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United States

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Is abortion legal in the United States?

In the United States, abortion is legal but restrictions may make it difficult to access services in some areas. In 1973, the United States Supreme Court decision in the case of Roe vs. Wade guaranteed women the right to abortion. Numerous state-based laws restrict access in other ways, including by requiring consent for minors, waiting periods between the initial consultation and initiating the abortion, and/or requiring that only doctors provide the abortion.

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What are the different abortion services available?

  • Medical abortion
  • Surgical abortion
  • Manual Vacuum Aspiration (MVA)
  • Dilation and Curettage (D&C)
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Who can perform abortions in the United States?

Though each state regulates abortion differently, in the United States abortion can be performed by one or more of the following types of providers:

  • Doctor
  • Advance Practice Clinician (Nurse Practitioner, Physician’s Assistant)
  • Midwife (Certified Nurse Midwife)
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Where can I go for abortion services?

  • Planned Parenthood: Planned Parenthood provides medical and surgical abortion through its many health centers throughout the country. Planned Parenthood is uniquely positioned to integrate birth control with abortion services. Through offering pre- and post-abortion counseling and birth control method choice, Planned Parenthood enables women to prevent an unplanned pregnancy subsequent to an abortion."
  • Independent Abortion Clinics: Visit the Abortion Care Network website to see if there is an independent abortion care center near you. Independent providers can also help you start a birth control method after the abortion.
  • Telemedicine study: If you live in Hawaii, Maine, Oregon, or Washington State, you may be able to receive abortion pills by mail through the TelAbortion Study. Please visit www.telabortion.org for further information.
  • #ExposeFakeClinics
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What is the cost of an abortion?

The average cost of a first trimester abortion is $504, but costs can range from $400 to $900. The cost of surgical and medical abortion are typically the same. Later term abortions are more expensive. Some insurance plans and state reimbursement plans cover abortion, though many do not. The National Network of Abortion Funds can help those requiring financial assistance access support for the abortion and related costs (such as travel to a clinic).

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What are the legal and safe drugs available?

  • Mifepristone (Mifeprex) plus misoprostol
  • Misoprostol
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Can I buy abortion pills at a pharmacy?

No. Abortion pills are not sold in pharmacies. The pills must be obtained directly from the abortion provider.

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Can I buy abortion pills online?

Some people in the United States have reported obtaining abortion pills through online pharmacies. Because these pharmacies are unregulated, there is little information available about their reliability. Researchers have purchased products from a number of online pharmacies and received abortion pills by mail. Chemical analysis found that the pills contained the labeled active ingredients. For more information about this research and how people in the United States are accessing abortion pills through the internet, visit www.plancpills.org. In addition, a US-based service—Self-managed Abortion Safe and Supported (SASS)—provides a secure chat feature for those who have questions about accessing abortion pills in this way.

NOTE: While no person should be prosecuted for providing their own medical care, there have been at least 18 instances in the United States of people being prosecuted for performing their own abortion (often after buying pills on the internet). For more information, visit the Self Induced Abortion (SIA) Legal Team.

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Who can I contact for additional information and support?

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Ethiopia

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Facts & Legalities

In Ethiopia, unsafe abortions cause more than half of the 20,000 maternal deaths that occur annually. For much of Ethiopia’s modern history, safe abortion services were unavailable. In fact, abortion was only allowed when it physically put the woman’s life at risk. Motivated by the growing death toll from unsafe abortion and other related causes, advocates, providers and policymakers sought legal reform. (IPAS, 1998-2017) In 2005, the Ethiopian Parliament voted to approve a new, progressive law. Although the new Criminal Code of the Federal Republic of Ethiopia maintains the legal prohibition of abortion, it stipulates that abortion is allowed by law in the following circumstances:

  • When the pregnancy results from rape or incest
  • When continuance of the pregnancy endangers the health or life of the woman or the foetus
  • In cases of foetal abnormalities
  • For women with physical or mental disabilities
  • For minors who are physically or psychologically unprepared to raise a child
  • In the case of grave and imminent danger that can be averted only through immediate pregnancy termination.

