Country profiles on abortion and contraception

Summary on abortion and contraception in eastern Europe and Central Asia

Armenia
Contraception:

  • Methods registered in the country: All methods of contraception, except implants are registered. All types of contraceptives,
  • including surgical sterilization are available.
  • Access to contraception: Access to contraceptives through pharmacies, as well as through women’s clinics and family doctors
  • Included in the list of essential medicines: Yes, except for intrauterine devices

Abortions:

  • Methods used in the country: Medical, surgical
  • Statistics: 13.8 per 1000 women aged 15-49 years. According to 2015 Demographic Health Survey data, 29 % are aged 15-49 years
  • Cost: For particular social groups and medical and social indications it is free of charge. In other cases, about 80-100 USD.

Regulatory and legal framework:

Azerbaidjan
Contraception:

    • Methods registered in the country: All methods of contraception except surgical (only for medical indications) are available.
    • Access to contraception: Access to contraceptives through pharmacies, as well as through some NGOs (have free access to condoms,
    • which is supported by the Global Fund).
    • Included in the list of essential medicines: None

    Abortions:

    • Methods used in the country: Medical, surgical
    • Statistics: 10.3 per 1000 women aged 15-49 years. According to 2011 Demographic Health Survey data, 41 % are aged 15-49 years.
    • Cost: Free of charge in state institutions. In the private sector, from 120-250 USD.

    Regulatory and legal framework:

    Belarus
    Contraception:

    • Methods registered in the country: All methods of contraception, except implants are registered.
    • All types of contraceptives, including surgical sterilization are available.
    • Access to contraception: IUDs and condoms for at-risk women and vulnerable groups are available free of charge.
    • Included in the list of essential medicines: Yes

    Abortions:

    • Methods used in the country: Medical, vacuum aspiration, curettage.
    • Statistics: 9.7 per 1000 women of reproductive age (15-49 years); 21.2 per 100 births.
    • Cost: Medical abortion 100-150 BYN, vacuum aspiration-15-17 BYN, curettage-20-25 BYN.
    Georgia
    Contraception:

    • Methods registered in the country: All methods of contraception are registered and available.
    • Access to contraception: Marginal groups, like the rest of the population,
    • have access to contraceptives through the network or pharmacies.
    • Included in the list of essential medicines: None

    Abortions:

    • Methods used in the country: Medical, surgical
    • Statistics: Total Induced Abortion rate –1.6/woman of reproductive age (Reproductive Health Survey, 2010)
    • Cost: Vacuum aspiration: 40-50 USD, Curettage: 60-80 USD, Medical abortion: 60-70 USD
    Kazakhstan
    Contraception:

    • Methods registered in the country: COC, IUD, Depo-Provera, spermicides
    • Access to contraception: They are given free of charge to patients of vulnerable groups in polyclinics based on place of residence at the expense of the local budget.
    • Included in the list of essential medicines: None

    Abortions:

    • Methods used in the country: Medical, vacuum aspiration, curettage
    • Statistics: 80,328 absolute number for 2017
    • Cost: Medication in private clinics – 37,000 thousand tenge (100 USD)

    Regulatory and legal framework:

    Kyrgyzstan
    Contraception:

      • Methods registered in the country: The following types of contraceptives are registered in the Kyrgyz Republic. Belara, Jes ® , Diana ® 3, Dimia ® , Janine ® , Claira ® , Lindinet 20, Lindinet 30, Lozipil, Midiana ® , Novinet ® , Regulon ® , Rigevidon ® , Tri-Regol ® , Mirolut, Postinor, Escapel, Navy Juno, Navy Eloria, Depot-Provera ® , Benatex ® , Pharmatex, Durex, Vitex, Datex, Masculan, Viva, Sico, Vizit, Dotts, Relax, Contex, MDior
      • Access to contraception: Adolescents and young people, low-income women, women from remote regions, PLHIV have limited access to SRH information and services. If we talk about the access of marginal groups to contraceptives, thanks to international and NGO projects and programs, beneficiaries had access to contraceptives on a free basis until 2015. To date, only 3 key groups (men who have sex with men, people living with HIV, and drug users) have access to condoms within the framework of the Global Fund project; there is no access for young people.
      • Included in the list of essential medicines: The National List of Vital Medicines in the Kyrgyz Republic is limited in terms of contraceptives and needs to be finalized to expand the list.

      Abortions:

      • Methods used in the country: Medical, surgical, including unsafe (curettage) and safe (MVA and EVA)
      • Statistics: 12.3 %
      • Cost: MVA (Public institutions) 10-20 USD, (Private clinics) 50-100 USD
      • MA (Public institutions) 20-50 USD, (Private clinics) 60-150 USD

      Regulatory and legal framework:

      Moldova
      Contraception:

        • Methods registered in the country: All methods of contraception, except implants and Depo-Provera.
        • Access to contraception: At the expense of the family doctors’ offices and the youth-friendly health centers. There are 12 groups that can receive free contraceptives.
        • Included in the list of essential medicines: None

        Abortions:

        • Methods used in the country: Medical Abortion – 16%, Manual Vacuum Aspiration/Electric Vacuum Aspiration – 70%, Dilation and curettage – 14%
        • Statistics: 12.72 per 1000 women aged 15-49
        • Cost: Medical Abortion is about 20 USD in state institutions, up to 100 USD in private clinics, Manual Vacuum Aspiration/Electric Vacuum Aspiration – 20 USD, Dilation and curettage – 20 USD

        Regulatory and legal framework:

        Russia
        Contraception:

          • Methods registered in the country: Almost all types of contraception are registered.
          • Access to contraception: Through the pharmacy network.
          • Included in the list of essential medicines: None.

