- 40 countries are expected to have adopted WHO oral preexposure prophylaxis (PrEP) recommendations by 2019, 42.9% of them in Europe.
- However, of 53 countries in the WHO European Region, only 15 have adopted or have pending PrEP policies.
Why this matters
- The latest WHO report also suggests unwanted trends in new HIV infections in some parts of Europe.
- WHO’s European region is the only global region where infection rates are shifting up, and one reason is gaps in access to PrEP.
- In June 2018:
- 35/194 WHO member states had an oral PrEP policy.
- 42.9% of the 35 (15 countries) are in the European Region.
- 30.0% (12 countries) are in the African Region.
- 5 had a pending policy.
- 21/40 are low/middle-income countries.
- The United States was a first adopter, in 2011.
- European guidelines have recommended PrEP in 2 updates.
- France, Switzerland, and Spain have policies recognizing indications for special populations (adolescents, pregnant women) and situations.
- Review, analysis of which countries have adopted the 2015 WHO recommendations on oral PrEP.
- Funding: WHO grant through the Bill and Melinda Gates Foundation and Unitaid.
- Limited possibility that some data were overlooked during sourcing.