are readily available at pharmacies without a prescription. You will typically find generic pills, like Microgynon, or brand name pills, like Yaz or Yasmin. | ||
According to a 2015 report, it was estimated that about 73% of Ecuadorian women (who were married/in unions and between ages 15 and 49) used any form of contraception, and about 9% of Ecuadorian women had unmet family planning needs. The most common forms of contraception among Ecuadorian women was female sterilization (about 25%), birth control pills (about 14%), and IUDs (about 11%). Some women also used contraceptive injectables (about 6%) and male condoms (about 5%). Traditional methods, such as the rhythm method (about 6%) and withdrawal (about 5%) were also used by some women. There were no recorded users of contraceptive implants (0.0%).<ref>[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in Contraceptive Use Worldwide 2015]</ref> | |||
In the past, the conservative government of President Correa (who served from 2007-17) had threatened many of the protections granted to women's health care. As reported by PRI, "...many of his critics argue that his policies toward women are among the most conservative in Latin America. Women’s groups in Ecuador say they’ve been losing a series of hard-won rights since Correa first came into office in 2007."<ref>[http://www.pri.org/stories/2015-07-04/pope-francis-visits-ecuador-women-there-say-theyre-losing-ground As Pope Francis visits Ecuador, women there say they're losing ground]</ref> For example, Correa's government reorganized a government agency responsible for reducing teen pregnancy (Estrategia Nacional Intersectorial de Planificación Familiar y Prevención del Embarazo en Adolescente), and he appointed an anti-abortion, pro-abstinence activist to manage it. | |||
===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
* In Ecuador, you can purchase '''birth control pills''' ("píldoras anticonceptivas” in Spanish) over-the-counter. No prescription is required. There are over 20 birth control pill brands registered in Ecuador, including combined, progestin-only and phasic pills. Some of the brands you can expect to see are Belara, Cerazette, Ciclomex, Diane, Duofem, Exluton, Femiane, Gynera, Lo-Femenal, Marvelon, Mercilon, Microgynon, Microlut, Minesse, Minulet, Norvetal, Qlaira, Trinordiol and Yasmin.<ref>[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=EC IPFF Ecuador]</ref>. | |||
* In Spanish, the word for '''condom''' is "condón." | |||
* If you want the '''contraceptive injection''' ("anticonceptivo inyectable” in Spanish), you can try to check out local pharmacies. In many Latin American countries, you can get the injection directly at the pharmacy, but we're not sure if this is possible in Ecuador. | |||
* If you want the '''contraceptive implant''' ("anticonceptivo inyectable” in Spanish), you can find Jadelle or Norplant in Ecuador.<ref>[http://contraceptive.ippf.org/search?search.searchtext=&search.component=&search.countrycode=EC IPFF Ecuador]</ref>. | |||
* If you want an '''IUD''' ("DIU” in Spanish), you can find Mirena in Ecuador. | |||
===Pharmacies=== | |||
While you should be able to buy contraceptives in most pharmacies, here are some recommended pharmacies in Quito: | While you should be able to buy contraceptives in most pharmacies, here are some recommended pharmacies in Quito: | ||
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===Laws & Social Stigmas=== | ===Laws & Social Stigmas=== | ||
Emergency contraception is available in Ecuador. | Emergency contraception is available in Ecuador. You can purchase it over-the-counter at pharmacies. From a legal standpoint, you may need a prescription, but this does not seem to be widely enforced. You can also get EC without a prescription from public hospitals. There seems to be no age restrictions on acquiring EC. In 2006, the Ecuadorian Constitutional Court prohibited the sales of Postinor 2, a popular emergency contraceptive brand, and this ban remains in place today. However, there are may other brands (see details below), which are accessible in Ecuador. In 2013, it was ruled by National FP regulations that EC would be available to all women in public health clinics, free of charge.<ref>[http://www.cecinfo.org/country-by-country-information/status-availability-database/countries/ecuador/ EC Status and Availability - Ecuador]</ref> | ||
===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
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===Costs=== | ===Costs=== | ||
