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Singapore: Difference between revisions

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Singapore is an incredibly international city with some of the best health care in Southeast Asia. While you can access many health services, they often involve some level of restriction, especially if you are not a Singaporean citizen. Contraception is legal although a prescription is required. If you're under 16, it's entirely illegal to purchase contraception due to the strictly enforced age of consent at 16 years old. Emergency contraception is also available and a prescription is required, which is only available to women over 16 years old.  
Singapore is an incredibly international city with some of the best health care in Southeast Asia. While you can access many health services, they often involve some level of restriction, especially if you are not a Singaporean citizen. Contraception is legal although a prescription is required. If you're under 16, it's entirely illegal to purchase contraception due to the strictly enforced age of consent at 16 years old. Emergency contraception is also available and a prescription is required, which is only available to women over 16 years old.  


Regarding STIs, the government requires that all test results are reported to them. However, some facilities are legally allowed to offer confidential and anonymous STI tests and these are the facilities that we strongly recommend. Until recently, it was illegal to enter the country if you were diagnosed with HIV/AIDS. You may now legally travel to Singapore with HIV/AIDS but you are not allowed to immigrate or take up long-term residency. You can access Post-exposure prophylaxis (PEP) but not Pre-Exposure Prophylaxis (PrEP) in Singapore.
Regarding STIs, the government requires that all test results are reported to them. However, some facilities are legally allowed to offer confidential and anonymous STI tests and these are the facilities that we strongly recommend. Until recently, it was illegal to enter the country if you were diagnosed with HIV/AIDS. You may now legally travel to Singapore with HIV/AIDS but you are not allowed to immigrate or take up long-term residency. You can access Pre-Exposure prophylaxis (PrEP) and Post-Exposure Prophylaxis (PEP) in Singapore, as well as HAART (HIV treatment).


If you are pregnant, maternity leave is covered by the government, but full coverage only extends to women whose children are Singaporean citizens (i.e. one parent is a Singaporean citizen). Abortion is fully legal and available at many facilities. Technically, abortion seems to only be legal for Singaporean citizens and public hospitals will only provide abortion services to citizens. But it seems that some private hospitals do offer abortion services to foreigners, and Planned Parenthood Singapore can be good starting point to find more information if you're a foreigner.
If you are pregnant, maternity leave is covered by the government, but full coverage only extends to women whose children are Singaporean citizens (i.e. one parent is a Singaporean citizen). Abortion is fully legal and available at many facilities. Technically, abortion seems to only be legal for Singaporean citizens and public hospitals will only provide abortion services to citizens. But it seems that some private hospitals do offer abortion services to foreigners, and Planned Parenthood Singapore can be good starting point to find more information if you're a foreigner.
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* To get a dedicated emergency contraception, you'll need get a prescription from a General Practitioner (GP). These appointments are quick and easy, but they can be expensive. One local reported the total cost at GP to be $80 ($30-40 for the consultation and $40-50 for the pill). However, another local says, "The cheapest clinics tend to be in the heartland HDB estates. My GP in such an estate charges $25 for a short consult. You can also opt to go to a polyclinic - for example, https://www.nhgp.com.sg/." Once you obtain an EC prescription, you can obtain dedicated EC. Some brands you can expect to see are Estinor, Postinor-2 and ella.
* To get a dedicated emergency contraception, you'll need get a prescription from a General Practitioner (GP). These appointments are quick and easy, but they can be expensive. One local reported the total cost at GP to be $80 ($30-40 for the consultation and $40-50 for the pill). However, another local says, "The cheapest clinics tend to be in the heartland HDB estates. My GP in such an estate charges $25 for a short consult. You can also opt to go to a polyclinic - for example, https://www.nhgp.com.sg/." Once you obtain an EC prescription, you can obtain dedicated EC. Some brands you can expect to see are Estinor, Postinor-2 and ella.
* If you can't access dedicated emergency contraception, you can use some regular birth control pills as replacement EC. You need to remember that, in 28-day packs, only the first 21 pills can be used. You can take Microgynon, Microgynon-30 or Nordette (take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later). You can also take Loette (take 5 pills within 120 hours after unprotected sex and take 5 more pills 12 hours later). For more information, visit the [http://ec.princeton.edu/ Princeton EC website].
* If you can't access dedicated emergency contraception, you can use some regular birth control pills as replacement EC. You need to remember that, in 28-day packs, only the first 21 pills can be used. You can take Microgynon, Microgynon-30 or Nordette (take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later). You can also take Loette (take 5 pills within 120 hours after unprotected sex and take 5 more pills 12 hours later).<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref> For more information, visit the [http://ec.princeton.edu/ Princeton EC website].


