Understanding stakeholder perspectives on integrating and sustaining a vertical HIV prevention programme into routine health services in Zimbabwe: a qualitative study
To ensure successful integration and local ownership of VMMC as an HIV prevention programme, stakeholders must address both psychological and structural barriers while aligning their perspectives on the transition. Individual providers have valid concerns about their financial security and the burden of additional responsibilities without adequate compensation. It is crucial for donors and partners to reduce their involvement and oversight. Additionally, resolving the financial barriers that prevent the government from having complete control of the programme will require empowering local government stakeholders to fully take ownership.
Authors
- Colette Auerswald (ORCID: https://orcid.org/0000-0001-5363-9826)
- Jonathan Gosling (ORCID: https://orcid.org/0000-0003-2613-4237)
- Peter Case (ORCID: https://orcid.org/0000-0003-1214-8371)
- Roly Gosling (ORCID: https://orcid.org/0000-0001-6291-0024)
- Ndola Prata (ORCID: https://orcid.org/0000-0002-5913-0737)
- Owen Mugurungi
- Rudo Chikodzore
- Joseph Murungu
- Stefano Bertozzi (ORCID: https://orcid.org/0000-0002-1723-7085)
- Sinokuthemba Xaba (ORCID: https://orcid.org/0000-0003-4984-7053)
- Getrude Ncube (ORCID: https://orcid.org/0000-0002-8873-8901)
- Amanda Marr Chung (ORCID: https://orcid.org/0000-0003-4443-9616)
- Precious Chitapi
- Patience Kunaka
Institutions
- Washington State Department of Health (US)
- University of Zimbabwe (ZW)
- University of the West of England (GB)
- University of California, San Francisco (US)
- University of Exeter (GB)
- Ministry of Health and Child Welfare (ZW)
- London School of Hygiene & Tropical Medicine (GB)
- Stanford Health Care (US)
- University of Zimbabwe-University of California San Francisco (ZW)
- Instituto Nacional de Salud Pública (MX)
- Center for Innovation (US)
- Department of Research and Specialist Services (ZW)
- Berkeley Public Health Division (US)
- Global Brain Health Institute (US)
- University of Pretoria (ZA)
- James Cook University (AU)
- University of California, Berkeley (US)
- Stanford University (US)
Publication Details
- Journal
- BMJ Global Health
- Published
- 2025-08-01
- DOI
- https://doi.org/10.1136/bmjgh-2024-018732
- Primary Topic
- Genital Health and Disease
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Bill and Melinda Gates Foundation