Barcelona has BCN Checkpoint. Madrid has the Sandoval network. But Spain is a country of 47 million people across 17 Autonomous Communities, and the postcode lottery is real. If you live in Valencia, Seville, the Canary Islands, or the Basque Country, this guide is for you.

For the national context — the PrEP access crisis, hospital pharmacy rules, and how the system is supposed to work — see Spain: The Regional Chaos first.

On PrEP outside the big cities: The further you are from Madrid and Barcelona, the harder PrEP access tends to be. Fewer prescribing centers, longer waits, less specialised staff. If you are in a smaller city or region and facing a long waitlist, The Online Ordering Gray Area and the NGO contacts below are your most important resources.

Valencia

LAMBDA LGTBI+ (Valencia)

Valencia's main LGBTQ+ association and the most important health access point in the region.

Services: HIV/STI rapid testing, health counseling, referrals to sexual health specialists, PrEP enrollment support.

Why LAMBDA matters here: In Valencia, where access to specialist sexual health clinics is more limited than in Barcelona, LAMBDA's NGO services often function as the community entry point for PrEP enrollment and sexual health navigation.

Website: lambdalgtbi.org | Address: Carrer de Quart, 26 (El Carmen, Valencia)

Centro de Salud Malvarrosa / Especialidades (Valencia)

The regional Hospital La Fe in Valencia is the main public reference for infectious diseases and HIV. For PrEP, the route typically runs through your GP → infectious disease specialist at Hospital La Fe → Farmacia Hospitalaria.

Reality check: Valencia's regional health system (Conselleria de Sanitat) has faced capacity issues. Expect a wait. LAMBDA can help advocate for faster enrollment.

Seville, Malaga & Andalucía

Adhara (Seville and Malaga)

The primary LGBTQ+ health NGO in Andalucía. Offers rapid HIV/STI testing, counseling, and referrals to the public PrEP system.

Two main locations:

  • Seville: Centro de Información y Prevención del Sida (CIPS-Adhara)
  • Malaga: Malaga office

PrEP in Andalucía: The regional health system (Servicio Andaluz de Salud) covers PrEP through hospital specialist services. Adhara can help you navigate the referral process and identify the fastest route to enrollment in your area.

Website: adhara.org.es

Hospital Virgen del Rocío (Seville)

Seville's main reference hospital for HIV and infectious diseases. For PrEP access, this is where the prescription and dispensing process runs in the province of Seville.

The Canary Islands Connection

Seville to Canaries is less relevant, but Andalucía's experience with tourist-heavy gay populations (Torremolinos, near Malaga, is one of Spain's oldest gay resorts) means Adhara has some experience with international visitors and non-residents seeking access.

The Canary Islands (Gran Canaria / Lanzarote)

Gran Canaria — and specifically Maspalomas (Playa del Inglés) — is one of Europe's largest gay destinations. The island sees intense seasonal variation in demand for sexual health services.

ALAS Gran Canaria

Local LGBTQ+ association on Gran Canaria. Offers health support, referrals, and advocacy.

Website: alasgrancanaria.org

Hospital Universitario de Gran Canaria Dr. Negrín (Las Palmas)

The main reference hospital for infectious diseases on Gran Canaria. For PrEP enrollment, HIV treatment, and PEP, this is the public system entry point.

For tourists and visitors: Gran Canaria's health system handles a large volume of international visitors. EU/EEA visitors with EHIC are covered for emergency care. PEP (profilaxis post-exposición / PPE) is available at the Urgencias of Hospital Dr. Negrín. Do not go to a Centro de Salud or private clinic for PEP — go to the hospital.

Postal testing: If you are visiting for a short period, consider a postal test kit from your home country before and after. On-island NGO testing may have waits during peak season (October–February is "Winter Pride" season on Gran Canaria).

Basque Country (Bilbao & Vitoria)

Gehitu (Bilbao)

The main LGBTQ+ association in the Basque Country. Gehitu operates health programs including testing and referrals, with a focus on both gay and trans health.

Website: gehitu.net | Tel: 944 221 598

Osakidetza (Basque Health Service)

The Basque regional health system is generally considered one of the better-resourced in Spain. PrEP access through Osakidetza still runs through hospital specialist channels, but the Basque system tends to have shorter waits than average.

For infectious diseases and PrEP in Bilbao: Hospital Universitario Basurto or Hospital Universitario de Cruces.

Zaragoza & Aragón

ColectivA LGTBI+ Aragón (Zaragoza)

The main LGBTQ+ organisation in Aragón. Health referrals and support for navigating the Aragonese health system.

Website: colectivaaragón.es

PrEP in Aragón: The Aragonese health system (Salud Aragón) covers PrEP through Hospital Universitario Miguel Servet in Zaragoza. Waits exist but Aragón is a smaller system than Catalonia or Madrid.

Nationwide: When There's No Local Service

If you are in a smaller city or rural area without an obvious local NGO:

FELGTBI+ directory: Spain's national LGBT+ federation maintains a directory of affiliated organisations across the country. Even if your region doesn't have a dedicated sexual health service, a local LGBTQ+ group can often point you to the relevant specialist at your regional hospital. Website: felgtbi.org/directorio

Online options: For PrEP monitoring (if you are sourcing medication yourself), online consultations with private doctors are available nationwide. For testing, some public health portals offer self-collection kits — check your regional health authority's website.

In every region: The Farmacia Hospitalaria (hospital pharmacy) rule applies. The PrEP prescription must come from a specialist (infectólogo or especialista en enfermedades infecciosas) and must be dispensed at the hospital. Your GP cannot prescribe it. This is universal across Spain regardless of region.

The 112 Rule for PEP — Everywhere

This doesn't change by region: if you need PEP, go to the Urgencias of the nearest large hospital. Every major regional hospital in Spain stocks PEP medication. Do not go to a Centro de Salud (primary care clinic) — they do not stock it.

Tell them: "He tenido una práctica de riesgo. Necesito profilaxis post-exposición (PPE)."

See PEP in Spain: Urgencias Hospitalarias for the full protocol.

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