===Costs===
===Costs===
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* [http://www.dsc-clinic.sg DSC Clinic:] Seems to be cheapest option in Singapore. "Anonymous HIV testing is offered by Action for AIDS at the DSC clinic and at designated GP clinics. Anonymous testing does not require you to provide any name, NRIC number or contact information. Rapid HIV testing is also now available. Rapid HIV tests are screening tests that produce very quick results, in approximately 20 minutes. All HIV test results are kept strictly confidential." HIV rapid test is $8.50. Tests for other STIs, like gonorrhea, herpes or syphilis, range from about $10-20 each. They say that the average bill for a female visitor comes out to $100-140. Visa and MasterCard accepted. Address: 31 Kelantan Lane, #01-16, Singapore 200031, Tel: 6293 9648, Fax: 6299 4335.
* [http://www.dsc-clinic.sg DSC Clinic:] Seems to be cheapest option in Singapore. "Anonymous HIV testing is offered by Action for AIDS at the DSC clinic and at designated GP clinics. Anonymous testing does not require you to provide any name, NRIC number or contact information. Rapid HIV testing is also now available. Rapid HIV tests are screening tests that produce very quick results, in approximately 20 minutes. All HIV test results are kept strictly confidential." HIV rapid test is $8.50. Tests for other STIs, like gonorrhea, herpes or syphilis, range from about $10-20 each. They say that the average bill for a female visitor comes out to $100-140. Visa and MasterCard accepted. Address: 31 Kelantan Lane, #01-16, Singapore 200031, Tel: 6293 9648, Fax: 6299 4335.
* [https://www.shimclinic.com Shim Clinic Singapore]: Address: Private and confidential clinic. Cheaper than most other clinics. You can get basic tests $12-60. Get "8 test panel" for $250. Full female comprehensive for $759. Address: 168 Bedok South Avenue 3, #01-473, Singapore 460168, Hours: 7–11 PM, Phone: +65 6446 7446
* [https://www.shimclinic.com Shim Clinic Singapore]: Private and confidential clinic, which is highly rated online. They specialize in STI tests, along with a few other services. Cheaper than most other clinics. You can get basic tests $12-60. Get "8 test panel" for $250. Full female comprehensive for $759. English, Chinese (Mandarin & Hakka), and Thai speaking medical doctor. Address: 168 Bedok South Avenue 3, #01-473, Singapore 460168, Hours: 7–11 PM, Phone: +65 6446 7446
* [http://www.stdscreening.com.sg/ Q Medical Clinic]: Screens for Syphilis, HIV, Herpes Type I & II, Hepatitis B, Hepatitis A, Hepatitis C,  Chlamydia, Gonorrhea, Candida, Trichomonas, Gardnerella, Mycoplasma, Ureaplasma, Urine Feme & Culture and HVS Feme & Culture. You can request a female doctor. There's 2 locations. Address 1: 428 River Valley Road, #01-09,l Loft @ Nathan, Singapore 248327. 308 Address 2: Telok Kurau Road,#01-06. Vibes @ East Coast, Singapore 423858. Tel: +65 67 026 608 (River Valley), Tel: +65 63 489 068 (Telok Kurau). SMS: +65 98 537 537. Email: health@Qmedical.com.sg.
* [http://www.stdscreening.com.sg/ Q Medical Clinic]: Screens for Syphilis, HIV, Herpes Type I & II, Hepatitis B, Hepatitis A, Hepatitis C,  Chlamydia, Gonorrhea, Candida, Trichomonas, Gardnerella, Mycoplasma, Ureaplasma, Urine Feme & Culture and HVS Feme & Culture. You can request a female doctor. There's 2 locations. Address 1: 428 River Valley Road, #01-09,l Loft @ Nathan, Singapore 248327. 308 Address 2: Telok Kurau Road,#01-06. Vibes @ East Coast, Singapore 423858. Tel: +65 67 026 608 (River Valley), Tel: +65 63 489 068 (Telok Kurau). SMS: +65 98 537 537. Email: health@Qmedical.com.sg.
* [http://www.tanjongpagarclinic.com/ Tanjong Pagar Medical Clinic]: Provides anonymous HIV tests. Basic screening for $60, standard screening for $200. Full female screening for $380. Address: BLK 1 Tanjong Pagar Palaza #01-06 S(082001), Tel: 64433101, Fax: 64433881, SMS: 96622880, Email: info@tanjongpagarclinic.com.
* [http://www.tanjongpagarclinic.com/ Tanjong Pagar Medical Clinic]: Provides anonymous HIV tests. Basic screening for $60, standard screening for $200. Full female screening for $380. Address: BLK 1 Tanjong Pagar Palaza #01-06 S(082001), Tel: 64433101, Fax: 64433881, SMS: 96622880, Email: info@tanjongpagarclinic.com.
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===What to Get & Where to Get It===
===What to Get & Where to Get It===