The revised law also states that poverty and other social factors may be grounds for reducing the criminal penalty for abortion and that in cases of rape or incest, no proof is required beyond the woman’s statement that it has occurred. In addition, by allowing abortion for minors who are unprepared to raise a child, the law also marks a significant change for Ethiopia, where adolescents make up more than 45 percent of those seeking abortions. 

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What are the different abortion services available?

  • Medical abortion
  • Surgical abortion
  • Manual Vacuum Aspiration (MVA)
  • Dilation and Curettage (D&C)
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Who can perform abortions in Ethiopia?

In Ethiopia abortion, can be performed by:

  • Doctor (Mostly)
  • Midwife
  • Nurse
  • Clinical officer trained in provision of abortion services
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Where can I go for abortion services?

  • Marie Stopes Ethiopia: MSIE provides medical and surgical abortion through its 31 centres throughout the country. MSIE is uniquely positioned to integrate FP with safe abortion services. Through offering pre- and post-abortion counselling and family planning method choice, MSIE enables women to prevent an unplanned pregnancy subsequent to an abortion.
  • BlueStar Private Clinics: a network of more than 500 BlueStar private clinics located throughout the country provide medical and surgical abortion. These are social franchise networks of Marie Stopes International.
  • Private Maternal and Child Care hospitals: provide safe abortion services through Obstetricians and Gynaecologists
  • Public health facilities: starting from health centre and above in the 3 tier Ethiopian health system( this includes health centers, primary hospitals, general hospitals and specialized hospitals) provide safe abortion service through Obstetricians and Gynaecologists.
  • IPAS Ethiopia: As Ethiopia charts new ground with its abortion law, Ipas Ethiopia has become a regional leader in establishing safe abortion services and creating reproductive health networks.  Based in Addis Ababa, Ipas Ethiopia works to expand access to high-quality comprehensive abortion care and raises awareness about preventing unwanted pregnancies and unsafe abortions.
  • Engender Health: delivers a comprehensive range of SRH services from expanding contraceptive choice, to ensuring the delivery of high-quality maternal health care, and reducing unsafe abortions.
  • Family Guidance Association: an NGO who works to improve access to SRH services among undeserved rural and urban communities including safe motherhood and safe abortion services.
  • Pharmacies: provide abortion pills with a written prescription from a doctor
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What is the cost of an abortion?

Safe methods of terminating an early pregnancy or procuring a safe abortion at clinics costs between ETB 500 ($22) and ETB 2000 ($86) for medical and surgical abortion respectively.

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What are the legal and safe drugs available?

  • Mifepristone (Cytotec and Misotrol)
  • Mife-misoprostol (Mifeprex)
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Can I buy abortion pills at a pharmacy?

Abortion pills can be bought at the pharmacy but can only be issued following a professional doctor’s prescription.

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Who can I contact for additional information and support?

  • Marie Stopes Ethiopia: providing a wide range of high quality, affordable and client- centered reproductive services to men, women and young people in collaboration with the Government of Ethiopia.
  • BlueStar Clinics: a network of 500 private clinics that provide franchised services including the provision of long-term family planning (FP) methods, permanent FP methods and medical and safe surgical abortion services, along with HIV testing and sexually transmitted infections(STI) diagnosis services.
  • IPAS Ethiopia: a regional leader NGO in establishing safe abortion services and creating reproductive health networks.
  • Engender Health Ethiopia: an NGO who delivers a comprehensive range of SRH services.

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Kenya

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Is abortion legal in Kenya?

