Global health initiatives and the combat of HIV/AIDS on the African continent: a scoping review.

Abstract

The aim is to identify, in the literature, the influence of Global Health Initiatives (GHI) on the HIV combat in Africa. A scoping review was carried out in March 2023 in the Web of Science Core Collection, Medical Literature Analysis and Retrieval System Online, Scopus, Excerpta Medica Data-base and Google Scholar databases. It included original articles published in English, Portuguese, Spanish and French that dealt specifically with the influence of GHI on this endeavour. 25 studies published between 2009 and 2019 were selected. The analysis resulted in two thematic categories: Contributions of GHI in combating the HIV epidemic; and Limitations of GHI in combating it. Despite the contributions that led to improvements in HIV indicators, based on the strengthening of local health systems and the work of NGOs and religious organisations, the GHI have limitations, which are related to factors that include or depend on the type of budget, the extent to which the proposed actions can be developed in line with the health needs of the population, and the reality of each health service.