Strengthening HIV prevention is critical to achieving the goal of ending AIDS as a public health threat by 2030. Despite this commitment, the region remains off track: new HIV infections across the wider European region rose slightly between 2010 and 2025 instead of dropping by the targeted 75%, and only around 345,000 people had used PrEP at least once by 2025, just 70% of an already modest target. Uptake also remains concentrated in only a few countries.
Updating AIDS Action Europe's 2022 baseline, this 2026 report maps PrEP access across the EU and EEA and recent developments. It draws on information from AAE member organisations, covering the availability, accessibility, affordability and acceptability of PrEP.
The findings reveal significant but uneven progress. Countries including Austria, Cyprus, Greece, Italy and Malta have introduced national reimbursement, while seven EU Member States still offer no public coverage. Even where PrEP is reimbursed, restrictive eligibility, long waiting times, hospital-centred services, stigma and provider knowledge gaps limit access, and community-led delivery remains the exception. The report provides detailed country profiles based on data from community organisations, and sets out specific recommendations to expand equitable access and strengthen community-led prevention.