The price of EC should be about $ | The price of EC should be about $10. | ||
==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=== | ||
For HPV, there is a vaccination program in place, which targets 9 year old girls.<ref>[http://www.hpvcentre.net/statistics/reports/ECU_FS.pdf Ecuador: Human Papillomavirus and Related Cancers, Fact Sheet 2016]</ref> | * 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. | |||
* For HPV, there is a vaccination program in place, which targets 9 year old girls.<ref>[http://www.hpvcentre.net/statistics/reports/ECU_FS.pdf Ecuador: Human Papillomavirus and Related Cancers, Fact Sheet 2016]</ref> | |||
===Costs=== | ===Costs=== | ||
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===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
* "Dr Luis Suarez is excellent, fluent English speaker. Works at Axxis Hospital" - Ecuador local, January 2019 | |||
* I was sexually assaulted by Dr. Luis Suarez at Axxis Hospital in November 2018 during an appointment. I additionally know several women who have found him to be highly unprofessional in his conduct (asking inappropriate questions, performing unusually long breast exams, making racialized/stereotyping comments, etc.) and we are all U.S. citizens working and living in Ecuador. | |||
* Dr. David Cabezas, Torre Medica 2 (behind the Hospital Metroplitano), Tel: 02-245-9808 / House phone: 02-246-6732 | * Dr. David Cabezas, Torre Medica 2 (behind the Hospital Metroplitano), Tel: 02-245-9808 / House phone: 02-246-6732 | ||
* Dr. Alfredo Jijon, Centro Meditropoli, Mariana de Jesus and Calle B, Office 215, 593-2-246-6314 ext. 205, E-mail: ajijon@hmetro.med.ec | * Dr. Alfredo Jijon, Centro Meditropoli, Mariana de Jesus and Calle B, Office 215, 593-2-246-6314 ext. 205, E-mail: ajijon@hmetro.med.ec | ||
* Hospital Metropolitano, Av. Mariana de Jesus and Nicolas Arteta, Tel: 02- 399-8000, ext. 2153 | * Hospital Metropolitano, Av. Mariana de Jesus and Nicolas Arteta, Tel: 02- 399-8000, ext. 2153 | ||
* Hospital de Clinicas Pichincha, Paéz N°22 - 160 between Ramirez Davalos and Ventimilla, Tel: 02-299-8700/256-2296, E-mail: info@hcp.com.ec | * Hospital de Clinicas Pichincha, Paéz N°22 - 160 between Ramirez Davalos and Ventimilla, Tel: 02-299-8700/256-2296, E-mail: info@hcp.com.ec | ||
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According to a UN Report, "Although abortion is only permitted on therapeutic and limited juridical grounds, it is widely practised in Ecuador. The few studies available examining the incidence and prevalence of abortion do not distinguish between spontaneous and induced abortion and do not employ representative samples of the population. The scanty information available, however, suggests that the actual levels of induced abortion are greatly underestimated. Nevertheless, despite this high incidence, mortality associated with abortion is slightly lower than in other countries in the region."<ref>[http://www.un.org/esa/population/publications/abortion/profiles.htm Abortion Policies, Ecuador]</ref> | According to a UN Report, "Although abortion is only permitted on therapeutic and limited juridical grounds, it is widely practised in Ecuador. The few studies available examining the incidence and prevalence of abortion do not distinguish between spontaneous and induced abortion and do not employ representative samples of the population. The scanty information available, however, suggests that the actual levels of induced abortion are greatly underestimated. Nevertheless, despite this high incidence, mortality associated with abortion is slightly lower than in other countries in the region."<ref>[http://www.un.org/esa/population/publications/abortion/profiles.htm Abortion Policies, Ecuador]</ref> | ||
In May 2019, it was reported that the Ecuadorian government is increasingly cracking down on women who obtain underground abortion services.<ref>[https://www.thenation.com/article/ecuador-abortion-miscarriage-prosecution/ Ecuador’s Crackdown on Abortion Is Putting Women in Jail]</ref> | |||
===What to Get & Where to Get It=== | ===What to Get & Where to Get It=== | ||
