Editing Tegucigalpa

{{setLocation
|Country=Honduras
|City=Tegucigalpa
}}

[[File:Tegucigalpa.jpg|400px | thumb|right|]]

'''OVERVIEW''' 

==Contraception (Birth Control)==

'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here].

===Laws & Social Stigmas===

In Honduras, you can purchase condoms and birth control pills at pharmacies without a prescription, and no screening is required.<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> However, for other forms of birth control, such as injectables and IUDs, you may need to directly visit a hospital or clinic to obtain them.

In 2015, it was estimated that about 73% of women in Honduras (who were married/in unions and between the ages of 15-49) were using any form of contraception, including traditional methods. This was roughly comparable to the Central American average (about 71% of women). Furthermore, it was estimated that about 11% of women had unmet family planning needs, which was equal to the Central American average (11% of women). The most common forms of contraception were female sterilization (22% of women), contraceptive injectables (18% of women), and contraceptive pills (12% of women). Other forms of contraception were IUDs (7% of women) and condoms (4% of women). Traditional methods were also used by some women, including withdrawal (6% of women) and the rhythm method (3% of women). There were practically no recorded users of vaginal barrier methods or contraceptive implants.<ref name="unreport_contraceptives2015">[http://www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf Trends in Contraceptive Use Worldwide 2015]</ref>

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

* For oral contraceptives (birth control pills), the easiest option is to visit a pharmacy.<ref name="condiscon_honduras">[https://www.jstor.org/stable/41310704?read-now=1&seq=2#page_scan_tab_contents Contraceptive Discontinuation among Honduran Women Who Use Reversible Methods]</ref> The pills are sold over-the-counter.
* You can purchase and obtain contraceptive injectables at pharmacies.
* Some forms of contraception, such as IUDs, may require that you visit a hospital or clinic. There are public or private options. 
* [http://www.ashonplafa.org/ The Honduran Associacion for Family Planning (ASHONPLAFA)]: They're a local affiliate of the International Planned Parenthood Association, and they're one of the main suppliers of contraceptives to people in Honduras. You can find 24-hour service at the Alameda clinics in Tegucigalpa, Santa Rosa de Copán, Swiss Hospital in La Ceiba and at their Firenze clinic in San Pedro Sula, though their pharmacies may not be open 24 hours. You can contact a local clinic for details or visit them directly. Address: Ashonplafa Main Office Telephone: (504) 2232-3959, 2239-9695; Fax. 2232-5140 Address: Col. Alameda, Avenida principal, Tegucigalpa, MDC, Honduras; Email: Central@ashonplafa.org
* The Secretary of Health system of hospitals, CESaMOs (Secretary of Health clinics with doctors and dentists), and CESARs (rural health clinics staffed by nurses) dispense contraceptives to many people in Honduras.<ref name="condiscon_honduras" />

===Costs===

* Public hospitals and clinics will generally be more affordable than private facilities.
* If you go to a private clinic, you can expect to pay around 1000-1500 HNL for an IUD insertion (based on conversations with 2 separate clinics in July 2019).

==Emergency Contraception (Morning After Pill)==

'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex to prevent pregnancy. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) You must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].

===Laws & Social Stigmas===

In Honduras, emergency contraceptive pills (morning after pills) have been banned since 2009. The Supreme Court upheld this ban in 2012.<ref>[https://www.cecinfo.org/country-by-country-information/status-availability-database/countries/honduras/ EC Status and Availability - Honduras]</ref> <ref>[https://hondurasreport.org/2017/06/01/emergency-contraception-in-honduras/ In Case You’ve Forgotten: Emergency Contraception In Honduras]</ref> However, in 2019, Honduras activists launched a campaign to legalize emergency contraception. This organizational effort goes under the name [https://hablemosloquees.com/ Habelmos Lo Que Es] (translated to "Let's talk about what it is"). One of the organizations involved in the campaign is Grupo Estratégico por la PAE (GEPAE).<ref>[https://remezcla.com/culture/hablemos-lo-que-es-morning-after-pill/ 10 Years After Ban, Honduran Activists Launch Campaign to Legalize Morning-After Pill]</ref> The emergency contraceptive pill remains illegal, as of 2019, but the work of activists may change this in the future.

