Evidence map›Paper›PMID 39857218›Full record

ArticleHealthcare (Basel, Switzerland)2025

Advancing Sustainable HIV Services Through Integration in Primary Healthcare in Sub-Saharan Africa: A Perspective on Practical Recommendations.

Tafadzwa Dzinamarira, Gallican Rwibasira, Loveday Mwila, Enos Moyo, Derek Mangoya, Perseverance Moyo, Edward Oladele, Adewale Akinjeji, Munashe Chimene, Claude Mambo Muvunyi

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  14. Person-centred HIV prevention in an era of innovation and uncertainties.Journal of the International AIDS Society · 2025
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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

10 authors.

Tafadzwa DzinamariraSchool of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria 0002, South Africa.ORCID 0000-0002-9929-5739
Gallican RwibasiraRwanda Biomedical Center, Kigali P.O. Box 7162, Rwanda.
Loveday MwilaMinistry of Health, Lusaka 10101, Zambia.ORCID 0009-0007-9000-7896
Enos MoyoDepartment of Public Health Medicine, University of KwaZulu Natal, Durban 4041, South Africa.ORCID 0000-0002-1827-9551
Derek MangoyaThe Centre for HIV and AIDS Prevention Studies, Windhoek 9000, Namibia.ORCID 0000-0001-7605-832X
Perseverance MoyoMedical Center Oshakati, Oshakati, Namibia.ORCID 0000-0002-9572-3898
Edward OladeleFHI 360, Lusaka, Zambia.ORCID 0000-0003-4999-1397
Adewale AkinjejiHealth Systems and Policy Research Group, Department of Global Public Health, Karolinska Institutet, 171 77 Solna, Sweden.
Munashe ChimeneMinistry of Health and Child Care, Harare P.O. Box CY 573, Zimbabwe.
Claude Mambo MuvunyiRwanda Biomedical Center, Kigali P.O. Box 7162, Rwanda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sub-Saharan Africa continues to bear a disproportionate burden of the global HIV epidemic. Integrating HIV services into primary healthcare is a crucial strategy to accelerate progress towards ending the epidemic. However, several challenges hinder effective integration, including underfunding, human resource shortages, infrastructure limitations, weak health systems, and sociocultural factors. With this perspective, we discuss strategies to address these challenges. A comprehensive, multi-faceted approach is necessary to overcome these barriers. Investing in human resources, improving infrastructure, and strengthening health information systems are essential for strengthening the health system. Implementing patient-centered care, integrated service delivery models, and community engagement can optimize service delivery. Utilizing digital health tools, such as mobile health applications and electronic health records, can enhance service delivery and data management. Mobilizing for an increase in domestic resources, aligning donor funding, and using cost-effective approaches are crucial for effective financing. Finally, robust monitoring and evaluation systems are necessary to track progress, identify challenges, and inform decision-making. With these strategies, among many others, sub-Saharan African countries can significantly improve the integration of HIV services into primary healthcare, leading to better health outcomes for people living with HIV and more sustainable HIV programs.

Indexed as

health service integrationHIVprimary healthcaresustainability

Identifiers

PMID39857218
PMCPMC11764692

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.