HIV pre-exposure prophylaxis (PrEP) in Spain: political and administrative situation
Enferm Infecc Microbiol Clin (Engl Ed). 2019 Dec;37(10):656-660.
doi: 10.1016/j.eimc.2018.05.012.
Epub 2018 Jun 15.
[Article in
English,
Spanish]
Authors
Luis Miguel García
1
, Carlos Iniesta
2
, Jorge Garrido
3
, María José Fuster
4
, Ferran Pujol
5
, Michael Meulbroek
5
, Toni Poveda
6
, Melchor Riera
7
, Antonio Antela
8
, Santiago Moreno
9
, David Dalmau
10
, Antonio Rivero
11
, Diego García
12
, Ramón Espacio
6
, Julia Del Amo
13
Affiliations
- 1 Centro Nacional de Epidemiología, Instituto de Salud Carlos III, Madrid, España; Spanish Network of Excellence on HIV Research, RIS, España. Electronic address: lmgarcia@isciii.es.
- 2 Centro Nacional de Epidemiología, Instituto de Salud Carlos III, Madrid, España; Spanish Network of Excellence on HIV Research, RIS, España.
- 3 Apoyo Positivo, Madrid, España.
- 4 Spanish Network of Excellence on HIV Research, RIS, España; SEISIDA, Madrid, España.
- 5 BCN CheckPoint, Barcelona, España.
- 6 CESIDA, Madrid, España.
- 7 Spanish Network of Excellence on HIV Research, RIS, España; Servicio de Medicina Interna-Infecciosas, Hospital Son Espases, Palma de Mallorca, España.
- 8 Spanish Network of Excellence on HIV Research, RIS, España; Unidad de Enfermedades Infecciosas, Hospital Clínico Universitario, Santiago de Compostela, España.
- 9 Spanish Network of Excellence on HIV Research, RIS, España; Servicio de Enfermedades Infecciosas, Hospital Ramón y Cajal, Madrid, España; GeSIDA, Madrid, España.
- 10 Spanish Network of Excellence on HIV Research, RIS, España; SEISIDA, Madrid, España; Grupo de Investigación VIH+/SIDA, Hospital Universitario Mútua Terrassa, Terrassa, España.
- 11 Spanish Network of Excellence on HIV Research, RIS, España; Unidad de Gestión Clínica de Enfermedades Infecciosas, Hospital Universitario Reina Sofía, Córdoba, España; GeSIDA, Madrid, España.
- 12 Adhara, Sevilla, España.
- 13 Centro Nacional de Epidemiología, Instituto de Salud Carlos III, Madrid, España; Spanish Network of Excellence on HIV Research, RIS, España; SEISIDA, Madrid, España.
Abstract
This study focuses on actions at the political and administrative level in Spain in relation to the implementation of pre-exposure prophylaxis (PrEP). We analysed a whole range of different formal initiatives taken by the political and administrative actors involved. The information was obtained from official public data sources. As of February 2018, PrEP had not been implemented. The decision is dependent on both state and regional governments. The Ministry of Health and some Autonomous Regions are working on different interventions, but without providing an implementation timetable. The political parties have kept a very low profile in terms of initiatives related to the implementation of PrEP. From a legal point of view, proceedings are passing back and forth with the extension of the patent. The role of intergovernmental and interdepartmental institutions is very important for the implementation of PrEP in Spain.
Keywords:
Elaboración de políticas; Policy-making; Politics; Política pública; Políticas; Pre-exposure prophylaxis; Profilaxis preexposición; Public policy.
Copyright © 2018 Elsevier España, S.L.U. and Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. All rights reserved.
MeSH terms
-
Government*
-
HIV Infections / prevention & control*
-
Humans
-
Pre-Exposure Prophylaxis / organization & administration*
-
Spain