In Honduras, Catholic clergy and government ministers have falsely claimed that emergency contraception is "the abortion pill." This has lead to widespread misconceptions about emergency contraception in the country.<ref>[https://www.theguardian.com/global-development/2019/apr/24/campaigners-fight-to-lift-ban-on-morning-after-pill-in-honduras Honduras urged to put an end to birth control myths]</ref> In the past, it was estimated that about 53% of Honduran women (of reproductive age) had knowledge of emergency contraceptive options, as of 2011-2012, and about 1% of Honduran women (of reproductive age) had ever used emergency contraceptive pills, as of 2005-2006.<ref>[https://www.cecinfo.org/country-by-country-information/status-availability-database/countries/honduras/ EC Status and Availability - Honduras]</ref>

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

* [https://hablemosloquees.com/ Hablemos Lo Que Es]: This organization provides educational resources on emergency contraception, and they advocate for its legalization in Honduras.

===Costs===

==Sexually Transmitted Infections (STIs/STDs)==

'''Important Notes - Learn about PEP and PrEP:''' If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click [https://www.aids.gov/hiv-aids-basics/prevention/reduce-your-risk/post-exposure-prophylaxis/ here]. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click [http://www.whatisprep.org/ here].

===Laws & Social Stigmas===

In Honduras, there are no known travel restrictions for people with HIV/AIDS. This means that, if you're a foreigner, you can enter the country, regardless of your HIV status, and visit for a short-term trip. However, if you're a foreigner who wants to get a residence card or work permit, you'll need to take a test and prove that your HIV-negative.<ref>[http://www.hivtravel.org/Default.aspx?PageId=143&CountryId=83 HONDURAS - REGULATIONS ON ENTRY, STAY AND RESIDENCE FOR PLHIV]</ref> <ref>[http://www.escapeartist.com/blog/requirements-retiree-residency-honduras/ Requirements For Retiree Residency In Honduras]</ref>

In 2017, it was estimated that about 22,000 adults and children were living with HIV in Honduras. In total, about 0.3% of adults living in Honduras are living with HIV, according to estimates, and about 52% of people living with HIV are on ART (i.e. treatment). Generally, women tend to receive HIV treatment at higher rates than men, with about 65% of women on ART and 43% of men on ART. The higher rate for women may due to the additional medical care that women receive as mothers, since 65% of children with HIV are also on ART. It is estimated that about 53% of pregnant women receive ART for Prevention of Mother-to-Child Transmission of HIV (PMTCT).<ref>[http://www.unaids.org/en/regionscountries/countries/honduras UNAIDS, HIV and AIDS Estimates (Honduras)]</ref>