Abortion in Kenya is legally restricted. However under Kenyan constitution 2010 Article 26(4), there are exceptions when:

  • In the opinion of a trained health professional, there is need for emergency treatment, or the life or health of the [pregnant woman] is in danger
  • In Kenya abortion can be performed by:

The Kenyan penal code has not been revised to reflect the language of the constitution (which is the highest law of the land). The penal code generally prohibits abortion. It lists self-inducing abortion, or providing any other type of “unlawful” abortion, as felonies punishable by a 7–14-year prison sentence. Nonetheless under other provision of the penal code specifically section 240 abortion may be performed to save the life of a pregnant mother.

  • a) The Standard and Guidelines on Reducing Maternal Mortality and Morbidity

    Abortion pills can be bought at the pharmacy but can only be issued following a professional doctor’s prescription. Abruptly, in December 2013, Ministry of Health withdrew the Standards and Guidelines. In February 2014, the Ministry wrote a letter instructing all healthcare providers to halt safe abortion trainings and to stop stocking Medabon (the packet of combined medical abortion pills that doctors were giving women in the first trimester). The letter stated “Abortion on demand is illegal,” so there is no need of training health workers on safe abortion or importation of drugs for medical abortion.” Given the many repercussions of the withdrawal of the Standards and Guidelines, a petition was filed in June 2015 in the Kenyan High Court against the Attorney General, the Ministry of Health and the Director of Medical Services of Kenya on behalf of the following – the Federation of Women Lawyers (FIDA) Kenya, two community human rights mobilisers, an adolescent rape survivor who suffers from kidney failure and other complications of an unsafe abortion, and on behalf of all Kenyan women of reproductive age who were denied access to safe abortions. The petition calls on the government to restore safe abortion training and reintroduce guidelines clarifying when a legal abortion can be provided.
  • b) Global Gag Rule

    The US Helms Amendment continues to prohibit the use of US foreign assistance for safe abortion, and now in 2017, the Mexico City Policy (commonly known as the Global Gag Rule) has also been reimposed yet again. In December 2013, USAID, who fund much of Kenya's family planning provision, warned that anyone receiving US aid should not attend an upcoming government meeting, because the Standards and Guidelines were on the agenda. The next day, the Ministry of Health withdrew the Standards and Guidelines, arguing that there was a need for wider stakeholder consultation on some of the contents of the document. On 3 April the US State. Department issued a letter to the US Senate Foreign Relations Committee announcing it will no longer fund the UN Population Fund (UNFPA) which provides maternal and child health services in more than 150 countries worldwide. The UNFPA country programmes fund is one of the largest in Kenya and so its withdrawal will most likely be disastrous.
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What are the different abortion services available?

  • Medical abortion
  • Surgical abortion
  • Manual Vacuum Aspiration (MVA)
  • Dilation and Curettage (D&C)
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Who can perform abortion services?

In Kenya abortion can be performed by:

  • Doctor
  • Nurse
  • Midwife
  • Clinical officer trained in provision of abortion services
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Where can I go for abortion services?

Reproductive Health Network : This is a network of health professionals in the private and public sector who are committed to reducing maternal morbidity and mortality associated with unsafe abortion and postpartum hemorrhage in Kenya. The network’s membership is drawn from four health professional associations i.e. Kenya Medical Association (KMA), Kenya Obstetrical & Gynecological Society (KOGS) and the National Nurses Association of Kenya (NNAK) and the Kenya Association of Clinical Officers (KCOA). RHN has a nationwide representation with a membership of 400 health providers

Marie Stopes Kenya provides a wide range of high quality, affordable and client- centered reproductive services to women including safe abortion that can be accessed through the Marie Stopes clinics situated in different parts of the country

Family Health Options Kenya (FHOK) delivers a comprehensive range of SRH services. These include: contraception, emergency contraception, antenatal and post-natal services, and post-abortion care.

Pharmacies provide abortion pills with a written prescription from a doctor

Private hospitals provide safe abortion services through Obstetricians and Gynecologist

What is the cost of an abortion?

