HIV, PrEP and sexual health access in the Netherlands

UNAIDS GAM 2025 reports 11,934 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 may be prescribed selectively, but a nationally reimbursed DoxyPEP programme was not confirmed in this review. WHO's 2026 recommendation is targeted rather than population-wide. [Source: https://www.who.int/publications/i/item/9789240124110]

• National framework: Schools must address sexuality and sexual diversity through national attainment targets, while schools retain discretion over teaching methods and materials.
• 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 up to fetal viability in practice; the fixed statutory five-day waiting period was replaced in 2023 by an individualized reflection period.
• Contraception: EPF's 2026 contraception-policy score is 80.8%; the atlas records partial national coverage with youth support.
• 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: People without a residence permit cannot take out standard Dutch health insurance, but doctors must provide care they judge medically necessary; providers can claim support for eligible unpaid costs.
• Main barriers: Fear, lack of information, provider uncertainty, charges and administrative proof can still deter timely care.
• Migration measure: UN DESA estimates 2,956,518 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.