Role Of Community Programs In Sustaining Integrated HIV And Health Services: A Scoping Review

Community-centered initiatives are essential for tackling the persistent inequalities that perpetuate significant HIV-related disparities across various regions and countries worldwide. However, the lack of a systematic framework for analysis of the role of community-based programs in HIV prevention and ART monitoring impedes our ability to understand and study their effectiveness amidst scarce health professional resources. A scoping review was conducted to gather available evidence on the role of community programs in driving sustainable integrated HIV and health services, examining their impact on various interventions along the care continuum. Following JBI guidelines, a search was conducted for peer-reviewed literature published from January 2014 to December 2024. An initial search yielded 23 records. After screening for relevance and conducting cross-validation, 12 articles were selected. All the selected studies showed the positive impact of community programs on a wide range of aspects of the ART program. Thirty percent of articles (n = 3) highlighted the ability of community programs to mobilize resources and support, advocate for access to treatment, and monitor the delivery of antiretroviral therapy (ART) and related services, 20% (n=2) demonstrated that community programs can expand HIV/AIDS interventions and ensure a seamless continuum of services, from testing to care to treatment and the importance of community programs in empowering patients to take charge of their care, respectively. Findings from the scoping review underscore the integration of community programs in HIV and health services as a potentially effective strategy to address the growing shortage of health workers. Specifically, the review recommends, where possible, that decentralizing HIV services through community-based initiatives is a wise investment to increase access to essential health services, including ART