Where to get Post-Exposure Prophylaxis (PEP):
====Pre-Exposure Prophylaxis (PrEP)====
* [https://www.dtapclinic.com/hiv/hiv-post-exposure-prophylaxis/ Dr. Tan and Partners Clinic (DTAP Clinic)]: This clinic, which was opened in 2010, offers a range of HIV services, including PEP, PrEP, anonymous HIV tests, and HAART. They have seven locations in Singapore, so you should check to see which one is the most convenient for you on the website.
 
====Post-Exposure Prophylaxis (PEP)=====
* [http://www.tanjongpagarclinic.com/ Tanjong Pagar Medical Clinic]: $2000 for PEP. "At Tanjong Pagar Medical Clinic, we offer HIV PEP treatment that is safe, well-tolerated, widely used in public government hospitals and in line with international HIV post exposure prophylaxis guidelines." Address: BLK 1 Tanjong Pagar Palaza #01-06 S(082001), Tel: 64433101, Fax: 64433881, SMS: 96622880, Email: info@tanjongpagarclinic.com.
* [http://www.tanjongpagarclinic.com/ Tanjong Pagar Medical Clinic]: $2000 for PEP. "At Tanjong Pagar Medical Clinic, we offer HIV PEP treatment that is safe, well-tolerated, widely used in public government hospitals and in line with international HIV post exposure prophylaxis guidelines." Address: BLK 1 Tanjong Pagar Palaza #01-06 S(082001), Tel: 64433101, Fax: 64433881, SMS: 96622880, Email: info@tanjongpagarclinic.com.
* [https://www.shimclinic.com Shim Clinic Singapore]: $2200 for PEP. Address: 168 Bedok South Avenue 3, #01-473, Singapore 460168, Hours: 7–11 PM, Phone: +65 6446 7446
* [https://www.shimclinic.com Shim Clinic Singapore]: $2200 for PEP. Address: 168 Bedok South Avenue 3, #01-473, Singapore 460168, Hours: 7–11 PM, Phone: +65 6446 7446
* [https://www.dtapclinic.com/hiv/hiv-post-exposure-prophylaxis/ Dr. Tan and Partners Clinic (DTAP Clinic)]: This clinic, which was opened in 2010, offers a range of HIV services, including PEP, PrEP, anonymous HIV tests, and HAART. They have seven locations in Singapore, so you should check to see which one is the most convenient for you on the website.


