Evidence map›Paper›PMID 42291129›Full record

ReviewAIDS research and treatment2026

Strengthening HIV Programs in Sub-Saharan Africa Through Implementation Research: A Mixed-Methods Systematic Review.

George Msema Bwire, Goodluck G Nyondo, Belinda J Njiro, Beatrice G Aiko, Wigilya P Mikomangwa, Martine A Manguzu, Francis August, David T Myemba, Rejea Magati, Pilly Chillo and 5 more

Abstract readReview
In one paragraph

Review in AIDS research and treatment, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

15 authors.

George Msema BwireDepartment of Pharmaceutical Microbiology, School of Pharmacy, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania, muchs.ac.tz.ORCID https://orcid.org/0000-0002-4867-7200
Goodluck G NyondoDepartment of Medicinal Chemistry, School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania, muchs.ac.tz.ORCID https://orcid.org/0009-0007-7224-2251
Belinda J NjiroDepartment of Epidemiology and Biostatistics, School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania, muchs.ac.tz.
Beatrice G AikoDepartment of Pharmaceutics and Pharmacy Practice, School of Pharmacy, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania, muchs.ac.tz.
Wigilya P MikomangwaDepartment of Clinical Pharmacy and Pharmacology, School of Pharmacy, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania, muchs.ac.tz.
Martine A ManguzuDepartment of Clinical Pharmacy and Pharmacology, School of Pharmacy, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania, muchs.ac.tz.
Francis AugustDepartment of Development Studies, School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania, muchs.ac.tz.
David T MyembaDepartment of Pharmaceutics and Pharmacy Practice, School of Pharmacy, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania, muchs.ac.tz.
Rejea MagatiDepartment of Gender Studies, Mwalimu Nyerere Memorial Academy, Dar es Salaam, Tanzania.
Pilly ChilloDepartment of Internal Medicine, School of Clinical Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania, muchs.ac.tz.
Ferdinand MugusiDepartment of Internal Medicine, School of Clinical Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania, muchs.ac.tz.
Muhammad BakariDepartment of Internal Medicine, School of Clinical Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania, muchs.ac.tz.
Christopher SudfeldDepartment of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA, harvard.edu.
Raphael Z SangedaDepartment of Pharmaceutical Microbiology, School of Pharmacy, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania, muchs.ac.tz.ORCID https://orcid.org/0000-0002-6574-5308
Japhet KillewoDepartment of Epidemiology and Biostatistics, School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania, muchs.ac.tz.ORCID https://orcid.org/0000-0001-6998-6750

Funding

Training Tanzanian Researchers for HIV/AIDS Implementation ScienceD43TW009775 · FIC · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Wafaie W Fawzi, Christopher Sudfeld · 2015 to 2026
$3.0M
FIC NIH HHS D43 TW009775
6 · The paper itself

Abstract

Background: Resource-limited settings face challenges in applying evidence to end the HIV/AIDS epidemic by 2030. Implementation research (IR) has emerged as a promising approach to translate evidence into practice. This review explores how IR has been utilized in sub-Saharan Africa (SSA) to support efforts to end the HIV/AIDS epidemic. Methods: The review protocol was registered with PROSPERO (CRD42024515975). Articles were searched in PubMed, Embase, Scopus, and Web of Science, with a focus on HIV/AIDS evidence-based intervention studies in SSA. Results: Out of the 2055 retrieved articles, 41 (2%) qualified for final analysis. The findings identify 11 key implementation strategies, including decentralized service delivery, task shifting, integrated HIV service delivery, capacity strengthening in diagnostics and treatment support, health system strengthening, promotion of pre-exposure prophylaxis, prevention of vertical transmission, youth-friendly services, community engagement, innovative technologies, and operational research. These approaches improved access to HIV testing, treatment, and prevention services, enhanced adherence and retention in care, and supported early diagnosis and continuity of care. However, implementation was influenced by cross-cutting barriers such as limited resources and infrastructure, workforce constraints, inadequate training, stigma, weak coordination systems, and policy and funding limitations. Conclusion: IR provides a structured approach to identifying, adapting, and scaling effective HIV interventions within real-world settings. The evidence highlights its role in supporting diverse strategies across health system levels while accounting for contextual barriers and facilitators. These findings highlight the importance of continued investment in IR and targeted capacity building to strengthen the effectiveness and sustainability of HIV/AIDS programs in SSA.

Indexed as

evidence-based interventionsHIV/AIDSimplementation researchmixed methodssub-Saharan Africasystematic review

Identifiers

PMID42291129
PMCPMC13263768

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.