This document reflects the key findings, analytical observations, and consensus-based positions formed during the Second Regional Consultation on Pre-Exposure Prophylaxis (PrEP) in Central Asia. It systematizes the key results of expert discussions, national practices presented, and regional priorities for implementing and monitoring PrEP programs. The document is based on a comparative analysis of international models for monitoring and evaluating PrEP programs, including approaches adopted by the World Health Organization, CDC/PEPFAR, and European countries, as well as on discussions among consultation participants, including representatives of government agencies, international organizations, civil society, and the professional community of the region.

The document aims to develop a coordinated regional vision for PrEP monitoring systems, identify priority indicators and institutional mechanisms, and strengthen the evidence base for sustainably scaling up HIV prevention programs in Central Asia.