Switzerland

National policy
National policy/strategy or official recommendations on HIV testing?Yes
Who can administer HIV tests?
Restrictions on who can legally administer HIV tests?Yes
Which groups can legally do HIV testing?
  • Specialist clinic staff (doctor and/nurse) only
  • Any doctor/nurse (not necessarily in a specialist clinic)
  • NGO with clinical supervision
  • NGO without clinical supervision
Further comments
Free HIV testing
HIV testing free to all who want it?Yes in certain places
Further commentsFree HIV testing in Switzerland is rare and limited to certain places offering free testing to people with limited to no financial resources or to members of specific target populations such as sex workers, IDU and migrants from high prevalence countries.
Is free HIV testing available?Yes in certain places
Further commentssee comment above.
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?No
Community testing at NGOs legal?Yes
Community/outreach event testing legal?No
Other
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 detailsHospitals 
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

Art. 231 of the Swiss Penal Code  was changed but no protection against discrimination has been developed

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

Some prison don't provide services or have limited services.

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 commentsMedical heroin prescription is available.

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://spl.ids.ac.uk/sexworklaw

Legal to buy sex?Yes
Further comments

For more information: http://spl.ids.ac.uk/sexworklaw

Access to HIV Treatment
Free access to HIV treatment?Yes, for some
Further commentsAll medical treatment for HIV is covered by state-regulated private individual health insurance paid for by insuree via insurance premiums. Insurees must also pay deductibles and co-pays. Financial assistance is available to those in need to cover a portion of premiums.
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?
  • Migrants
  • Undocumented migrants may have issues getting services

If more than one of the above populations selected, please give more information
Status
Country statusEFTA
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 but there are exceptions
If yes but exceptions, please describe

All medical treatment for HIV is covered by state-regulated private individual health insurance paid for by insuree via insurance premiums. Insurees must also pay deductibles and co-pays. Financial assistance is available to those in need to cover a portion of premiums.

Legal treatment access: general non-EU migrantsYes but there are exceptions
If yes but exceptions, please describe

All medical treatment for HIV is covered by state-regulated private individual health insurance paid for by insuree via insurance premiums. Insurees must also pay deductibles and co-pays. Financial assistance is available to those in need to cover a portion of premiums.

Legal treatment access: Non-EU migrants with asylum/refugee statusYes but there are exceptions
If yes but exceptions, please describe

All medical treatment for HIV is covered by state-regulated private individual health insurance paid for by insuree via insurance premiums. Insurees must also pay deductibles and co-pays. Financial assistance is available to those in need to cover a portion of premiums.

Legal treatment access: Non-EU migrants who are undocumentedNo
If yes but exceptions, please describe
Further commentsAll deemed residents, legal or otherwise (including irregular migrants) must contract state-regulated private individual health insurance. Foreign nationals with this insurance coverage or equivalent foreign travel insurance will receive HIV treatment on same basis as citizens.
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 were 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 Positive Council (www.positivrat.ch), Federal Office of Public Health (www.bag.admin.ch/aids), Groupe sida Gen

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