===Costs===
===Costs===
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In Singapore, you can find pads, pantyliners, tampons and menstrual cups. Many of the tampons come from international brands found in the US, China, Japan and Europe.  
In Singapore, you can find pads, pantyliners, tampons and menstrual cups. Many of the tampons come from international brands found in the US, China, Japan and Europe.  


Regarding menstrual cups, you can buy Mooncups at [http://www.mummysmilk.com Mummy's Milk] (Bedok, Singapore, tel: +65 81212840). You can also get them through [http://www.firstaidtuition.com/ First Aid Tuition]. Also, a Singapore local says "I've seen them at Naiise at 112 Katong and somewhere in Marina Sq." You can purchase a variety of reusable menstrual products such as menstrual cups, cloth pads and sea sponge at [https://www.liveloveluna.com LiveLoveLuna], as well. There are no known DivaCup or LadyCup sellers in Singapore. If you're interested in those brands, they should be purchased online. For menstrual underwear, they also will probably need to be bought online.
Regarding menstrual cups, you can buy Mooncups at [http://www.mummysmilk.com Mummy's Milk] (Bedok, Singapore, tel: +65 81212840). You can also get them through [http://www.firstaidtuition.com/ First Aid Tuition]. You can purchase a variety of reusable menstrual products such as menstrual cups (brands: Lunette, LENA, Super Jennie, Lily Cup), reusable cloth pads, menstrual underwear and sea sponges at [https://www.liveloveluna.com LiveLoveLuna]. Also, a Singapore local says "I've seen them at Naiise at 112 Katong and somewhere in Marina Sq." There are no known DivaCup or LadyCup sellers in Singapore. If you're interested in those brands, they should be purchased online.  


Organizations that work on menstrual issues in Singapore:
Organizations that work on menstrual issues in Singapore:
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===What to Get & Where to Get It===
===What to Get & Where to Get It===


*  Wendy Teo Mt E Novena
[http://www.wendywomensclinic.com.sg Dr Wendy Teo Women's Clinic]: Address: Mount Elizabeth Novena Specialist Centre, 38 Irrawaddy Road, #08-42, Singapore 329563. Clinic Hours: Mon - Fri : 09:00am - 12:30pm, 02:00pm - 05:00pm. Sat : 09:00am - 12:30pm. Sun & Ph : Closed. Call us at 6250 1685. Dr Wendy Teo Shun Hui - Consultant Obstetrician & Gynaecologist, MBBS (Singapore), MRCOG (London)
*  Dr. Choo Wang Ling. 6471 1233
*  Dr. Choo Wang Ling: 38 Irrawaddy Road, #10-30 Mount Elizabeth Novena Specialist Centre, Singapore 329563. Located in: Mount Elizabeth Novena Hospital. Phone: 6471 1233


===Costs===
===Costs===
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Historically, Singapore was not always so liberal regarding abortion law. According to the UN Report, "Until 1969, abortion legislation in Singapore was based on British laws adopted in the nineteenth century. The performance of an abortion was in general a criminal act punishable under sections 312-316 of the Penal Code. However, an abortion was permitted if performed in good faith to preserve the life of the pregnant woman."<ref>[http://www.un.org/esa/population/publications/abortion/profiles.htm UN Report: Abortion in Singapore]</ref> The abortion laws began to change in the 1970s to offer more general access.
Historically, Singapore was not always so liberal regarding abortion law. According to the UN Report, "Until 1969, abortion legislation in Singapore was based on British laws adopted in the nineteenth century. The performance of an abortion was in general a criminal act punishable under sections 312-316 of the Penal Code. However, an abortion was permitted if performed in good faith to preserve the life of the pregnant woman."<ref>[http://www.un.org/esa/population/publications/abortion/profiles.htm UN Report: Abortion in Singapore]</ref> The abortion laws began to change in the 1970s to offer more general access.


