The legal framework
Ireland introduced a free national PrEP programme in 2019, delivered through designated public and voluntary services. HIV testing is free at sexual health clinics and through a national postal self-testing service, and antiretroviral treatment is provided free in the public system regardless of medical card status.
Ireland provides HIV treatment free through the public system and funds PrEP through a national programme delivered at designated clinics. Free home-testing kits are posted anywhere in the country, which removed the main practical barrier to testing. Late diagnosis remains the principal clinical problem, and community organisations run rapid testing outside clinical settings.
Key points
| Cost | Testing, treatment and PrEP are free in the public system |
|---|---|
| PrEP | National programme since 2019, delivered through designated services |
| Postal testing | Free HIV and STI home test kits available nationally |
| PEP | From emergency departments and sexual health services |
| Clinics | Public STI clinics, free and confidential, in each health area |
| Community testing | Rapid testing offered by voluntary organisations |
In practice
- Order a free home test kit online: it covers HIV and other infections.
- PrEP is free but capacity is limited; book early with a designated service.
- For PEP, attend an emergency department without waiting.
- Community organisations offer rapid testing with results in minutes.
Cost and coverage
Testing, treatment and PrEP are free through the public system.
Where to go
- Public STI clinics of the health service.
- HIV Ireland and the Sexual Health Centre.
- Emergency departments for post-exposure prophylaxis.
Worth knowing
PrEP is free but demand exceeds capacity in some areas. If a designated service has a waiting list, ask which other services in the programme have shorter waits.
Frequently asked questions
Is PrEP free in Ireland?
Yes, through the national PrEP programme at designated services, which covers the medication and the associated monitoring for people at substantial risk. Places are limited at some clinics, so waiting times vary by location — ask about alternative sites if your nearest is full.
What does undetectable equals untransmittable mean?
That a person on effective treatment whose viral load stays below the limit of detection does not pass HIV on sexually. This is settled science, confirmed by large studies and accepted internationally. It depends on taking the medication consistently and having the viral load checked regularly. For a couple where one partner is HIV positive, it changes everything.
Official sources and links
- HSE Sexual Wellbeing — free testing, including home test kits
- Citizens Information — official plain-language guide to rights and entitlements
- Irish Statute Book — legislation as enacted