Safe methods of terminating an early pregnancy or procuring a safe abortions at clinics cost’s between Ksh12000 ($120) and Ksh 20,000 ($200)

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What are the legal and safe drugs available?

  • mifepristone (Cytotec and Misotrol)
  • mife-misoprostol (Mifeprex)
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Can I buy abortion pills at a pharmacy?

Abortion pills can be bought at the pharmacy but can only be issued following a professional doctor’s prescription.

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Who can I contact for additional information or support?

  • Aunty Jane hotline: provides on sexual and reproductive health information and abortion online and through a hotline that is confidential
  • Marie Stopes Kenya: providing a wide range of high quality, affordable and client- centered reproductive services to men, women and young people in collaboration with the Government of Kenya.
  • Nimechanuka: is an online campaign that believes information is power and provides young people with sexual and reproduction health information
  • Safe abortion in Kenya: facebook page that provides information concerning safe abortion, and the management of abortion-related complications
  • Kisumu Medical and Education Trust (KMET): KMET is an indigenous Kisumu-based nongovernmental organization established to promote quality health and education services across Kenya.

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Mozambique

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Is abortion legal in Mozambique?

Abortion in Mozambique was decriminalized in some situations in June 2015 under the revised Penal Code, which states that abortion is not punishable by law if carried out by a doctor or other trained health professional, in an official or officially recognized health facility, with consent of the pregnant woman, if one of the following conditions is met:

  • Non-viable foetus
  • Evidence of foetal abnormality or serious illness (up to 24 weeks)
  • To avoid risk of death or serious illness of the woman, or if recommended in case of chronic/degenerative illness
  • At the expressed wish of the pregnant woman if the pregnancy is in its first 12 weeks. (Penal Code, Article 168).

However, abortion in all other situations (including all abortions outside of a health facility or performed by someone other than a trained health professional, including self-induced abortions) remains illegal, and is punishable by a prison sentence for both the women seeking an abortion (up to 1 year), and for anyone carrying out the abortion (up to 2 years). (Penal Code, Article 166).

At the time of writing (October 2017) the Penal Code was being further revised, and so it is possible that some of the information above will change.

Prior to the revision of the Penal Code, some of the larger hospitals in the country were already providing abortion services under an internal Ministry of Health authorization from the 1980s that allowed abortions to be carried out under some circumstances in order to reduce maternal mortality and morbidity.

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The Clinical Standards and Guidelines on Safe Abortion and Post-Abortion Care

Following the revision of the law, in 2016 the Ministry of Health developed Clinical Standards and Guidelines on Safe Abortion and Post-Abortion Care, based on recommendations from the World Health Organisation (WHO). These guidelines were published in October 2017, together with a Ministry of Health Decree which lays out how the Penal Code will be operationalised with respect to provision of safe abortion services. A training curriculum for mid-level providers (mainly maternal and child health nurses) has also been developed, training of providers is expected to start in early 2018.

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What are the different abortion methods available?

The approved methods for safe abortion in Mozambique are:

  • Medical abortion (Mifepristone + Misoprostol, or Misoprostol only if Mifepristone is not available)
  • Manual Vacuum Aspiration (MVA).
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Who can perform abortions?

In Mozambique abortion can be performed by a medical doctor, or any other health professional who has been trained to this effect (in practice mainly Maternal and Child Health nurses)

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Where can I go for abortion services?

Public health facilities (hospitals and health centres): Services are currently officially available only in provincial hospitals and a few others. However, the Ministry of Health expects to roll out safe abortion services in at least one health facility per district in early 2018.

AMODEFA is an NGO that delivers comprehensive sexual and reproductive health services including services for young people at a network of clinics across the country, including post-abortion care. They plan to introduce abortion services when these are rolled out nationally in 2018. AMODEFA has clinics in Maputo, Namaacha, Boane, Xai-Xai and Quelimane.

Many private clinics provide abortion services, some in collaboration with DKT which runs franchised services including family planning and safe abortion.

