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Eastern Europe and Central Asia

Georgia

Real People Real Vision

Real People-Real Vision is an organisation that works to provide support to HIV positive communities, strengthen their capacities and advocate for their rights.

Although abortion is not legally restricted in Georgia, abortion related stigma often acts as a barrier to accessing safe care, and marginalized women experience a double stigma when it comes to using reproductive health services.RPRV's SAAF-funded work aims to reduce abortion stigma in Georgia and promote access to safe abortion especially for vulnerable and marginalized women such as those living with HIV and or TB, drug users, sex workers and young people, through their meaningful involvement.

The project also aims to destigmatise abortion in public discourse, using strong, positive, rights based evidence in favour of choice through strengthening women’s community involvement, journalists as supporting allies and using a high profile online platform for youth linked to sexuality education.
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Due to lack of access to adequate contraceptive supplies exacerbated by recent cuts from international donors to the government, unwanted pregnancy is extremely high in Kyrgyzstan with abortion being the main method of family planning. To address this the Kyrgyz Family Planning Alliance is running its second project supported by SAAF to improve access to safe abortion care in the country.

Although abortion is available within the public health system, the methods used are mostly not recognised as modern safe methods according to the WHO and medical abortion is not widely available. Having managed to achieve the registration of the combination medical abortion drug Medabon during their previous SAAF-funded project, KFPA aims to increase access to this safe method by addressing supply and distribution barriers in order to ensure availability of quality medicines for safe abortions with affordable prices. This is with the overall goal of ensuring that women throughout the country are able to realize their rights to safe abortion and have access to quality reproductive health care.

Visit the Kyrgyz Family Planning Alliance (KFPA) website.
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NFFCK was set up by a group of 12 to 14-year-old girls to fight against child marriage, bride kidnapping and gender-based violence. Today, the organisation, led by girls, works to help those aged 10-19 acquire the skills for a healthy, active and independent life.

Kyrgyzstan has a high level of teenage pregnancy, and NFFCK has found that girls have limited knowledge of their sexual and reproductive health and rights (SRHR). For girls in rural areas particularly, there are a number of barriers to accessing their reproductive rights, including lack of education on SRHR issues, poor regulatory framework to ensure confidentiality of medical services for young people, and lack of parental knowledge on sexual health.

With SAAF funding, NFFCK trains gynecologists and family doctors to provide youth-friendly, confidential SRH services to teenagers. These trained doctors also go on to work with parents of young people, to advise against early marriage and to advocate for sexuality education to be provided for their daughters. Teachers and young peer educators are also trained and engaged in improving the information provided to young women about pregnancy, safe abortion and related issues.

Visit the National Federation of Female Communities of Kyrgyzstan (NFFCK) website.
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Despite permissive laws and a well-developed network of facilities, access to high quality contraception, abortion and reproductive health care is denied to many women in Eastern Europe and Central Asia with a consequence that a quarter of all maternal deaths in the region are due to unsafe abortion.

The Regional Training Center on Development and Implementation of Clinical Guidelines and Protocols on Reproductive Health (Regional Training Center) based in Moldova works to improve this by supporting the development, adaption and implementation of WHO-based clinical guidelines and protocols on abortion in seven countries in the region. They also aim to act as a hub for the region in order to strengthen regional collaboration and networking among the countries’ CSOs and professional associations, to enable them to share experience and examples of how they have overcome increasing religious fundamentalist opposition to abortion.

Visit the Regional Training Center website.
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Tajikistan is the poorest country in Central Asia, with 32% of its population living in poverty. Access to affordable safe abortion for poor, vulnerable and hard-to-reach women and girls is limited and is worsening due to the economic crisis. Limited governmental financial support and a retreat of donors mean that organisations need to find more sustainable ways to ensure that they can continue to provide care free-of-charge to women in need.

TFPA has re-opened its clinic in Dushanbe and uses a cross-subsidization scheme to provide safe quality contraceptive and abortion care to women and girls free of charge. They also advocate for an update to Tajikistan’s safe abortion protocol and sustainable funding for safe abortion from the government.

Visit the Tajik Family Planning Alliance (TFPA) website.
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