===Testing Facilities===

===Support===

* Note: You can find HIV treatment at public hospitals and clinics in Honduras. There are a total of 37 Centers of Integral Assistance (Centros de Asistencia Integral, or CAI), which provide treatment. However, this treatment is often limited and may not cover all of your needs. The CAIs in Tegucigalpa are considered the best in the country.<ref name="honduras_hivgap">[https://www.montanadeluz.org/filling-the-gaps-in-hiv-care-within-the-honduran-healthcare-system/ Filling the Gaps in HIV Care within the Honduran Healthcare System]</ref>
* One of the big issues for many Hondurans is that HIV treatment facilities may be far from their homes, particularly if they live in rural areas, or the treatment centers in their areas may be understaffed or lacking in resources.<ref name="honduras_hivgap" />
* [http://www.unaids.org/en/regionscountries/countries/honduras UNAIDS Honduras]
* [https://www.who.int/hiv/HIVCP_HND.pdf World Health Organization (WHO) - Information on HIV/AIDS in Honduras]
* [http://www.siempreunidos.org/ Siempre Unidos]: They provide HIV testing, treatment, free meals, support groups, home visits, education, and advocacy. The organization is considered a supportive, stigma-free space for many people.<ref>[https://www.directrelief.org/2019/10/marginalized-hondurans-find-supportive-care-and-friendships-at-a-local-clinic/ Marginalized Hondurans Find Supportive Care – and Friendships – at a Local Clinic]</ref> It is affiliated with the Episcopal Diocese of Honduras and partnered with the Honduran Ministry of Health. Email: info@siempreunidos.org
* [https://www.projecthope.org/honduras/ Project Hope]: They do work to help people struggling with disasters and health crises, HIV/AIDS, tuberculosis, diabetes, and other infections and diseases.
* [https://www.unfpa.org/news/voices-women-living-hivaids-honduras UNFPA Report: Voices of Women Living with HIV/AIDS in Honduras]

===Costs===

==Medications & Vaccines==

===Laws & Social Stigmas===

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

* [http://www.siempreunidos.org/ Siempre Unidos]: They provide HIV testing, treatment, free meals, support groups, home visits, education, and advocacy. The organization is considered a supportive, stigma-free space for many people.<ref>[https://www.directrelief.org/2019/10/marginalized-hondurans-find-supportive-care-and-friendships-at-a-local-clinic/ Marginalized Hondurans Find Supportive Care – and Friendships – at a Local Clinic]</ref> It is affiliated with the Episcopal Diocese of Honduras and partnered with the Honduran Ministry of Health. Email: info@siempreunidos.org

===Costs===

==Menstruation==

'''Note:''' In addition to pads and tampons, you can also use menstrual cups and menstrual underwear for your period. To learn more about menstrual cups, click [https://en.wikipedia.org/wiki/Menstrual_cup here]. To learn more about menstrual underwear, click [http://menstrualcupreviews.net/best-period-panties-reviews/ here].

===Laws & Social Stigmas===

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

* [https://www.facebook.com/Copa-Menstrual-MeLuna-Honduras-373463089489559/ Copa Menstrual MeLuna Honduras]: You can access the MeLuna menstrual cup from this Facebook group. Email: melunahonduras@outlook.com

===Costs===

==Gynecological Exams==

===Laws & Social Stigmas===

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

* [http://materdeihn.com/ Clinica Mater Dei]: This clinic, which calls itself a "comprehensive women's center," was recommended by a local. They have a range of services, and you can expect to pay around 1200 Lempira for an appointment, according to one local in 2019. Location: Colonia Tepeyac, Calle Yoro contiguo a RadioHouse, Tegucigalpa, Honduras. Phone: 2239-4809. Email: info@materdeihn.com

===Costs===

* The public clinics will be much more affordable than the private clinics.
* The private clinics will be more expensive than public facilities. When we talked to two private clinics: ([https://www.facebook.com/DraAmabilis/ Dra. Amabilis Fuentes] (Call +504 9957-5468), which quoted 700 HNL for a consultation, including a gynecological exam (July 2019) and [https://www.facebook.com/dra.marielamedina/ Dr. Maria Medina @ GineSthetic], which quoted 800 HNL for a gynecological exam (July 2019).

==Pregnancy==

===Laws & Social Stigmas===

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

*  Dr. George Frazer at Hospital San Jorge El Hato: This ob/gyn was strongly recommended by a local. 
* [http://hmc.com.hn/maternidad/ Honduras Hospital]: Phone: (504) 2280-1500; Address: Col. Las Minitas, Avenida Juan Lindo, Tegucigalpa; Email: sac@hmc.hn

===Costs===

==Abortion==

'''Important Note:''' There are two main types of abortions: medical (also known as the "abortion pill") and surgical (also known as "in-clinic"). For medical abortions, you take a pill to induce abortion. For surgical abortions, a procedure is performed to induce abortion. For general information about medical and surgical abortions, click [https://www.plannedparenthood.org/learn/abortion here].

