Faith-based organisations in providing HIV services within low- and middle-income countries (LMICs): a systematic review.
Timothy Wiggam, Gerard Leavey
✦ AI-curated · Sources linked
In 30 seconds
This systematic review assessed empirical studies of faith-based organisations (FBOs) delivering HIV services in low- and middle-income countries. It included 16 studies—seven qualitative, six quantitative and three mixed-methods—all conducted in sub-Saharan Africa. Interventions included congregation-based teaching, religious-leader education, home-based care and programmes using FBO structures. The review found potential for FBOs to expand community-based HIV care, alongside barriers including limited resources, cultural issues such as stigma and traditional healing, and concerns about barrier contraception. Heterogeneity and study quality limit confidence in the recommendations.
Key findings
- The review included 16 studies from sub-Saharan Africa: seven qualitative, six quantitative and three mixed-methods.
- FBO interventions covered congregation-based teaching, religious-leader education, comprehensive home-based care and bespoke programmes using FBO structures.
- Reported challenges included insufficient resources, stigma and traditional healing, and concerns regarding barrier contraception.
Why it matters
FBOs may offer established community structures and reach that can support HIV service delivery in settings where community-based care is being expanded. The review also highlights practical and cultural barriers that may affect implementation. Its findings can inform consideration of partnerships, but the varied and limited-quality evidence means the potential contribution should not be treated as established effectiveness.
What to keep in mind
The included studies were heterogeneous and varied in quality; all were conducted in sub-Saharan Africa, limiting the evidence base for other LMIC settings.