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What is the cost of an abortion?

Safe abortion services at public health facilities are be free of charge.

At private clinics the cost is variable.

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What are the legal and safe drugs available?

  • Misoprostol (Cytotec)
  • Mife-misoprostol
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Can I buy abortion pills at a pharmacy?

Abortion pills can be bought at many pharmacies, theoretically only with a prescription. However, using these pills to induce abortion at home is a criminal offence and can be punished by law.

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Who can I contact for additional information and support?

  • SMSBiz: This is an SMS-based confidential information service on reproductive and sexual health, targeting young people, that can be accessed by sending and SMS with the word “juntar” to 92222.
  • AMODEFA, providing a wide range of high quality, affordable reproductive and sexual health services including information and counselling. Email: informe@amodefa.org.mz; Tel: 823031649/21-405109.

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Uganda

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Is abortion legal in Uganda?

Abortion is legally restricted in Uganda. Article 22 (2) of the Ugandan Constitution prohibits the deprivation of the life of any person including an unborn child but also states that in some instances a pregnancy can be lawfully terminated. The Penal Code ACT further goes on to describe the punishments for the various categories of sections on abortion. These include attempts to procure abortion, women with intent to procure a miscarriage, and supply of drugs that procure abortion. These are punishable according to law with various sentences. The law however protects individuals who perform a surgical operation in good faith and reasonable care for the preservation of a mother’s life (Section 224). Therefore, Article 22 (2) not only anticipated but also placed an obligation on the Ugandan Parliament to make a law which would clearly stipulate the circumstances under which the termination of a pregnancy would be permitted.

Unfortunately the Parliament has not yet fulfilled this obligation and as such, the Penal Code Act of Uganda, which provides for criminal sanctions to several aspects of abortion, remains the only authority on instances in which abortion can or cannot be permitted.

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What are the different abortion services available?

  • Medical Abortion (MA)
  • Manual Vacuum Aspiration (MVA)
  • Dilation and Evacuation (D&E)
  • Surgical abortion
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Who can perform abortions in Uganda?

  • Obstetrician-gynecologists
  • Medical doctors
  • Trained clinical officers
  • Midwives
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Where can I go for post-abortion care or comprehensive abortion care services?

  1. General Hospitals and Health Facilities Most general hospitals provide post abortion services for induced and spontaneous abortions in order to treat the complications of unsafe abortions.
  2. Marie Stopes Uganda Contraception, post abortion care and pain management, affordable at all Health facilities under Maristopes.
  3. Reproductive Health Uganda Contraception, post abortion care and pain management, affordable at all Health facilities under Reproductive Health Uganda.
  4. Uganda Reproductive Health Bureu Contraception, post abortion care and pain management, affordable at all Health facilities under URHB. URHB was registered with the mandate to improve the sexual and reproductive health status of young people and children.
  5. Naguru Teenage Centre The care provides all elements of comprehensive abortion care, as well as other medical services. This comprises of sexually transmitted infection (STI) diagnosis and treatment, pregnancy testing, antenatal services, menstrual complications, post abortion care, infertility, nutrition and hygiene.
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What is the cost of an abortion?

  1. 1. Medical abortion costs averagely 100,000 Ugandan shillings
  2. 2. Services range from $150 for surgical abortion
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What are the legal and safe drugs available?

Commonly known to hospitals and pharmacies as:

  1. Misoprostol
  2. Mifepristone
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India

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Is abortion legal in India

Abortion has been legal in India since 1971 according to the Medical Termination of Pregnancy (MTP) Act. Abortion in India is legal only up to twenty weeks of pregnancy. Pregnancies not exceeding 12 weeks can be terminated based on a single opinion formed in good faith. In case of pregnancies exceeding 12 weeks but less than 20 weeks, termination needs opinion of two doctors under specific conditions and situations, which are broadly defined as:

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What are the different abortion services available?

