Table 2 Summary of the NSP 2017–2022 and concurrent themes from interviews responses
The goals of NSP 2017–2022 | Focus areas of intervention | Scale of focus | Concurrent themes from interview responses |
|---|---|---|---|
#1: Accelerate prevention in order to reduce new HIV and TB infections and new STIs. –Breaking the cycle of transmission | Biomedical preventive methods; sex education and environmental intervention for TB infection control | Micro, Meso, Macro | The HIV epidemic |
#2: Reduce morbidity and mortality by providing treatment, care and adherence support for all. –Reaching 90–90-90 in every district | Treatment | Meso, Macro | Treatment related factors |
#3: Reach all key and vulnerable populations with customised and targeted interventions. – Nobody left behind | Barriers of access to HIV, TB and STI treatment & prevention programmes by vulnerable populations | Macro | The mines and migrant labor system |
#4: Address the social and structural drivers of HIV, TB and STIs, and link these efforts to the NDP-multi-department, multisector approach | Social and Structural drivers of HIV, TB and STIs | Meso, Macro | Colonization, political and economic system; infrastructural challenges |
#5: Ground the response to HIV, TB and STIs in human rights principles and approaches. –Equal treatment and social justice | Human rights and stigma reduction | Meso, Macro | Socio-cultural factors |
#6: Promote leadership at all levels and shared accountability for a sustainable response to HIV, TB and STIs. – Mutual accountability | Diverse leadership | Macro | NA |
#7: Mobilise resources and maximise efficiencies to support the achievement of NSP goals and ensure a sustainable response. – Spend now to save later | Increased funding | Macro | Health system challenges |
#8: Strengthen strategic information to drive progress towards achievement of NSP goals – Data-driven action | Monitoring and evaluation | Micro, Meso, Macro | NA |