Malta Makes HIV Prevention Medications PrEP and PEP Free of Charge

Malta Rolls Out Free HIV Prevention Medication

As of January 29, 2026, the Maltese government has made HIV prevention medications, Pre-Exposure Prophylaxis (PrEP) and Post-Exposure Prophylaxis (PEP), available free of charge across the country. This significant public health measure was announced by Health Minister Jo Etienne Abela, fulfilling a key electoral promise and marking a pivotal step in Malta's strategy to combat rising HIV transmission rates.

Expanded Access and Government Commitment

The initiative expands access to these crucial medications, which were previously either privately purchased or available free only under limited circumstances. Previously, a 30-day supply of PrEP cost around €57, while a course of PEP could exceed €600. Health Minister Abela stated that the government would invest approximately €2 million over the next three years to sustain this program. Prime Minister Robert Abela had previously announced the January 29 rollout, describing the decision as one that 'required courage' but was 'the right thing to do'.

Eligibility for free PEP has been broadened to include all types of exposure, moving beyond previous restrictions that covered only occupational exposure or cases of rape. To access free PrEP, individuals must undergo an assessment by a specialist at a Genitourinary (GU) clinic in Malta or Gozo. Once prescribed, the medication can be obtained from pharmacies at Mater Dei Hospital, Gozo General Hospital, and the Paola and Floriana health centres.

The Role of PrEP and PEP in HIV Prevention

PrEP (Pre-Exposure Prophylaxis) involves HIV-negative individuals taking a combination of two drugs to prevent infection, proving highly effective—up to 99%—when used correctly. PEP (Post-Exposure Prophylaxis) is an emergency treatment taken after potential exposure to HIV, ideally within 72 hours, and involves a 28-day course. It is approximately 80% effective in preventing the virus from taking hold.

This measure is a cornerstone of Malta's broader sexual health strategy, which recently received Cabinet approval. Minister Abela emphasized that by making these medications free, Malta is 'putting prevention at the centre of our health policy and ensuring that no one is left behind'. He added that this 'evidence-based measure grounded in human rights and solidarity' will contribute to a healthier population and help Malta align with UNAIDS goals to end AIDS as a public health threat by 2030.

Addressing Rising HIV Rates

The introduction of free PrEP and PEP comes as Malta faces a significant public health challenge with rising HIV cases. The country has recorded one of the highest rates of HIV transmission in Europe. As of December 2025, 721 people were living with HIV in Malta, with 125 new cases diagnosed up to November 28, 2025. The number of people living with HIV in Malta increased by 65% between 2020 and 2025, reaching 754 individuals. In 2024, Malta registered 20.6 diagnoses per 100,000 people, nearly four times the EU and EEA average, marking its highest level in a decade.