Estimating the 'PrEP Gap': how implementation and access to PrEP differ between countries in Europe and Central Asia in 2019.

Rosalie Hayes ORCID logo; Axel J Schmidt ORCID logo; Anastasia Pharris; Yusef Azad; Alison E Brown; Peter Weatherburn ORCID logo; Ford Hickson ORCID logo; Valerie Delpech; Teymur Noori; ECDC Dublin Declaration Monitoring Network; (2019) Estimating the 'PrEP Gap': how implementation and access to PrEP differ between countries in Europe and Central Asia in 2019. Euro surveillance, 24 (41). pp. 2-8. ISSN 1025-496X DOI: 10.2807/1560-7917.ES.2019.24.41.1900598
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In 2019, only 14 European and Central Asian countries provided reimbursed HIV pre-exposure prophylaxis (PrEP). Using EMIS-2017 data, we present the difference between self-reported use and expressed need for PrEP in individual countries and the European Union (EU). We estimate that 500,000 men who have sex with men in the EU cannot access PrEP, although they would be very likely to use it. PrEP's potential to eliminate HIV is currently unrealised by national healthcare systems.


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