PrEP coverage and services lag, with worrisome trends in Europe

  • Hodges-Mameletzis I & al.
  • Sex Health
  • 1 Nov 2018

  • curated by Emily Willingham, PhD
  • Medical News
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Takeaway

  • 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.

Key results

  • 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.

Study design

  • 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.

Limitations

  • Limited possibility that some data were overlooked during sourcing.