India provides both medical as well as surgical abortion services. For medical abortion (MA), a combination of two drugs, Mifepristone and Misoprostol is used. Surgical procedures that are available are Manual Vacuum Aspiration (MVA) and Dilation and Evacuation (D&E).

  • Medical Abortion (MA) for pregnancies up to 9 weeks
  • Manual Vacuum Aspiration (MVA) for pregnancies up to 12 weeks
  • Dilation and Evacuation (D&E) for up to 12 weeks
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Who can perform abortion services?

Only obstetrician-gynecologists and other doctors who have undergone a government-approved training to be certified can provide legal abortion services. All government or public health facilities can provide abortion as long as the provider is certified in abortion services. Whereas abortion services can be provided in private health facilities if doctor is trained at a hospital or training canter approved by the government and has assisted in 25 cases of MTP out of which 5 cases have been done independently.

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What is the cost of an abortion?

At government or public health facilities, all abortion services are free. In the private sector, services can range from Indian Rs. 1000 to 5000 (approx. USD 25 to 75).

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Can I buy abortion pills at a pharmacy?

Pharmacists are allowed to dispense abortion pills against a valid prescription by a provider.

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Who can I contact for additional information or support?

There are several helplines available in India that answers your queries. They are as follows:

  • DKT/Janani India Tele-Helpline Centre: +1800200300-6
  • Marie Stopes India: +911149840000/+914030680659
  • Marjee India Hotline: +9075764763 (Monday to Friday | 10 AM to 6 PM)
  • Gynopedia India:http://gynopedia.org/India#Abortion
  • For detailed information on abortion in India, please visit: Asia Safe Abortion Partnership’s website: (http://asap-asia.org) and the country profile section: (http://asap-asia.org/country-profile-india)
  • Global Abortion Policies Database for India: http://srhr.org/abortion-policies/country/india

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Indonesia

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Is abortion legal in Indonesia?

Abortion is legally restricted in Indonesia. However, there are exceptions depending on specific circumstances according to the Government Regulation No. 61 passed in 2014 supported by the Ministry of Health’s regulation No. 3 passed in 2016:

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What are the different abortion services available?

If the specific circumstances according to Indonesian law are met, the services available are:

  • Medical Abortion (MA)
  • Manual Vacuum Aspiration (MVA)
  • Dilation and Evacuation (D&E)
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Who can perform abortions in Indonesia?

Only obstetrician-gynecologists and medical doctors can perform abortions.

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Where can I go for abortion services?

Abortion services are provided in public hospitals provided the circumstances stated above are met.

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What is the cost of an abortion?

The Asia Safe Abortion Partnership (ASAP) country profile on Indonesia states that services in the public hospitals range from Rs. 300,000 to Rs. 2,000,000 (approx. 30 to 200 USD).

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Who can I contact for additional information and support?

Under the current laws in Indonesia, MA pills are legally restricted. However, misoprostol is available in the Indonesian market.

  • Samsara Indonesia: http://samsara.or.id provides a helpline service from Monday to Friday 10 AM to 6 PM and can be reached at: +62813-2717-1188, +62857-2900-1188, +62878-3977-0033, +62896-7467-7433
  • Ask Inna: http://askinna.com provides resources on abortion and online consultation service
  • Gynopedia Indonesia: http://gynopedia.org/Indonesia#Abortion
  • For detailed information on abortion in Indonesia, please visit: Asia Safe Abortion Partnership’s website: (http://asap-asia.org) and the country profile section: (http://asap-asia.org/country-profile-indonesia)
  • http://srhr.org/abortion-policies/country/indonesia

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Nepal

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Is abortion legal in Nepal?

Abortion has been legal in Nepal since 2002 under the 11th Amendment to the Civil Code.

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What are the different abortion services available?

Nepal provides both medical as well as surgical abortion services. For medical abortion (MA), a combination of two drugs, Mifepristone and Misoprostol is used. Surgical procedures that are available are Manual Vacuum Aspiration (MVA) and Dilation and Evacuation (D&E).

