Spain’s compliance with the dublin declaration on partnership to fight hiv/aids
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San Carlos Clinic Hospital Calle del Prof Martín Lagos, S/N, 28040 Madrid Spain
Ministry of Health
Publication date: 2023-04-26
Popul. Med. 2023;5(Supplement):A1956
Background and objectives:
HIV/AIDS remains a major public health problem. The Dublin Declaration on the Partnership to Fight HIV/AIDS in Europe and Central Asia and its annual questionnaire monitor the progress of the epidemic. The primary objective is to analyse to what extent Spain complies with the declaration from 2009 to 2022. The secondary objectives are: * describe how the information demanded has changed; * assess the completeness and quality of Spain’s submission; * describe trends in the HIV epidemiology, prevention and treatment strategies; * describe Spains compliance with the UNAIDS Global Goals.

Secondary data from the questionnaire was used. This data was grouped into 6 categories with a total of 19 indicators. These were the: * number and type of response indicators; * completion rate by year, category and key population; * calculation methodology used: a descriptive analysis, longitudinal analysis and/or a mixed methods analysis was carried out per indicator, whichever fit the data. * Continuum of care for people living with HIV (PLHIV) in Spain compared to UNAIDS targets.

The information required has become increasingly complex and quantitative, requiring more sophisticated information systems. Consequently, the completion rate declined throughout the period 2009-2018, especially when more quantitative questions were introduced. Recently, completion rate has recovered as new information systems have been implemented. The COVID-19 pandemic had an impact on HIV services, resources and monitoring. The current system provides limited information about stigmatized key populations such as sex workers, migrants and transgender people. Improvement is needed in the implementation of PrEP as well as in continuum of care results for some key populations.

Spain is committed to monitoring the DD and the global HIV Goals, but there is still a long way to go.