This report presents a comparative analysis of HIV Response Sustainability Roadmaps (Part A) from nine East and Southern African countries: Eswatini, Kenya, Lesotho, Malawi, Namibia, Tanzania, Uganda, Zambia and Zimbabwe. Developed by the Global Network of People Living with HIV (GNP+), the analysis examines how current national sustainability plans reflect the priorities and realities of people living with HIV, particularly in the areas of community engagement, financing, and enabling laws and policies.
Drawing on document reviews, interviews, and technical consultations, the report highlights strengths, gaps and opportunities within ongoing Roadmap processes. While all countries engaged people living with HIV in various stages of development, representation, leadership roles, and broad community consultations remain uneven. Critical concerns include inadequate funding for community-led services, the absence of formal social contracting mechanisms, and persistent legal and policy barriers affecting key populations.
The report also offers actionable recommendations to strengthen community leadership, secure sustainable domestic financing, including social contracting for PLHIV networks, and advance enabling legal environments that protect rights, reduce stigma and ensure access to treatment. Ultimately, it provides a people-centred lens to guide the development and implementation of HIV Sustainability Roadmaps that are fit for purpose in a rapidly shifting global health and funding landscape.