  • Medical Abortion (MA) for pregnancies up to 9 weeks
  • Manual Vacuum Aspiration (MVA) for pregnancies up to 12 weeks
  • Dilation and Evacuation (D&E) for pregnancies beyond 12 weeks (in case of rape and incest)
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Who can perform abortion services?

Only health service providers (doctors, nurses and auxiliary nurse midwives) who have undergone government-approved training to be certified are allowed to provide legal abortion services at certified health facilities or Safe Abortion Service (SAS) centers. Abortion services must be provided under the following conditions:

  • Within the first 12 weeks of pregnancy for any woman on her request. The permission of husband or guardian is not required for women above 16 years of age
  • Within the first 18 weeks of pregnancy in cases of rape and incest
  • Dilation and Evacuation (D&E) for pregnancies beyond 12 weeks (in case of rape and incest)
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Where can I go for abortion services?

As of November 2016, abortion services are available in all 75 districts of Nepal. Of the 962 certified SAS centers, 693 are public, 157 are private and 112 are NGO operated. All certified SAS centers should have this logo displayed:

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What is the cost of an abortion?

At government or public SAS health facilities, all abortion services are free.

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Who can I contact for additional information and support?

Currently there are four legal and certified safe abortion pills in the form of combination packs of mifepristone and misoprostol. The brands are:

  • Hello Health: Toll-free number 1115. Hello Health counselors can direct callers to SAS centers nearest to them.
  • Marie Stopes Nepal runs a Meri Satthi (my friend) Helpline: 977-1-4439681, 977-14419371 or Toll Free: 16600119756, 9801119756(NCELL) A live chat is also available at: http://mariestopes.org.np/en
  • For detailed information on abortion in Nepal, please visit: Asia Safe Abortion Partnership’s website: (http://asap-asia.org) and the country profile section: (http://asap-asia.org/country-profile-nepal)
  • Global Abortion Policies Database on Nepal: http://srhr.org/abortion-policies/country/nepal/#legal-ground-and-gestational-limit

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Vietnam

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Is abortion legal in Vietnam?

Abortion has been legal in Vietnam since 1975. In 1989, the Law on Protection of People’s Health stated, Women have the rights to have abortion; to receive gynecological diagnosis and treatment; and health check-up during pregnancy; and medical service when giving birth at health facilities.

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What are the different abortion services available?

Vietnam provides both medical as well as surgical abortion services. For medical abortion (MA), a combination of two drugs, Mifepristone and Misoprostol is used. Surgical procedures that are available are Manual Vacuum Aspiration (MVA) and Dilation and Evacuation (D&E). The services are available under the following circumstances:

  • Up to 22 weeks: MA methods are available however the uses are different from 3 stages: (1) before 10 weeks, (2) 10 to 12 weeks, (3) 13 - 22 weeks
  • 6 to 12 weeks: Manual Vacuum Aspiration (MVA)
  • 13 to 18 weeks: Dilation and Evacuation (D&E)
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Who can perform abortion services?

Medical doctors, obstetricians and gynecologists and college level midwives trained in MVA (Manual Vacuum Aspiration) and MA (medical abortion) can perform abortions in Vietnam.

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Where can I go for abortion services?

Abortion services are widely available both at public and private health facilities across Vietnam. According to the Ministry of Health 2016 National Guidelines on SRH services, abortion services can be provided at any health facility certified by the Provincial Health Department. It is recommended that women seek pre-abortion counseling in certified health facilities.

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What is the cost of an abortion?

MA costs around Vietnamese Dong (VND) 100,000 (approx. 4.4 USD) in public sectors and up to 448,640 or 560,800 (approx. 20 to 25 USD) in private sectors.

