{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T12:25:14Z","timestamp":1785414314123,"version":"3.56.0"},"reference-count":58,"publisher":"AOSIS","issue":"1","license":[{"start":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T00:00:00Z","timestamp":1745971200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background:\u00a0Key populations are disproportionately affected by HIV despite the significant decrease in new HIV infections in Africa. They experience challenges like stigma and discrimination as they interface with the healthcare system. This results in reduced access to HIV care services for key populations. Therefore, the attainment of HIV epidemic control may not be easily realised if these gaps are not addressed.\n\nObjectives:\u00a0To explore and synthesise factors associated with accessing HIV care services by key populations, as well as make a reflection of this process using Ubuntu philosophy.\n\nMethod:\u00a0An integrative literature review was conducted on studies published between 2014 and 2024. An electronic search was performed on several databases. Examples of key phrases that were utilised for the search included Africa, HIV care services, key populations and Ubuntu. The studies included were qualitative and quantitative from peer-reviewed journals and restricted to Africa.\n\nResults:\u00a0The following themes emerged: non-inclusive healthcare environment, attitudes of healthcare workers and stigma and discrimination. These findings illustrate the challenges and barriers affecting access to HIV care services for key populations.\n\nConclusion:\u00a0The insights from this review call for a paradigm shift in the training programmes of healthcare providers in Southern Africa.\n\nContribution:\u00a0Given the challenges that affect key populations as they access HIV care services, in-service and pre-service training of healthcare providers should incorporate the humane values of Ubuntu.<\/jats:p>","DOI":"10.4102\/curationis.v48i1.2633","type":"journal-article","created":{"date-parts":[[2025,4,26]],"date-time":"2025-04-26T09:29:32Z","timestamp":1745659772000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Accessing HIV care services by key populations \u2014 An Ubuntu philosophy reflection"],"prefix":"10.4102","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6122-8151","authenticated-orcid":false,"given":"Idah","family":"Moyo","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/048cwvf49","id-type":"ROR","asserted-by":"publisher"}],"name":"University of South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7544-9393","authenticated-orcid":false,"given":"Livhuwani","family":"Tshivhase","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/048cwvf49","id-type":"ROR","asserted-by":"publisher"}],"name":"University of South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2025,4,30]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Banda, C. & Mudzanire, S., 2019, \u2018Supplementing the lack of ubuntu? The ministry of Zimbabwe\u2019s Mashoko Christian Hospital to people living with HIV and AIDS in challenging their stigmatisation in the church\u2019, HTS Teologiese Studies\/Theological Studies 75(4), 5468. https:\/\/doi.org\/10.4102\/hts.v75i4.5468","DOI":"10.4102\/hts.v75i4.5468"},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Bayisa, L., Wakuma, B., Abera, T., Mulisa, D., Mosisa, G., Tolossa, T. et al., 2022, \u2018Are the things told to care providers kept confidential? 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Baral (eds.), Open forum infectious diseases, vol. 8, no. 6, p. ofab219, Oxford University Press, Cham.","DOI":"10.1093\/ofid\/ofab219"},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Duby, Z., Fong-Jaen, F., Nkosi, B., Brown, B. & Scheibe, A., 2019, \u2018\u201cWe must treat them like all the other people\u201d: Evaluating the integrated key populations sensitivity training programme for healthcare workers in South Africa\u2019, Southern African Journal of HIV Medicine 20(1), 1\u20137. https:\/\/doi.org\/10.4102\/sajhivmed.v20i1.909","DOI":"10.4102\/sajhivmed.v20i1.909"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"Ewuoso, C., 2021, \u2018An African relational approach to healthcare and big data challenges\u2019, Science and Engineering Ethics 27(3), 34. https:\/\/doi.org\/10.1007\/s11948-021-00313-w","DOI":"10.1007\/s11948-021-00313-w"},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"Fauk, N.K., Ward, P.R., Hawke, K. & Mwanri, L., 2021, \u2018HIV stigma and discrimination: Perspectives and personal experiences of healthcare providers in Yogyakarta and Belu, Indonesia\u2019, Frontiers in Medicine 8, 625787. https:\/\/doi.org\/10.3389\/fmed.2021.625787","DOI":"10.3389\/fmed.2021.625787"},{"key":"ref10","doi-asserted-by":"crossref","unstructured":"Fobosi, S.C., Lalla-Edward, S.T., Ncube, S., Buthelezi, F., Matthew, P., Kadyakapita, A. et al., 2017, \u2018Access to and utilisation of healthcare services by sex workers at truck-stop clinics in South Africa: A case study\u2019, South African Medical Journal 107(11), 994\u2013999. https:\/\/doi.org\/10.7196\/SAMJ.2017.v107i11.12379","DOI":"10.7196\/SAMJ.2017.v107i11.12379"},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"Gari, S., Doig-Acu\u00f1a, C., Smail, T., Malungo, J.R., Martin-Hilber, A. & Merten, S., 2013, \u2018Access to HIV\/AIDS care: A systematic review of socio-cultural determinants in low and high income countries\u2019, BMC health services research 13, 1\u201313. https:\/\/doi.org\/10.1186\/1472-6963-13-198","DOI":"10.1186\/1472-6963-13-198"},{"key":"ref12","doi-asserted-by":"crossref","unstructured":"Graham, S.M., Micheni, M., Secor, A., Van der Elst, E.M., Kombo, B., Operario, D. et al., 2018, \u2018HIV care engagement and ART adherence among Kenyan gay, bisexual, and other men who have sex with men: A multi-level model informed by qualitative research\u2019, AIDS Care 30(Suppl. 5), S97\u2013S105. https:\/\/doi.org\/10.1080\/09540121.2018.1515471","DOI":"10.1080\/09540121.2018.1515471"},{"key":"ref13","unstructured":"Henderson, V., 1969, \u2018Basic principles of nursing care. 3\u2019, Taehan kanho. 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