HIV PrEP programme introduced in Ireland

A HIV PrEP programme has been introduced in Ireland since the beginning of November.

The programme is initially being provided in a number of STI clinics from November and will expand in 2020 following the announcement of funding of €5.4 million for full roll-out next year in Budget 2020.

Taoiseach Leo Varadkar said: “The introduction of a PrEP programme here will reduce the number of people who contract HIV in future. It’s great that we are starting to the PrEP programme this year as promised, with funding now in place for a wider programme next year.

“PrEP is just one element of our response to reducing HIV rates.  We’ve also prioritised increasing awareness and HIV testing. With this combined approach we reach the people we need to reach and bring down HIV rates in Ireland.

“I thank the advocacy groups like HIV Ireland and the LGBT NGOs who have worked with us to get to this point, and the HSE team who have put the necessary standards and guidelines in place to deliver a safe, quality service.”

Dr Fiona Lyons, Consultant in Genitourinary and HIV Medicine, GUIDE Clinic, St. James’s Hospital said: “I welcome the imminent availability of PrEP medication, without charge, to those who are at substantial risk of acquiring HIV through sexual contact.

“PrEP is an important part of the HIV prevention jigsaw puzzle that, together with other HIV prevention interventions, should reduce the number of new HIV infections in Ireland. I also welcome the announcement by Government of the roll out of a PrEP programme which includes resources to support services to implement PrEP.  This is crucial to successful PrEP implementation. I would like to thank everyone who has worked so hard to make this happen.”

A PrEP programme involves the pre-emptive use of antiretroviral medication to prevent HIV infection, within a holistic prevention service which includes regular monitoring and testing, as well as advice and counselling on safer sex practices. Similar programmes have recently been introduced in a number of countries.

In June, the Health Information and Quality Authority (HIQA) published a Health Technology Assessment report which found that a PrEP was safe and effective at preventing HIV in people at substantial risk, and also found that the introduction of a PrEP programme would be cost-saving.

The new programme means that those who attend an approved service and are found to be at substantial risk for HIV and meet the clinical eligibility criteria will be eligible for PrEP free of charge, dispensed through community pharmacies.

Information for people who think they may be at risk from HIV and are considering taking PrEP is available at sexualwellbeing.ie/prep.

The list of approved providers, as well as national standards and clinical management guidance, and information on how to apply to be an approved HIV PrEP service are also available on sexualwellbeing.ie. This list of approved HIV PrEP services will be updated as new service providers are approved.

The initial approved service providers in public STI clinics currently are:

  • Gay Men’s Health Service (GMHS) Dublin;
  • GUIDE Clinic, St James’s Hospital, Dublin;
  • Mater Misericordiae University Hospital (MMUH)
  • Prevention Support Clinic, St. Vincent’s University Hospital, Dublin
  • Cork University Hospital
  • Sexual Health Clinic, Midland Regional Hospital, Portlaoise
  • University Hospital Galway.