Community-led interventions for HIV and AIDS prevention, treatment, and care in Southern Africa: a scoping review
Abstract Background Over the past few decades, significant progress has been made in containing the HIV epidemic worldwide. A few countries, primarily in Southern Africa, have met the UNAIDS 95-95-95 goals. However, this does not warrant complacency. The contribution of communities to these gains is...
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| Language: | English |
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Springer
2025-03-01
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| Series: | Discover Public Health |
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| Online Access: | https://doi.org/10.1186/s12982-025-00468-y |
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| author | Enos Moyo Perseverance Moyo Grant Murewanhema Rosemary Mhlanga-Gunda Tafadzwa Dzinamarira |
| author_facet | Enos Moyo Perseverance Moyo Grant Murewanhema Rosemary Mhlanga-Gunda Tafadzwa Dzinamarira |
| author_sort | Enos Moyo |
| collection | DOAJ |
| description | Abstract Background Over the past few decades, significant progress has been made in containing the HIV epidemic worldwide. A few countries, primarily in Southern Africa, have met the UNAIDS 95-95-95 goals. However, this does not warrant complacency. The contribution of communities to these gains is immeasurable. Therefore, there is a need to sustain and expand the involvement of communities in the testing, prevention, and treatment of HIV. Aim This study aims to assess the scope and outcomes of community-led HIV interventions conducted in Southern Africa. Study design This study followed a scoping review design. Data sources PubMed, ScienceDirect, SCOPUS, Google Scholar, and Africa Journals Online (AJOL) databases were searched for peer-reviewed articles published in English between 2013 and 2023. Methodology The scoping review was guided by the Joanna Briggs Institute methodology for scoping reviews. The reporting followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews (PRISMA-ScR) checklist. Primary studies using mixed-methods, quantitative, and qualitative approaches that detailed HIV and AIDS community-led interventions carried out in Southern Africa were considered for this review. Two reviewers separately extracted the data from the included studies using a data extraction tool in Microsoft Excel. We used NVivo to develop codes and categories for the scope and outcomes of community-led interventions. Results Thirteen articles were included in this scoping review. Eleven of the studies were quantitative studies, one was a mixed-methods study, and another one was a qualitative study. Peer-based programs, adherence clubs, community conversations, support groups, community-based HIV testing, and antiretroviral therapy (ART) linkage are some of the community-led interventions found in this scoping review. The outcomes of these interventions include increased awareness of HIV and AIDS, decreased risky behaviours and stigma related to HIV, increased disclosure of partners' HIV status, increased testing for HIV, linkage to care, adherence to ART, retention in care, and viral suppression. Conclusion Based on the promise demonstrated in this review, further investment in and support for community-led HIV interventions in Southern Africa is justified. Scaling up these interventions, alongside robust evaluation efforts, holds significant potential to contribute to a more comprehensive and effective response to the HIV epidemic in the region. |
| format | Article |
| id | doaj-art-74215c104f064ee0a5b210893eeca539 |
| institution | DOAJ |
| issn | 3005-0774 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Springer |
| record_format | Article |
| series | Discover Public Health |
| spelling | doaj-art-74215c104f064ee0a5b210893eeca5392025-08-20T03:05:56ZengSpringerDiscover Public Health3005-07742025-03-0122111710.1186/s12982-025-00468-yCommunity-led interventions for HIV and AIDS prevention, treatment, and care in Southern Africa: a scoping reviewEnos Moyo0Perseverance Moyo1Grant Murewanhema2Rosemary Mhlanga-Gunda3Tafadzwa Dzinamarira4School of Nursing & Public Health, University of Kwa-Zulu Natal, College of Health SciencesMedical Centre OshakatiFaculty of Health and Medical Sciences, Unit of Obstetrics and Gynaecology, University of ZimbabweFaculty of Medicine and Health Sciences, Unit of Family Medicine, Global & Public Health, University of ZimbabweFaculty of Health Sciences, School of Health Systems and Public Health, University of PretoriaAbstract Background Over the past few decades, significant progress has been made in containing the HIV epidemic worldwide. A few countries, primarily in Southern Africa, have met the UNAIDS 95-95-95 goals. However, this does not warrant complacency. The contribution of communities to these gains is immeasurable. Therefore, there is a need to sustain and expand the involvement of communities in the testing, prevention, and treatment of HIV. Aim This study aims to assess the scope and outcomes of community-led HIV interventions conducted in Southern Africa. Study design This study followed a scoping review design. Data sources PubMed, ScienceDirect, SCOPUS, Google Scholar, and Africa Journals Online (AJOL) databases were searched for peer-reviewed articles published in English between 2013 and 2023. Methodology The scoping review was guided by the Joanna Briggs Institute methodology for scoping reviews. The reporting followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews (PRISMA-ScR) checklist. Primary studies using mixed-methods, quantitative, and qualitative approaches that detailed HIV and AIDS community-led interventions carried out in Southern Africa were considered for this review. Two reviewers separately extracted the data from the included studies using a data extraction tool in Microsoft Excel. We used NVivo to develop codes and categories for the scope and outcomes of community-led interventions. Results Thirteen articles were included in this scoping review. Eleven of the studies were quantitative studies, one was a mixed-methods study, and another one was a qualitative study. Peer-based programs, adherence clubs, community conversations, support groups, community-based HIV testing, and antiretroviral therapy (ART) linkage are some of the community-led interventions found in this scoping review. The outcomes of these interventions include increased awareness of HIV and AIDS, decreased risky behaviours and stigma related to HIV, increased disclosure of partners' HIV status, increased testing for HIV, linkage to care, adherence to ART, retention in care, and viral suppression. Conclusion Based on the promise demonstrated in this review, further investment in and support for community-led HIV interventions in Southern Africa is justified. Scaling up these interventions, alongside robust evaluation efforts, holds significant potential to contribute to a more comprehensive and effective response to the HIV epidemic in the region.https://doi.org/10.1186/s12982-025-00468-yHIVCommunity-led interventionsSouthern AfricaOutcomesScoping review |
| spellingShingle | Enos Moyo Perseverance Moyo Grant Murewanhema Rosemary Mhlanga-Gunda Tafadzwa Dzinamarira Community-led interventions for HIV and AIDS prevention, treatment, and care in Southern Africa: a scoping review Discover Public Health HIV Community-led interventions Southern Africa Outcomes Scoping review |
| title | Community-led interventions for HIV and AIDS prevention, treatment, and care in Southern Africa: a scoping review |
| title_full | Community-led interventions for HIV and AIDS prevention, treatment, and care in Southern Africa: a scoping review |
| title_fullStr | Community-led interventions for HIV and AIDS prevention, treatment, and care in Southern Africa: a scoping review |
| title_full_unstemmed | Community-led interventions for HIV and AIDS prevention, treatment, and care in Southern Africa: a scoping review |
| title_short | Community-led interventions for HIV and AIDS prevention, treatment, and care in Southern Africa: a scoping review |
| title_sort | community led interventions for hiv and aids prevention treatment and care in southern africa a scoping review |
| topic | HIV Community-led interventions Southern Africa Outcomes Scoping review |
| url | https://doi.org/10.1186/s12982-025-00468-y |
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