Dublin: Ireland’s sexual health policy could undergo significant changes as the government reviews 32 new recommendations aimed at shaping the next national strategy through 2030.
The proposals, outlined in an independent review conducted by Crowe Ireland Advisory and accepted by the Department of Health, include expanding sexual health services, increasing access to HIV prevention measures, and broadening support for underserved groups such as people over 40 and transgender individuals.
Progress and New Priorities
The review assessed the current National Sexual Health Strategy (NSHS) and found that 49 of its 56 priority actions have been successfully delivered. It also highlighted progress in areas such as promoting safer sex practices, reducing teenage exposure to pornography, and addressing concerns around chemsex.
However, the report identifies key gaps that need to be addressed in the next phase of the strategy.
Focus on Inclusion and Access
Among the major recommendations is a stronger focus on the sexual health and well-being of those aged over 40, as well as the transgender community—groups the report says have not received adequate attention to date.
It also calls for:
- Expansion of click-and-collect and home delivery options for sexual health testing kits
- Increased capacity for HIV PrEP services
- Wider availability of free contraception for women
- Improved delivery models for STI and sexual health services
The report notes rising concerns related to menopause and erectile dysfunction, alongside an increase in sexually transmitted infections among older populations.
Specialised, session-based clinics are also recommended to better address the specific healthcare needs of transgender individuals.
Addressing Gaps in Services
While HIV testing, STI services, and contraceptive care were included in previous implementation plans, the review found that progress in these areas has been insufficient. It also suggests establishing a national bacterial STI reference laboratory to improve diagnostic capacity and resource distribution.
Data from the Health Protection Surveillance Centre indicates a 91% increase in the number of people living with HIV, underscoring the urgency of strengthening services.
HIV Ireland welcomed the proposed reforms, describing them as timely given the rising rates of HIV and other sexually transmitted infections.
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