Abstract
Background: There is a dearth of evidence on the roles and views of stakeholders regarding
the sexually transmitted infections (STIs) service provision among key and priority
populations (KPPs) within primary healthcare (PHC) settings. Aim: This study assessed
the roles and views of stakeholders regarding the STI services scope, content, accessibility,
quality, affordability, and availability, as well as associated gaps and successes among
KPP within PHC facilities in the Capricorn District of Limpopo Province in South Africa.
Methods: An exploratory research design was used. In-depth face-to-face interviews with
18 STI stakeholders were conducted. The STI stakeholders were purposively selected from
five PHC facilities. An inductive analytical approach was employed to develop themes
and sub-themes. Tesch’s step analysis informed the development of the thematic analysis
process. Results: The presence of peer counsellors, home-based caregivers, and the operation
of STI services day and night in two selected facilities enhanced access and availability
of STI services. Consistent in-service training for service providers was implemented to
improve service quality and maintain professional competency. Barriers that prevented
adequate STI service provision in this study included staff shortages, inadequate filing
systems, lack of advanced-diagnostic equipment, and patients’ noncompliance with treatment
regimens. The successes of the STI service provision were effective STI treatment
and services integration within the facilities. Conclusions: The findings of this study have
unveiled several methods to increase access and availability to STI services among KPPs in
the selected PHC facilities. We recommend gathering responses and experiences from STI
service users regarding the current STI service provision to foster innovative and targeted
approaches within PHC facilities in Limpopo Province.