HIV, PrEP and sexual health access in Belgium

UNAIDS GAM 2025 reports 8,727 people receiving PrEP in 2024. This is a service-use count, not a population coverage percentage, and it does not determine reimbursement. [Source: https://aidsinfo.unaids.org/dataset]

BREACH does not endorse widespread DoxyPEP use in Belgium because of antimicrobial-resistance and microbiome concerns. Individual prescribing may occur under medical supervision, preferably in a research context; a national reimbursement programme was not confirmed. [Source: https://breach-hiv.be/wp-content/uploads/2024/03/DoxyPEP-Breach-statement-AL.pdf]

• National framework: Relationships and sexual health are included in compulsory learning objectives, but curricula and delivery differ across the Flemish, French and German-speaking communities.
• Interpretation: The status summarizes the verified policy framework; it does not guarantee uniform classroom delivery.

[Sources: https://www.unesco.org/gem-report/en/peer ; https://www.who.int/news-room/fact-sheets/detail/comprehensive-sexuality-education ; https://www.bzga-whocc.de/fileadmin/user_upload/Dokumente/BZgA_IPPFEN_ComprehensiveStudyReport_Online.pdf]

• Abortion: Abortion is available on request through 12 weeks after conception; mandatory consultation and a waiting period apply.
• Contraception: EPF's 2026 contraception-policy score is 89.8%; the atlas records partial national coverage.
• Interpretation: The status combines legal rules and national policy access; regional availability and individual eligibility may differ.

[Sources: https://abortion-policies.srhr.org/countries/ ; https://www.epfweb.org/sites/default/files/2026-02/CCInfoEU_A3_EN_2026_FEB22-HiRes.pdf]

• Access rule: Undocumented people may request Urgent Medical Aid through the municipal CPAS; despite its name, approved assistance can cover preventive, curative and chronic care.
• Main barriers: A means inquiry, proof of residence and local administrative practice can delay or deter access.
• Migration measure: UN DESA estimates 2,349,032 international migrants at mid-year 2024. This is a point-in-time stock, not the number of people who arrived during 2024. The estimate is based on the foreign-born population. Refugee, asylum-seeker or refugee-like population data are incorporated where indicated by UN DESA.
• Origin definition: The origin shares below use country or area of birth for foreign-born estimates and country of citizenship for foreign-citizen estimates. They do not establish a person's nationality, ethnicity, language, reason for migration, legal status, recent-arrival status or undocumented status.
• Measurement basis: Foreign-born population + refugee/asylum adjustments (UN DESA code B R)
• Evidence note: ECDC indicators use 2024 reports: the foreign-born share is calculated only among diagnoses with known origin; late diagnosis is the country-level share with CD4 <350 cells/µL and is not migrant-specific. Data Unavailable means no sufficiently interpretable value was published; a blank is not zero. The status is an editorial comparison of legal entitlement and practical access and does not apply equally to every migrant group.