Evidence map›Paper›PMID 38058847›Full record

ArticleSouthern African journal of HIV medicine2023

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

Refilwe N Phaswana-Mafuya, Edith Phalane, Haley Sisel, Lifutso Motsieloa, Katherine Journeay, Vuyiseka Dubula, Jabulile Sibeko, Pholokgolo Ramothwala

Abstract readScoping Review
In one paragraph

Article in Southern African journal of HIV medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Refilwe N Phaswana-MafuyaSouth 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.ORCID https://orcid.org/0000-0001-9387-0432
Edith PhalaneSouth 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.ORCID https://orcid.org/0000-0001-6128-2337
Haley SiselKey Populations Program, Center for Public Health and Human Rights, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, United States of America.ORCID https://orcid.org/0000-0002-0660-0889
Lifutso MotsieloaSouth African National AIDS Council, Pretoria, South Africa.ORCID https://orcid.org/0000-0001-6741-9760
Katherine JourneayKey Populations Program, Center for Public Health and Human Rights, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, United States of America.ORCID https://orcid.org/0009-0008-7597-966X
Vuyiseka DubulaCentre for Civil Society, School of Built Environment and Development Studies, University of KwaZulu-Natal, Durban, South Africa.ORCID https://orcid.org/0000-0003-0559-5974
Jabulile SibekoSouth African National AIDS Council, Pretoria, South Africa.ORCID https://orcid.org/0009-0005-1472-9884
Pholokgolo RamothwalaSouth African National AIDS Council, Pretoria, South Africa.ORCID https://orcid.org/0009-0000-8535-5326

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

capabilitiescountry ownershipHIV responseinstitutional and community ownershipmutual accountabilitypolitical ownershipSouth Africasustainable programming

Identifiers

PMID38058847
PMCPMC10696614

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.