Here's a [https://www.reddit.com/r/singapore/comments/2p5tgp/had_an_abortion_in_singapore_ama/?st=iser0ove&sh=449ce988 personal account] of getting an abortion in Singapore in the early 2000s.
Here's a [https://www.reddit.com/r/singapore/comments/2p5tgp/had_an_abortion_in_singapore_ama/ personal account] of getting an abortion in Singapore in the early 2000s. Here's another [https://www.reddit.com/r/singapore/comments/5srn2n/i_recently_had_an_abortion_in_singapore_heres/ personal account] where the abortion seems to have taken place in 2016 or 2017.


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


Misoprostol (the abortion pill) is available under the names Misel and Cytotec.
Misoprostol (one part of the "the abortion pill") is available under the names Misel and Cytotec.


* [http://www.sppa.org.sg/ Singapore Planned Parenthood Association (SPPA)]: Block 3A, Holland Close #01-55, Singapore 272003, Singapore, Tel: +65+65 6775 8981 , +65 67751174 , Hotline (+65 1800 775 8582), Fax: +65+65 6776 8296.
* [http://www.sppa.org.sg/ Singapore Planned Parenthood Association (SPPA)]: Block 3A, Holland Close #01-55, Singapore 272003, Singapore, Tel: +65+65 6775 8981 , +65 67751174 , Hotline (+65 1800 775 8582), Fax: +65+65 6776 8296.
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===Costs===
===Costs===
"I'm guessing $900 is for an early pregnancy (8 weeks max) and $1500 is for those farther along."<ref>[https://www.reddit.com/r/singapore/comments/5srn2n/i_recently_had_an_abortion_in_singapore_heres/?st=iz24uzxw&sh=74010c0d I recently had an abortion in Singapore. Here's some updated information. Questions are welcome :)]</ref>


"It costs about SGD $12 - 15 to get referred to gynaecological services at a public hospital for abortion services. It will cost about SGD $35 - $40 for first consult in a public hospital. In general, the costs  for an abortion in public hospitals will be much less  (about SGD $500) than in private hospitals."<ref>[http://www.womenonwaves.org/en/page/5137/abortion-law-singapore Abortion Law: Singapore]</ref>
"It costs about SGD $12 - 15 to get referred to gynaecological services at a public hospital for abortion services. It will cost about SGD $35 - $40 for first consult in a public hospital. In general, the costs  for an abortion in public hospitals will be much less  (about SGD $500) than in private hospitals."<ref>[http://www.womenonwaves.org/en/page/5137/abortion-law-singapore Abortion Law: Singapore]</ref>
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==List of Additional Resources==
==List of Additional Resources==


* [http://www.equaldex.com/region/singapore Equaldex Singapore]: This website provides information on LGBTQ rights and laws in Singapore.
* [http://www.aware.org.sg/ AWARE]: "AWARE is Singapore’s leading gender equality advocacy group. AWARE believes in the rights of women and men to make informed and responsible choices about their lives and to have equal opportunities in education, marriage and employment, and in the right of women to control their own bodies, particularly with regard to sexual and reproductive rights."
* [http://www.aware.org.sg/ AWARE]: "AWARE is Singapore’s leading gender equality advocacy group. AWARE believes in the rights of women and men to make informed and responsible choices about their lives and to have equal opportunities in education, marriage and employment, and in the right of women to control their own bodies, particularly with regard to sexual and reproductive rights."
* [http://www.scwo.org.sg/ Singapore Council for Women's Organisations]: "The Singapore Council of Women’s Organisations (SCWO) is the National Coordinating body of women’s organisations in Singapore.  Our 58 Member Organisations represent more than 500,000 women in Singapore."
* [http://www.scwo.org.sg/ Singapore Council for Women's Organisations]: "The Singapore Council of Women’s Organisations (SCWO) is the National Coordinating body of women’s organisations in Singapore.  Our 58 Member Organisations represent more than 500,000 women in Singapore."

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