          Abortions:

          • Methods used in the country: manual and electric vacuum aspiration (up to 12 weeks of pregnancy); medical abortion; dilation of the cervix and curettage (recognized as outdated and not recommended for use in the first trimester); dilation and evacuation (> 12 weeks).
          • Statistics: The total number of abortions in 2017 was 627,127, of which 109,492 (17.46%) were performed using medication; Medical (legal) abortions – an absolute number of 339,577; abortions for medical reasons – an absolute number of 17,655; abortions for social reasons – an absolute number of 22.
          • Cost: According to the legislative norms of the Russian Federation, insured persons have the right to terminate a pregnancy free of charge in state medical institutions on request up to 12 weeks of pregnancy, and for medical or social reasons later. In addition, a woman can receive this service on a commercial basis. The cost of medical abortion in Moscow is from 7000 rubles to 25,000 rubles. The cost of artificial termination of pregnancy by vacuum aspiration is from 4900 rubles to 17000 rubles.
          Tajikistan
          Contraception:

          • Methods registered in the country: All types of contraception are registered in the country, and all are available, except for implants.
          • Access to contraception: If accessed through the pharmacy network requires payment. If accessed through Reproductive Health Centers it is free of charge, since the supply is supported by UNFPA and the Global Fund
          • Included in the list of essential medicines: None

          Abortions:

          • Methods used in the country: Medical and surgical (vacuum aspiration and curettage)
          • Statistics: 13.9 per 1000 women aged 15-49 years. In 2017, the total coefficient of abortion for women aged of 15-49 years was 0.5 per woman and the special coefficient per 1000 women was 15.
          • Cost: Medical abortion in all institutions is free of charge (the drugs are bought by the clients themselves). In state institutions, the surgical method is performed free of charge for vulnerable groups of women. For the rest, uncomplicated abortions via vacuum aspiration cost 65 USD and via curettage – 120 USD.

          Turkmenistan
          Contraception:

          • Methods registered in the country: Intrauterine devices, hormonal contraceptives (tablet form, injection), barrier methods (male and female condoms), chemical methods (spermicides, gel, tablets, suppositories, creams, etc.), surgical methods of contraception (female sterilization)
          • Access to contraception: Adolescent girls aged 15-19 are included in the list of vulnerable groups and obtain contraceptives free of charge.
          • Included in the list of essential medicines: 10 types are included in the National List of Essential Medicines.

          Abortions:

          • Methods used in the country: Vacuum aspiration and curettage
          • Statistics: N/A
          • Cost: 3 USD
          Ukraine
          Contraception:

            • Methods registered in the country: The urban population and young people, including residents of suburbs, prefer modern methods of preventing unplanned pregnancy: COCs, condoms, IUDs, other methods of hormonal contraception. The rural population is more inclined to use tradition methods (including the withdrawal method), and from modern methods – IUD.
            • Access to contraception: In Ukraine, both in cities and in rural areas, drugs for emergency contraception (POSTINOR and ESCAPEL) are available in the pharmacy network.
            • Included in the list of essential medicines: n/a

            Abortions:

            • Methods used in the country: In Ukraine, the following are officially allowed and used: medical (MA), electric vacuum aspiration (EVA) and manual vacuum aspiration (MVA), curettage
            • Statistics: 88,844 annually
            • Cost: Officially, abortion in public institutions is free of charge. However, in most cases, patients are recommended to pay charitable contributions. In private medical institutions, the cost of MA is from 1600 to 3000 hryvnia. (The cost of the medications (mifepristone and misoprostol) is 830 UAH). Mifepristone and misoprostol are officially registered in Ukraine abd are included in the national list of essential medicines.
            Uzbekistan
            Contraception:

              • Methods registered in the country: Hormonal contraception (COCs, mini-pills, IUD (Mirena), ring (Nuvaring)), copper intrauterine devices, barrier methods (condoms). Implants and patches are not available on the country’s market.
              • Access to contraception: Everyone has access to contraceptives. They can go to the polyclinic at their place of residence and obtain what is available from them or buy contraception at a pharmacy without a prescription.
              • Included in the list of essential medicines: Yes, included.

              Abortions:

              • Methods used in the country: curettage, MVA, MA
              • Statistics: N/A
              • Cost: Surgical abortion is free of charge when obtained from institution registered according to place of residence. In self-supporting clinics is can cost from 120,000 to 600,000 Uzbekistani soʻm.

              Regulatory and legal framework: