Netherlands

National policy
National policy/strategy or official recommendations on HIV testing?Yes
National policy/strategy document
Who can administer HIV tests?
Restrictions on who can legally administer HIV tests?Yes
Which groups can legally do HIV testing?
  • Any doctor/nurse (not necessarily in a specialist clinic)
  • NGO with clinical supervision
Further comments
Free HIV testing
HIV testing free to all who want it?Yes in certain places
Further comments

HIV testing is free at STI clinics but the service is only offered to at risk groups (i.e. MSM, migrants). An Amsterdam based NGO does provide free HIV testing for people who wish it.

Testing costs are reimbursed by mandatory health insurances, however the first 385 euros of healthcare costs need to be paid by patients. It is noted that the first healthcare fee varies each year.


Is free HIV testing available?Across whole country
Further comments
HIV testing restrictions
HIV testing access restricted for some groups/populations?No
Which groups are restricted
Further comments
Availability of testing in non-clinical settings
Is testing available in any of the following ways?
Postal HIV sampling legal?Yes
Home HIV testing legal?Yes
Community testing at NGOs legal?Yes
Community/outreach event testing legal?Yes
Otherhttp://www.testjegezondheid.nl/?gclid=CPrPvoqx2MYCFYbitAodbxwGTA
Rapid tests used by community based testing services/initiatives?Finger blood, Saliva
Anonymity/Confidentiality of HIV testing
Anonymous testing available?Yes
If yes, please give detailsTesting by general practitioner (huisarts) is not anonymous
If not, why not, what sort of information is required and is there any promise of confidentiality?
Discrimination & equality
Legislation
Legislation protecting the rights of people with HIV?Yes
Further comments

No specific legislation for people living with HIV but rights are included for individuals with chronic diseases.

Other key populations
Needle exchange available for people who inject drugs?Yes
Further comments

Availability of needle exchange is also confirmed by information available on https://www.hri.global/global-state-of-harm-reduction

Opiate substitution therapy available?Yes
Further comments

Availability of OST is also confirmed by information available on https://www.hri.global/global-state-of-harm-reduction

Are PWID (people who inject drugs) excluded from HIV treatment while actively using drugs?No
Further comments
Legal to sell sex?Yes
Further comments

For more information: http://sexualrightsdatabase.org/map/21/Adult%20sex%20work/420/Netherlands

Legal to buy sex?Yes
Further comments

For more information: http://sexualrightsdatabase.org/map/21/Adult%20sex%20work/420/Netherlands

Access to HIV Treatment
Free access to HIV treatment?Yes, for some
Further comments

Treatment costs are reimbursed by mandatory health insurances, however the first 385 euros of healthcare costs need to be paid by patients. It is noted that the first healthcare fee varies each year.

For individuals with limited financial resources and asylum seekers, reimbursements for healthcare insurance costs are collectively organised.

Healthcare providers' costs can be reimbursed for those who provide services for undocumented migrants who are unable to pay.

 Additionally, (sept. 2016) There is an ongoing issue with overseas students from outside the EU, who are provided scholarships to universities in The Netherlands. It is a condition of such scholarships that they are not allowed to work (even part time) while on their studies. This means that the only type of student health  insurance schemes they are eligible for are those that exclude access to HIV treatment.

Status and access to HIV treatment and care in your country
Access to HIV treatment restricted for certain populations with HIV?Yes
Which groups are restricted?
  • Overseas students on scholarships from outside EU

    Additionally, (sept. 2016) There is an ongoing issue with overseas students from outside the EU, who are provided scholarships to universities in The Netherlands. It is a condition of such scholarships that they are not allowed to work (even part time) while on their studies. This means that the only type of student health  insurance schemes they are eligible for are those that exclude access to HIV treatment.

If more than one of the above populations selected, please give more information
Status
Country statusEU
Mobility in Europe
Do the following groups/populations have legal access to HIV treatment? (i.e provided on the same basis as citizens of the country)
Legal treatment access: Other EU migrant nationalsYes there is universal access
If yes but exceptions, please describe
Legal treatment access: general non-EU migrantsYes there is universal access
If yes but exceptions, please describe
Legal treatment access: Non-EU migrants with asylum/refugee statusYes there is universal access
If yes but exceptions, please describe
Legal treatment access: Non-EU migrants who are undocumentedYes there is universal access
If yes but exceptions, please describe
Further comments
About this data
Last minor revision12 July 2016
Last major revision5 January 2017
Published19 January 2017
Data sourcesAs well as responses from in-country individuals and organisations information and data was taken from the following sources:http://ecdc.europa.eu/en/healthtopics/aids/Pages/monitoring-dublin-declaration.aspx
Sex Work Laws
These included  https://en.wikipedia.org/wiki/Prostitution_by_country#Europe
The Global Network of Sex Work Projects www.nswp.org and country sources and http://sexualrightsdatabase.org/map/21/Adult%20sex%20work and http://spl.ids.ac.uk/sexworklaw
Drug use
Needle exchange information was taken from Harm Reduction International who have an interactive tool https://www.hri.global/global-state-of-harm-reduction
Criminal Law
http://criminalisation.gnpplus.net has useful info about the criminal law and is searchable by country as well as http://www.hivjustice.net/site/countries/
MSM
http://ilga.org/what-we-do/state-sponsored-homophobia-report/ (2016)
Data contacts

Responses were received from GGD Amsterdam (www.ggd.amsterdam.nl)

Barring The Way To Health - Update this information