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Abstract

Several countries in the European Union (EU) and European Economic Area (EEA) established and/or scaled up HIV pre-exposure prophylaxis (PrEP) programmes between 2016 and 2023. Data on PrEP programmes’ performance and effectiveness in reaching those most in need will be needed to assess regional progress in the roll-out of PrEP. However, there is a lack of commonly defined indicators for routine monitoring to allow for minimum comparability. We propose a harmonised PrEP monitoring approach for the EU/EEA, based on a systematic and evidence-informed consensus-building process involving a broad and multidisciplinary expert panel. We present a set of indicators, structured along relevant steps of an adapted PrEP care continuum, and offer a prioritisation based on the degree of consensus among the expert panel. We distinguish between ‘core’ indicators deemed essential for any PrEP programme in the EU/EEA, vs ‘supplementary’ and ‘optional’ indicators that provide meaningful data, yet where experts evaluated their feasibility for data collection and reporting as very context-dependent. By combining a standardised approach with strategic opportunities for adaptation and complementary research, this monitoring framework will contribute to assess the impact of PrEP on the HIV epidemic in Europe.

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/content/10.2807/1560-7917.ES.2023.28.23.2200546
2023-06-08
2024-12-21
/content/10.2807/1560-7917.ES.2023.28.23.2200546
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Developing evidence-informed indicators to monitor HIV pre-exposure prophylaxis programmes across EU/EEA countries: a multi-stakeholder consensus
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=Jef+Vanhamel&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Vanhamel Jef</a>, <a href="/search?value1=Eline+Wijstma&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Wijstma Eline</a>, <a href="/search?value1=Jessika+Deblonde&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Deblonde Jessika</a>, <a href="/search?value1=Marie+Laga&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Laga Marie</a>, <a href="/search?value1=Bea+Vuylsteke&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Vuylsteke Bea</a>, <a href="/search?value1=Christiana+N%C3%B6stlinger&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Nöstlinger Christiana</a>, <a href="/search?value1=Teymur+Noori&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Noori Teymur</a></span>. Developing evidence-informed indicators to monitor HIV pre-exposure prophylaxis programmes across EU/EEA countries: a multi-stakeholder consensus. <a href="/content/ecdc">Euro Surveill.</a> 2023;28(23):pii=2200546. <a href="https://doi.org/10.2807/1560-7917.ES.2023.28.23.2200546" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2023.28.23.2200546</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 06 Jul 2022;&nbsp;&nbsp; <span class="generated">Accepted</span>: 25 Apr 2023 </span> </p>
/content/10.2807/1560-7917.ES.2023.28.23.2200546
/content/10.2807/1560-7917.ES.2023.28.23.2200546
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