HIV, PrEP and sexual health access in Germany

Statutory health insurance generally covers PrEP medication and related examinations for people at increased risk of HIV. [Source: https://gesund.bund.de/en/hiv-aids] UNAIDS GAM 2025 reports 40,000 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]

DoxyPEP is not approved for STI prevention and is limited to selected individual cases; preventive use must generally be paid by the patient. [Source: https://gesund.bund.de/sexuell-uebertragbare-infektionen-sti]

• National framework: Sexuality education is compulsory under state education laws and curricula. Delivery differs by Land, but national standards generally include relationships, prevention and sexual diversity.
• 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 within 12 weeks after conception is exempt from punishment following state-approved counselling and a mandatory three-day waiting period; the Criminal Code framework remains in force.
• Contraception: EPF's 2026 contraception-policy score is 78.6%; the atlas records no general coverage; targeted youth and regional support.
• Interpretation: The status combines legal rules and national policy access; regional availability and individual eligibility may differ.

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

• Access rule: Asylum applicants receive restricted benefits under the Asylum Seekers Benefits Act; analogous social-assistance coverage generally begins after 36 months, subject to statutory conditions.
• Main barriers: Vouchers or local procedures, reduced early entitlements, language barriers and data-sharing fears can delay care for asylum seekers and undocumented people.
• Migration measure: UN DESA estimates 16,750,084 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.