National Multisectoral HIV and AIDS strategic framework 2018 - 2023

2018
Author: 
Swaziland Government. National Emergency Response Council on HIV/AIDS

 

The Swaziland National Multisectoral HIV and AIDS Strategic Framework (NSF) 2018-2022 has been designed to propel the country towards Ending AIDS as a public health threat. The strategy builds on the huge successes of the previous five years during which saw new HIV infections decline from by 44%, 84% of people living with HIV put on ART, and effort accelerated to reduce vulnerabilities to HIV infection among key and priority populations. Despite these achievements, more needs to be done to reach the last mile reducing new infections and ensuring no one is left behind. About 6,500 new infection occurred in 2017, 15% of PLHIV are not on care, TB/HIV co-infection rate is at 70%, and other co-morbidities are emerging as a threat to the life of PLHIV.

The strategic framework is aligned to the sustainable development goals, the fast track targets, the “three frees”, Umgubudla Fast Track Programme targets and the HIV 2020 prevention road map and the global technical guidance for treatment, care and support.


Eswatinis vision for the HIV response is to End AIDS by 2022. This strategy puts the country at a trajectory towards reducing both new infections and mortality substantially through super-fast tracking the HIV response. To realise its vision, Swaziland aims at achieving the following strategic targets by 2022:

·        

Reduction of HIV incidence among adults by 90% from a baseline of 2010

·        

Reduction of incidence among 15-24 years olds by 90% from a baseline of 2010

·        

Elimination of new HIV infections among infants to less than 0.05%

·        

Reduction of AIDS deaths by 50%

The country seeks to achieve ambitious targets within a context of limited resources, constrained limited fiscal space and burdened health systems. There is also a compelling need to adopt approaches that effectively reach the most vulnerable groups and those least covered with services. This strategic framework introduces the following new strategic directions to drive the HIV response within this context.

·        

Sustainable financing of the response using innovative resource mobilisation approaches and increasing allocative and implementation efficiencies

·        

Localisation and micro-targeting of interventions to address the needs of sub-populations in specific locations. Targets have been for sub-populations disaggregated by sex, age and regions to guide localised responses.

·        

Strong monitoring and evaluation to provide granular and surveillance data to inform sustainable financing and response localisation strategies

·        

Transforming coordination of the HIV response at the local level to put communities at the centre of the response in order to ensure successful implementation of the localisation and micro targeting approaches

·        

Scaling up of integration of services to ensure targeted populations are reached with a package of services as strategy for effective use of capacities and reaching more people

Library code: 
Manzini
Classification no: 
Planning and Management
Collection: 
Swazi Focus
Accession no: 
PL / SWA
Type of material: 
Key National Document
Physical description: 
ix, 86 p: ill.
Keywords: 
NERCHA, Prime Minister's Office, Ministry of Health