{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T07:02:03Z","timestamp":1780038123913,"version":"3.53.1"},"reference-count":29,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The present study explores stakeholder perspectives on HIV prevention in the Czech Republic, with a focus on perceived gaps and priorities in current strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Semi-structured interviews were conducted with 11 institutional stakeholders, including representatives of governmental institutions, non-governmental organizations, healthcare providers, insurers, and the pharmaceutical sector. The present study combined qualitative content analysis with quantitative analysis of coded data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>It was determined by stakeholders that men who have sex with men (MSM) represent the primary focus of current HIV prevention efforts. Concurrently, certain stakeholders emphasized the necessity to reinforce preventive measures for additional demographic groups, most notably migrants and heterosexual populations. Transgender individuals and prisoners were mentioned less frequently, indicating their limited visibility in stakeholder discussions. The primary challenges identified included funding constraints, a lack of reimbursement for PrEP, stigma, and inadequate coordination of prevention strategies. These findings are indicative of stakeholder perspectives and should be interpreted as exploratory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The report identifies areas for further research and potential discussion, particularly regarding the balance of prevention efforts across different population groups and the need for improved coordination and access to prevention tools.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1764708","type":"journal-article","created":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T06:07:57Z","timestamp":1780034877000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Stakeholders' perspectives on HIV prevention in the Czech Republic: a qualitative study"],"prefix":"10.3389","volume":"14","author":[{"given":"Veronika","family":"Sz\u00e9pe","sequence":"first","affiliation":[{"name":"Department of Biomedical Technology, Faculty of Biomedical Engineering, Czech Technical University in Prague","place":["Prague, Czechia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylva","family":"R\u00f6dlov\u00e1","sequence":"additional","affiliation":[{"name":"Department of Hygiene, Third Faculty of Medicine, Charles University","place":["Prague, Czechia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milan","family":"Zl\u00e1mal","sequence":"additional","affiliation":[{"name":"Clinic of Infectious Diseases, First Faculty of Medicine, Charles University and Military University Hospital, Central Military Hospital \u2013 Military University Hospital","place":["Prague, Czechia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ale\u0161","family":"Tichop\u00e1d","sequence":"additional","affiliation":[{"name":"Department of Biomedical Technology, Faculty of Biomedical Engineering, Czech Technical University in Prague","place":["Prague, Czechia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,5,29]]},"reference":[{"key":"B1","unstructured":"HIV Rates by Country\n          \n          2025"},{"key":"B2","year":"2016","journal-title":"THE CZECH REPUBLIC Global AIDS Response Progress"},{"key":"B3","doi-asserted-by":"publisher","first-page":"28","DOI":"10.1093\/eurpub\/cky212.438","article-title":"HIV epidemic among MSM in the Czech Republic: high time for targeted action","author":"Pitonak","year":"2018","journal-title":"Eur J Public Health."},{"key":"B4","first-page":"117","article-title":"HIV\/AIDS epidemic in the Czech Republic and related factors: comparison of key populations of people who inject drugs and men who have sex with men","volume":"18","author":"Mrav\u010d\u00edk","year":"2018","journal-title":"Adiktologie"},{"key":"B5","doi-asserted-by":"publisher","first-page":"e0002851","DOI":"10.1371\/journal.pgph.0002851","article-title":"Barriers and facilitators to utilizing HIV prevention and treatment services among migrant youth globally: a scoping review","volume":"4","author":"Li","year":"2024","journal-title":"PLoS Global Public Health."