Country ownership and sustainable programming of the HIV response in South Africa: A scoping review
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 co...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
AOSIS
2023-11-01
|
| Series: | Southern African Journal of HIV Medicine |
| Subjects: | |
| Online Access: | https://sajhivmed.org.za/index.php/hivmed/article/view/1511 |
| _version_ | 1797405061209391104 |
|---|---|
| author | Refilwe N. Phaswana-Mafuya Edith Phalane Haley Sisel Lifutso Motsieloa Katherine Journeay Vuyiseka Dubula Jabulile Sibeko Pholokgolo Ramothwala |
| author_facet | Refilwe N. Phaswana-Mafuya Edith Phalane Haley Sisel Lifutso Motsieloa Katherine Journeay Vuyiseka Dubula Jabulile Sibeko Pholokgolo Ramothwala |
| author_sort | Refilwe N. Phaswana-Mafuya |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-09T03:04:11Z |
| format | Article |
| id | doaj.art-a719c772b1fb4da69943ca29301498d5 |
| institution | Directory Open Access Journal |
| issn | 1608-9693 2078-6751 |
| language | English |
| last_indexed | 2024-03-09T03:04:11Z |
| publishDate | 2023-11-01 |
| publisher | AOSIS |
| record_format | Article |
| series | Southern African Journal of HIV Medicine |
| spelling | doaj.art-a719c772b1fb4da69943ca29301498d52023-12-04T08:13:30ZengAOSISSouthern African Journal of HIV Medicine1608-96932078-67512023-11-01241e1e1110.4102/sajhivmed.v24i1.1511851Country ownership and sustainable programming of the HIV response in South Africa: A scoping reviewRefilwe N. Phaswana-Mafuya0Edith Phalane1Haley Sisel2Lifutso Motsieloa3Katherine Journeay4Vuyiseka Dubula5Jabulile Sibeko6Pholokgolo Ramothwala7South African Medical Research Council/University of Johannesburg (SAMRC/UJ) Pan African Centre for Epidemics Research (PACER) Extramural Unit, Faculty of Health Sciences, University of Johannesburg, Johannesburg, South Africa; and, Department of Environmental Health, Faculty of Health Sciences, University of Johannesburg, JohannesburgSouth African Medical Research Council/University of Johannesburg (SAMRC/UJ) Pan African Centre for Epidemics Research (PACER) Extramural Unit, Faculty of Health Sciences, University of Johannesburg, JohannesburgKey Populations Program, Center for Public Health and Human Rights, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, United States of AmericaSouth African National AIDS Council, PretoriaKey Populations Program, Center for Public Health and Human Rights, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, United States of AmericaCentre for Civil Society, School of Built Environment and Development Studies, University of KwaZulu-Natal, DurbanSouth African National AIDS Council, PretoriaSouth African National AIDS Council, PretoriaBackground: 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.https://sajhivmed.org.za/index.php/hivmed/article/view/1511country ownershiphiv responsesustainable programmingsouth africapolitical ownershipinstitutional and community ownershipcapabilitiesmutual accountability |
| spellingShingle | Refilwe N. Phaswana-Mafuya Edith Phalane Haley Sisel Lifutso Motsieloa Katherine Journeay Vuyiseka Dubula Jabulile Sibeko Pholokgolo Ramothwala Country ownership and sustainable programming of the HIV response in South Africa: A scoping review Southern African Journal of HIV Medicine country ownership hiv response sustainable programming south africa political ownership institutional and community ownership capabilities mutual accountability |
| title | Country ownership and sustainable programming of the HIV response in South Africa: A scoping review |
| title_full | Country ownership and sustainable programming of the HIV response in South Africa: A scoping review |
| title_fullStr | Country ownership and sustainable programming of the HIV response in South Africa: A scoping review |
| title_full_unstemmed | Country ownership and sustainable programming of the HIV response in South Africa: A scoping review |
| title_short | Country ownership and sustainable programming of the HIV response in South Africa: A scoping review |
| title_sort | country ownership and sustainable programming of the hiv response in south africa a scoping review |
| topic | country ownership hiv response sustainable programming south africa political ownership institutional and community ownership capabilities mutual accountability |
| url | https://sajhivmed.org.za/index.php/hivmed/article/view/1511 |
| work_keys_str_mv | AT refilwenphaswanamafuya countryownershipandsustainableprogrammingofthehivresponseinsouthafricaascopingreview AT edithphalane countryownershipandsustainableprogrammingofthehivresponseinsouthafricaascopingreview AT haleysisel countryownershipandsustainableprogrammingofthehivresponseinsouthafricaascopingreview AT lifutsomotsieloa countryownershipandsustainableprogrammingofthehivresponseinsouthafricaascopingreview AT katherinejourneay countryownershipandsustainableprogrammingofthehivresponseinsouthafricaascopingreview AT vuyisekadubula countryownershipandsustainableprogrammingofthehivresponseinsouthafricaascopingreview AT jabulilesibeko countryownershipandsustainableprogrammingofthehivresponseinsouthafricaascopingreview AT pholokgoloramothwala countryownershipandsustainableprogrammingofthehivresponseinsouthafricaascopingreview |