This chapter reviews Spain's response to its HIV epidemic. The Spanish National Health System provides a framework that can respond quickly to the growing need for HIV control within the population. Its HIV-related interventions have always been based on the principles of free access, universality, and equity. In order to decrease delays in HIV diagnosis, offering confidential and anonymous HIV testing and counselling as widely as possible has also proven highly effective. In particular, providing free antiretroviral drugs to all patients who can benefit from this treatment has proved to be effective in reducing AIDS, premature death, hospital admissions, and length of stay due to opportunistic infections.
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