},{"key":"B6","doi-asserted-by":"publisher","first-page":"6148","DOI":"10.3390\/ijerph18116148","article-title":"Education of adolescents in the prevention of hiv\/aids in the Czech Republic","volume":"18","author":"Macounov\u00e1","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"B7","doi-asserted-by":"publisher","first-page":"2451","DOI":"10.1007\/s10508-022-02322-7","article-title":"PrEP in the context of other HIV risk reduction strategies among men who have sex with men: results from the flash! PrEP in Europe survey","volume":"51","author":"Di Ciaccio","year":"2022","journal-title":"Arch Sex Behav"},{"key":"B8","doi-asserted-by":"crossref","first-page":"2237","DOI":"10.1056\/NEJMoa1506273","article-title":"On-demand preexposure prophylaxis in men at high risk for HIV-1 infection","volume":"373","author":"Molina","year":"2015","journal-title":"N Engl J Med"},{"key":"B9","unstructured":"St\u00e1tn\u00ed\n              zdravotn\u00ed \u00fastav\n            \n          \n          V\u00fdskyt a \u0161\n          \n          2024"},{"key":"B10","doi-asserted-by":"publisher","year":"2024","journal-title":"Progress Towards Reaching the Sustainable Development Goals related to HIV in the European Union and European Economic Area","DOI":"10.2900\/8022219"},{"key":"B11","doi-asserted-by":"publisher","first-page":"2428","DOI":"10.1016\/S0140-6736(19)30418-0","article-title":"Risk of HIV transmission through condomless sex in serodifferent gay couples with the HIV-positive partner taking suppressive antiretroviral therapy (PARTNER): final results of a multicentre, prospective, observational study","volume":"393","author":"Rodger","year":"2019","journal-title":"Lancet."},{"key":"B12","doi-asserted-by":"publisher","first-page":"533","DOI":"10.1007\/s10488-013-0528-y","article-title":"Purposeful sampling for qualitative data collection and analysis in mixed method implementation research","volume":"42","author":"Palinkas","year":"2015","journal-title":"Adm Policy Ment Health."},{"key":"B13","doi-asserted-by":"publisher","first-page":"330","DOI":"10.1302\/2058-5241.4.180077","article-title":"Registry stakeholders","volume":"4","author":"L\u00fcbbeke","year":"2019","journal-title":"EFORT Open Rev."},{"key":"B14","doi-asserted-by":"publisher","first-page":"1277","DOI":"10.1177\/1049732305276687","article-title":"Three approaches to qualitative content analysis","volume":"15","author":"Hsieh","year":"2005","journal-title":"Qual Health Res."},{"key":"B15","unstructured":"Ministerstvo\n              spravedlivosti Cesk\u00e9 republiky\n            \n          \n          Koncepce v\u011bzenstv\n          \n          2025"},{"key":"B16","doi-asserted-by":"publisher","first-page":"122","DOI":"10.3390\/vaccines11010122","article-title":"PrEP Scale-Up and PEP in Central and Eastern Europe: changes in time and the challenges we face with no expected HIV vaccine in the near Future \u2020","volume":"11","author":"Gokengin","year":"2023","journal-title":"Vaccines."},{"key":"B17","doi-asserted-by":"publisher","first-page":"28","DOI":"10.2807\/1560-7917.ES.2023.28.48.2300642","article-title":"HIV diagnoses among people born in Ukraine reported by EU\/EEA countries in 2022: impact on regional HIV trends and implications for healthcare planning","author":"Reyes-Urue\u00f1a","year":"2023","journal-title":"Eurosurveillance."},{"key":"B18","unstructured":"NRL\n              pro HIV\/AIDS\n            \n          \n          Vyrocni-zprava-o-vyskytu-a-sireni-HIV-AIDS-v-CR-v-roce-2023.\n          \n          2023"},{"key":"B19","doi-asserted-by":"publisher","first-page":"955","DOI":"10.1016\/j.jiph.2022.07.012","article-title":"Changes in the user profiles of HIV pre-exposure prophylaxis (PrEP) before and after PrEP reimbursement","volume":"15","author":"Ahaus","year":"2022","journal-title":"J Infect Public Health."},{"key":"B20","doi-asserted-by":"publisher","first-page":"1380","DOI":"10.1001\/jama.2019.2947","article-title":"Association of HIV preexposure prophylaxis with incidence of sexually transmitted infections among individuals at high risk of HIV infection","volume":"321","author":"Traeger","year":"2019","journal-title":"JAMA."},{"key":"B21","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1186\/s12879-020-4831-4","article-title":"STI in times of PrEP: high prevalence of chlamydia, gonorrhoea, and mycoplasma at different anatomic sites in men who have sex with men in Germany","volume":"20","author":"Jansen","year":"2020","journal-title":"BMC Infect Dis."},{"key":"B22","unstructured":"Agenzia\n              Italiana Del Farmaco (AIFA)\n            \n          \n          Determina 8 maggio 2023 Regime di rimborsabilit0 e prezzo, a seguito di nuove indicazioni terapeutiche, del medicinale per uso umano Emtricitabina\/Tenofovir Disoproxil Mylan. 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