Country ownership and sustainable programming of the HIV response in South Africa: A scoping review

Southern African Journal of HIV Medicine

Field Value
Title Country ownership and sustainable programming of the HIV response in South Africa: A scoping review
Creator Phaswana-Mafuya, Refilwe N. Phalane, Edith Sisel, Haley Motsieloa, Lifutso Journeay, Katherine Dubula, Vuyiseka Sibeko, Jabulile Ramothwala, Pholokgolo
Subject Public Health; Communicable Diseases; Health Sciences; Health policies country ownership; HIV response; sustainable programming; South Africa; political ownership; institutional and community ownership; capabilities; mutual accountability
Description Background: Concerns have arisen regarding the extent to which South Africa’s HIV response can be country-owned and sustainable given substantial foreign investment and technical support.Objectives: To assess the extent to which South Africa’s national HIV response is country-owned.Method: We conducted a scoping review of South African literature using the Global Health Initiative Framework for country ownership.Results: South Africa has clear aspirations for what should be accomplished and strategies are aligned with national and international priorities. Although South Africa has leveraged community-based strategies to reach key populations (KPs), most are supported by international donors, which poses a sustainability challenge. Despite robust capacity strengthening and training programmes, South Africa continues to face healthcare worker shortages. While it is commendable that South Africa funds nearly 70% of the national HIV response, the funds mainly support HIV treatment. This may create dependency on international partners.Conclusion: South Africa appears to be progressing well along the spectrum of country ownership, but sustained efforts are required to combat HIV. Greater ownership over KP programming and prevention services are especially needed to achieve greater impact.
Publisher AOSIS
Date 2023-11-30
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — review
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajhivmed.v24i1.1511
Source Southern African Journal of HIV Medicine; Vol 24, No 1 (2023); 11 pages 2078-6751 1608-9693
Language eng
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Coverage South Africa South Africa N/A
Rights Copyright (c) 2023 Refilwe N. Phaswana-Mafuya, Edith Phalane, Haley Sisel, Lifutso Motsieloa, Katherine Journeay, Vuyiseka Dubula, Jabulile Sibeko, Pholokgolo Ramothwala