Apec-Ibiz
Health education on HIV prevention
and sexual health
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Treatment as Prevention

Effective antiretroviral therapy can reduce the risk of HIV transmission to undetectable levels.

Three conditions for a strong reduction in transmission

There is now a clear consensus on how HIV treatment can effectively and substantially reduce the risk of transmission. Three conditions must be met at the same time:

  1. The person living with HIV takes their treatment correctly and consistently.
  2. The viral load has been undetectable for at least six months.
  3. There are no other STIs.

When these three conditions are met, the level of protection achieved is comparable to that provided by a condom. Condoms, for men or women, therefore remain important prevention tools — and the two approaches can be combined according to the needs of the individual or the couple.

Talking with an HIV specialist, together with your partner, is recommended so you can adopt the prevention that best meets your needs and provides the greatest protection.

Treatment as prevention is a practical idea built on modern medicine: when a person living with HIV takes antiretroviral therapy correctly and consistently, reaches and maintains an undetectable viral load, and has no other sexually transmitted infections, the risk of passing HIV to a partner falls to a level comparable to other widely accepted prevention methods. Because these three conditions must hold at the same time, clinicians emphasize regular testing, open communication with partners, and ongoing support to stay on treatment. Education about effective therapy is often paired with broader financial and life-planning resources, such as understanding cash advance options, consolidating debt, reviewing insurance coverage, checking a free credit report, or choosing a cell phone plan, so that long-term health commitments are easier to maintain without unnecessary financial stress.

Why viral load measurement matters

Viral load measurement is the key indicator of treatment success: it tells whether the treatment is working and whether the undetectable threshold has been reached. Consistency is essential, since the effect depends on the treatment being taken as prescribed.

Even with the increased effectiveness of treatment, it is worth remembering that new HIV infections continue to occur in Belgium. Combining treatment with barrier methods remains the safest approach for many people.

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Prevention

Combination prevention: screening, treatment and barrier methods used together.

Read about prevention strategies

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Condoms

Correct use of male condoms still prevents STIs and pregnancy. Store them dry, away from heat and light.

See how to use condoms

Where to get help

Belgian health organisations can advise on testing, treatment and protection:

  • Sid'Aids, Brussels — 02/502 36 76
  • Namur Health Service — 081/77 68 20
  • Charleroi AIDS-STI — 071 92 54 11