ECOM – Eurasian Coalition on Health, Rights, Gender and Sexual Diversity – recently published a report on access to PrEP (regular medication to prevent HIV infection) in Armenia, Belarus, Georgia, Moldova and Ukraine. We spoke to ECOM’s Community Health Systems Coordinator, Gennady Roshchupkin, about ECOM’s work in the region. The report is primarily an advocacy tool. Our goal is to provide international funders and local communities with an overview of what’s going on in the region. We want to underline the areas where development is required and to show how learning within a region can help individual countries to develop. The report focuses on specific countries where PrEP services exist or are going to be started soon. In Georgia, Ukraine and Moldova, PrEP services started several years ago, with support from the Global Fund. Armenia started a project with its own resources. It is interesting to reflect on how the development of services has been quite different in these countries. The report shows what first steps have been taken in PrEP provision and the lessons countries have learned.