🛡️ The Situation

Prague's sexual health infrastructure for gay and bisexual men centres on two institutions: Dům Světla (House of Light), the ČSAP community clinic for free anonymous testing and navigation, and the HIV Centrum at Bulovka Hospital, where PrEP is partially reimbursed through Czech health insurance and PEP can be initiated around the clock. Knowing how these two institutions connect — and how Czech insurance fits in — is the core of what you need.

⚖️ The Golden Rules

Rule 1: Dům Světla Is Your Entry Point

Dům Světla (aids-pomoc.cz, Prague 8) is the community anchor. Free anonymous testing, three-site STI screening, HIV counselling, and PrEP referrals. Staff understand gay men's health and English is widely spoken.

Rule 2: PrEP Requires an HIV Centrum — Not Your GP

PrEP is partially reimbursed by Czech health insurance, but only when prescribed at an HIV Centrum. Your GP cannot initiate the reimbursement pathway. Copayment after insurance is approximately 500–1,000 CZK/month.

Rule 3: For PEP — Bulovka First, Nearest Hospital Otherwise

In Prague, go to Bulovka Hospital (Budínova 2, Prague 8). Outside Prague, go to the nearest fakultní nemocnice (university hospital) and ask for the infekční oddělení or pohotovost. Go immediately.

⚖️ The Reality of the System

  • Strong Community Anchor: Dům Světla provides excellent, gay-competent care and free, anonymous testing in Prague.
  • Subsidised PrEP: PrEP is partially reimbursed by Czech health insurance when accessed through the correct channels.
  • Accessible PEP: Emergency PEP is available 24/7 at Bulovka Hospital in Prague and at university hospitals across the country.
  • Fragmented Care: You must navigate specialized HIV Centres for PrEP and PEP; your GP cannot manage these pathways.
  • Copayments Required: PrEP is not fully free; even with insurance, expect a monthly copayment.
  • Regional Variations: English-speaking staff and specialized gay men's health services are concentrated heavily in Prague.

💬 Anonymous Partner Notification

If you test positive, speak to the staff at the clinic where you were tested, such as Dům Světla or your local HIV Centrum. They can provide guidance and often assist with the partner notification process anonymously on your behalf.

🗺️ Guide Map

Testing & Clinics

Prevention

Emergencies & Support

Result Management

Support & System