* Women on Waves Abortion Hotline - Misoprostol (the abortion pill) is available under the brand name Cytotec and Artrenac Pro SR but difficult to get. Please go to www.womenonweb.org to obtain abortion pills. Safe abortion hotline number: 593998301317. "In 2008 Women on Waves supported the launch of a safe abortion hotline by Coordinaora. Women with unwanted pregnancies who need help can get information about the best use of misoprostol for a safe abortion through this safe abortion hotline." | * Women on Waves Abortion Hotline - Misoprostol (the abortion pill) is available under the brand name Cytotec and Artrenac Pro SR but difficult to get. Please go to www.womenonweb.org to obtain abortion pills. Safe abortion hotline number: 593998301317. "In 2008 Women on Waves supported the launch of a safe abortion hotline by Coordinaora. Women with unwanted pregnancies who need help can get information about the best use of misoprostol for a safe abortion through this safe abortion hotline." | ||
* Coordinadora Juvenil por la Equidad de Género.: Hotline: +593098301317. Centro Médico de Orientación y Planificación Familiar -CEMOPLAF. Wmail: cemoplaf@uio.satnet.net | * Coordinadora Juvenil por la Equidad de Género.: Hotline: +593098301317. Centro Médico de Orientación y Planificación Familiar -CEMOPLAF. Wmail: cemoplaf@uio.satnet.net | ||
* CEMOPLAF has several centers in different parts of Quito (for a complete list of all services visit the website): | * CEMOPLAF has several centers in different parts of Quito (for a complete list of all services visit the website): | ||
** Ibarra: Address: Centro Nº 8 Rocafuerte 529 entre Juan José Flores y García Moreno. Phone: 2959918 or 2958940. | ** Ibarra: Address: Centro Nº 8 Rocafuerte 529 entre Juan José Flores y García Moreno. Phone: 2959918 or 2958940. | ||
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** Quevedo: Address: 7 de OCtubre Nº 26 entre 3ra y 4ta. Phone: 052750072 | ** Quevedo: Address: 7 de OCtubre Nº 26 entre 3ra y 4ta. Phone: 052750072 | ||
** Ventanas: Address: 9 de Octubre 214 entre 10 de Agosto y Velasco Ibarra. Phone: 052970046 | ** Ventanas: Address: 9 de Octubre 214 entre 10 de Agosto y Velasco Ibarra. Phone: 052970046 | ||
* You may choose to travel to another country, where you can safely and legally obtain an abortion. You can legally get an abortion upon request in [[Mexico City]], [[Uruguay]], [[Guyana]], [[Cuba]] or the [[United States of America]]. | |||
===Costs=== | ===Costs=== | ||
If you are pregnant and considering getting an abortion outside Ecuador, you will need to consider the following costs: 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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==List of Additional Resources== | ==List of Additional Resources== | ||
* [https://www.salud.gob.ec/ Ministry of Public Health] | |||
* [http://cepamgye.org/ Centro Ecuatoriano para la Promoción y Acción de la Mujer (CEPAM)]: "CEPAM is one of the few organizations in Ecuador dedicated to achieving gender equality and preventing gender-based violence... CEPAM also provides sexual and reproductive health services, with an emphasis on community-based distribution of contraception and specialized educational and health services for young people." Phone: (+593)(4)2447347. Email: cepam@cepamgye.org | |||
* [https://asylumaccess.org/program/ecuador/ Asylum Access Ecuador (AAE)]: "Asylum Access Ecuador (AAE) is an Ecuadorian-registered NGO and part of the Asylum Access family of organizations. Founded in 2007, AAE is a response to the critical gap in rights-based refugee assistance in Latin America... Are you a refugee in Ecuador? Contact our office by calling us at +593.2.2.545.914, e-mailing ecuador@asylumaccess.org or visit our office in Quito." | |||
* [https://www.equaldex.com/region/ecuador Equaldex Ecuador]: This website provides information on LGBTQ rights and laws in Ecuador. Note that homosexuality is legal in Ecuador, and homosexual unions are legal as well. It is legal to change gender, whether or not someone has undergone surgery, and there are laws against employment discrimination related to someone's sexual orientation. | |||
==References== | ==References== | ||
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|title=Gynopedia | |title=Gynopedia | ||
|titlemode=append | |titlemode=append | ||
|keywords=quito, ecuador, contraception, | |keywords=quito, ecuador, contraception, birth control, birth control pills, condoms, emergency contraception, morning after pill, std test, sti test, hiv, treatment, medications, pharmacies, abortion, clinic, tampon, tampons, menstrual cup, menstrual cups, women's health, lgbt, lgbtq, sexual health, sexual rights, reproductive health, reproductive rights | ||
|description=Find sexual, reproductive and women's health care in Quito. | |description=Find sexual, reproductive and women's health care in Quito. | ||
}} | }} | ||