===Laws & Social Stigmas===

In Honduras, abortion is prohibited without exception.<ref>[https://www.guttmacher.org/fact-sheet/abortion-latin-america-and-caribbean Abortion in Latin America and the Caribbean]</ref> However, this does not mean that women in Honduras do not receive abortions. In fact, it's estimated that there are about 50,000 to 80,000 clandestine abortions in Honduras per year, as of 2019. There is a large clandestine abortion network in Honduras, and it is reportedly common for people to procure medical abortion pills through underground networks. There is also an abortion hotline ("La Linea", or "the line" in English), which provides information on abortion services, and people can call this hotline anonymously. 

One warning about hotlines: There are anti-abortion hotlines that try to trick people into thinking they are calling pro-choice hotlines (which often advertise services in newspapers). 

It is important to understand that women die every year in Honduras due to complications from abortion procedures. The underground network of providers does not have the regulations of legal networks, so women sometimes have abortions in unsafe conditions.<ref>[https://www.iwmf.org/reporting/the-informal-networks-resisting-hondurass-abortion-ban/ The informal networks resisting Honduras’s abortion ban]</ref>

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

* [https://womenhelp.org/es/page/785/safe-abortion-hotline-in-honduras La Linea (the Line)]: Call: #9439-6384. "The Line offers confidential, free, safe and scientific information on safe abortion and emergency contraception in Honduras. They are the only line of attention offering this information in Honduras, where there is a critical need for this type of support for women's rights and sexual and reproductive health rights."

===Costs===

==Advocacy & Counseling==

===Laws & Social Stigmas===

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

* Police: Call 199
* Emergencies: Call 237-1400
* Red Cross in Tegucigalpa (good for medical situations): Call 195 or 227-7575
* [https://twitter.com/yviolada Yo No Quiero Ser Violada (I Don't Want to Be Raped)]: This group advocates for awareness of sexual violence, and they are calling for national guidelines for victims and survivors of sexual assault.

===Costs===

==List of Additional Resources==

* [http://www.salud.gob.hn/web/ Ministry of Health]
* [http://www.ashonplafa.org/ The Honduran Associacion for Family Planning (ASHONPLAFA)]: "One of the most esteemed actors in the field of sexual and reproductive rights in Honduras, Ashonplafa provides integrated sexual and reproductive health services through clinics located in nearly every state of the country, including specialized services and educational initiatives attuned to the specific needs of young people. In a country where 66% of the population lives in poverty, Ashonplafa offers subsidized services scaled to the client’s ability to pay, and operates mobile health units that reach people living in rural areas. "
* [https://www.familyplanning2020.org/honduras Honduras Family Planning 2020]
* [https://derechosdelamujer.org/ Centro de Derechos de Mujeres]: "The CDM is a Honduran organization, feminist, autonomous, critical, proactive, that fights for the human rights of women." Address: Colonia Lara Norte, Manuel José Arce Ave., Calle Lara N. 834, Tegucigalpa, Honduras, PO Box 4562. Tel / Fax: (504) 2221-0459 / (504) 2221-0657. E-mail: cdm@cablecolor.hn
* [http://www.equaldex.com/region/honduras Equaldex - Honduras]: Click here to learn about LGBTQ rights and laws in Honduras.
* [https://honduranequalitydelegation.wordpress.com/252-2/ Honduran Equality Delegation]: They focus on LGBTQ rights issues in Honduras.
* [https://www.lonelyplanet.com/honduras/practical-information/directory/lgbt-travellers/a/nar/690130d6-2c8b-403c-8ef9-6e9af02cebdd/358443 Lonely Planet - Info for LGBT Travelers in Honduras]

==References==
<references />

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