This Report provides an overview of the policies supporting the implementation of the Glasgow Manifesto across seven European countries: Italy, Portugal, Spain, France, Romania, Turkey, and Georgia. The Manifesto sets out key principles for improving the quality of life and ensuring equitable healthcare access for people living with HIV, with a particular focus on addressing the challenges of ageing with HIV.
The findings reveal a highly heterogeneous landscape, reflecting the diversity of political, cultural, and healthcare environments in each Country. Commonalities include widespread access to antiretroviral therapy (ART) and efforts to combat stigma, though the latter remains a persistent barrier across all contexts. However, significant differences emerge in the adoption of multidisciplinary approaches, the degree of integration of policies targeting ageing with HIV, and the uniformity of service delivery.
Countries like France, Italy, Portugal and Spain demonstrate advanced infrastructures and strong legislative frameworks that align closely with the Manifesto’s principles, though they face challenges such as regional disparities and the lack of a specific focus on ageing with HIV. In contrast, Romania, Turkey, and Georgia grapple with structural and resource-based limitations, as well as deeply rooted cultural stigmas, which hinder their ability to effectively implement the Manifesto.
This Report highlights the need for targeted interventions, increased funding, and coordinated regional and national strategies to bridge these gaps. It offers recommendations aimed at fostering greater alignment with the Glasgow Manifesto, emphasizing the urgency of addressing the specific needs of growing ageing populations living with HIV.
The report was launched at The Glasgow Manifesto | Community Leads Research on Ageing with HIV: 7 Country Cases event, held in Paris, France during the EACS 2025 conference.

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