MVA costs VND 89,728 to 157,024 (approx. 3.9 to 7 USD), and D&E costs VND 1,794,560 to 2,243,200 (approx. 80 to 100 USD). The costs may vary at private sector health facilities.

Nang moi clinic is the only private sector facility that provides free abortion service for adolescents in Hanoi

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Can I buy abortion pills at a pharmacy?

According to Vietnamese law, it is legally restricted to buy abortion pills at a pharmacy.

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Who can I contact for additional information and support?

Certified pharmacist can only dispense abortion pills if there is a valid prescription or order slip provided by a certified doctor or health provider.

  • Marie Stopes Vietnam: http://www.mariestopes.org.vn Hotline: (+84) 1900 55 88 82
  • MVietnam Youth Action for Choice: http://facebook.com/vyac.srhr provides counseling on abortion and contraception through their Facebook page
  • Sharing with Youth 360: http://tamsubantre.org
  • Gynopedia Vietnam: http://gynopedia.org/Vietnam#Abortion
  • For detailed information on abortion in Vietnam, please visit: Asia Safe Abortion Partnership’s website: (http://asap-asia.org) and the country profile section: http://asap-asia.org/country-profile-vietnam
  • Global Abortion Policies Database for Vietnam: http://srhr.org/abortion-policies/country/vietnam

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New Zealand

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Is abortion legal in New Zealand?

Abortion is illegal in New Zealand unless two certifying consultants approve.
Certifying consultants can approve an abortion up to 20 weeks gestation if:

  • there is serious danger to the life, physical or mental health of the pregnant person
  • there is substantial risk of serious mental or physical disability to the child if born
  • the pregnancy is the result of incest
  • “the woman or girl is severely subnormal”

98% of abortions in New Zealand are approved on the mental health ground.
After 20 weeks abortion is only available to prevent serious, permanent harm to the mental or physical health of the pregnant person.

The laws around abortion have not changed materially since 1977. As a result, the law does not take early medical abortions into account. Patients must take both the medical abortion drugs in an institution licenced to provide abortions. They can go home after taking each set of pills.

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What are the different abortion services available?

With the approval of two certifying consultants, you can access surgical and medical abortions up to 20 weeks, or later if you meet the criteria. Early medical abortion is available up to the end of the ninth week.

Availability of services varies between districts.

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Who can perform abortions in New Zealand?

Abortions must be performed by doctors at licenced institutions.
You must have a referral from a doctor to access the abortion system. Your GP, Family Planning, or a sexual health clinic can refer you. Your doctor can refuse to refer you on grounds of ‘conscientious objection’. If they do, you can seek referral from another doctor, or from Family Planning or a sexual health clinic.

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Where can I go for abortion services?

You must have a referral from a doctor to access the abortion system.

Abortions must be performed at licenced institutions, which are usually attached to public hospitals. There is also one private not-for-profit abortion clinic in Auckland.

Services vary widely between districts. Most regional centres offer surgical abortions up to 14 weeks, and medical abortions up to 9 weeks. Main centres offer abortions up to 18 or 20 weeks, and beyond 20 weeks if you meet the criteria. Smaller districts can refer patients to main centres for abortions at later gestations.

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What is the cost of an abortion?

If you are a New Zealand citizen or permanent resident, or if you have a two-year visa, abortions are covered under the public health service. If you are not eligible for the public health service, private care is available at a cost from $1200 - $2500 NZD.

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What are the legal and safe drugs available?

Myfegymiso (Mifepristone / Misoprostol) is the usual means of medical abortion.

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Can I buy abortion pills at a pharmacy?

No.

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Can I buy abortion pills online?

Accessing abortion outside the public or private health systems is illegal. A pregnant person who accesses medical abortion pills for themselves faces a maximum penalty of a $200 fine. A person who accesses medical abortion pills for someone else faces a maximum penalty of 7 years imprisonment.

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Who can I contact for additional information and support?

See this website: abortion.org.nz.

Or contact Family Planning: familyplanning.org.nz.

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