Uvod. Populacija muskaraca koji imaju seksualne odnose sa muskarcima (MSM) predstavlja posebno osjetljivu grupu za prenos HIV-a i drugih polno prenosivih infekcija.Vulnerabilnost se povecava usljed rizicnog ponasanja, marginalizovanja, stigmatizovanja kao i nedostupnosti zdravstveno-socijalne zastite. Cilj rada je bio da se procijeni prevalencija HIV-a i odabranih polno prenosivih infekcija te ispitaju znanje, stavovi i ponasanje u odnosu na HIV/ polno prenosive infekcije u MSM populaciji u Bosni i Hercegovini, kao i da se dobijeni rezultati uporede sa istraživanjima iz 2008. i 2010. godine. Metode. Istraživanje je provedeno kao bio-bihejvioralna studija prevalencije u MSM populaciji. Obuhvacena su ukupno 333 ispitanika, u sest gradova Bosne i Hercegovine. Istraživanje je sprovedeno u periodu septembar – decembar 2012. godine, kroz dobrovoljno, anonimno i povjerljivo anketiranje. Nakon informisanog pristanka i obavljenog savjetovanja, uzet je bioloski materijal za laboratorijsko testiranje na HIV, hepatitis B, hepatitis C i sifilis. Rezultati. Istraživanje je pokazalo prisutnost rizicnog ponasanja u MSM populaciji: multipli partneri (prosjecno tri razlicita slucajna partnera u proteklih mjesec dana), nezasticeni seksualni odnosi (samo 20% ispitanika redovno koristi kondom sa stalnim partnerom, 37% sa slucajnim partnerom, 4,6% pri oralnom odnosu), seksualni odnosi pod uticajem alkohola (69,6% ispitanika) i droga (26,7% ispitanika) u poslednjih sest mjeseci, seksualni odnosi i sa ženskim osobama (45,5% ). Uprkos prisutnosti rizicnog ponasanja, 14,8% ispitanika smatra da rizik od prenosenja HIV-a ne postoji, a 41,3% da je nizak. Seroloska ispitivanja pokazuju i dalje nizak nivo HIV/polno prenosivih infekcija u MSM populaciji u BiH. Zakljucak. Iako postoji porast zastitnog seksualnog ponasanja i ucestalije HIV testiranje u odnosu na ranije periode, to nije dovoljno za održavanje niskog nivoa infekcije HIV/polno prenosivih infekcija. Dobijeni podaci pružaju osnovne smjernice za buduca istraživanja i formiranje preventivnih programa.

Like many public healthcare facilities in South-Eastern Europe, the Public Health Institute of Republika Srpska (PHI RS) has recently faced the problem of irregular inflow of funds from the state budget and health insurance fund and had to seek for additional sources of funding. The objective of this paper is to assess the importance of projects for operation of the public health institutes in transitional countries where multiple donors are active, based on the PHI RS’s case. The RS PHI has recently assumed five different roles during projects. In the role of the final project beneficiary, the RS PHI was one of the target organizations who were to benefit from premises renovation, equipment delivery, strengthening of staff capacities, exchange of experience and practices through study visits, improvement of legal environment or advancing its position in the health system. As the project partner, the PHI RS has used its unique position in the health system to attract project funding. The PHI RS has as contractor provided its services under different projects. Occasionally, the PHI RS has been the resource center that provided experts needed for implementation of the projects. It promoted the PHI RS’s expertise and helped the PHI RS to retain and reward its most qualified staff. Potentially the most beneficial role for the PHI RS is the one of the main applicant for projects. All other roles have supported building of the PHI RS’s capacity to take the role of the lead applicant in different types of projects. In transitional countries where donors do not pool their funds, the public health institutes have a chance to exploit availability of multiple sources of financing and to benefit from parallel participation in different projects.