Swaziland behavioral surveillance survey: HIV among high risk groups
In response to key knowledge gaps regarding HIV among key populations (KP) in Swaziland and the Ministry of Health's expressed interest in addressing the needs of KP, two complementary research studies were conducted. The first, a quantitative study, was designed to evaluate HIV prevalence among KP in Swaziland and describe behavioral social, and structural factors associated with HIV infection in KP. The specific aims of this study were:
1. To calculate an unbiased estimate of HIV and Syphilis prevalence among FSW and MSM in Swaziland;
2. To describe behavioral factors associated with HIV infection, including individual sexual and drug-related practices, condom use and negotiation, and knowledge of HIV transmission risk factors; and
3. To examine the role of social and structural factors on HIV-related behaviors and risk for HIV infection among FSW and MSM, including human rights violations as aresult of stigma / discrimination and degree of social cohesion.
The second study was conducted as part of a comparative study in Swaziland and the Dominican Republic (DR), countries with very different HIV epidemics. The study used qualitative methods to explore Positive Health, Dignity and Prevention (PHDP) needs of KP living with HIV. The specific aims of this study were:
1. To describe the social and structural context of FSW and MSM in Swaziland and the DR, particularly as it relates to stigma and discrimination among individuals living with HIV;
2. To examine the specific PHDP needs of FSW and MSM who are living with HIV, including challenges to accessing ongoing prevention, treatment, care, and support services;
3. To describe existing PHDP interventions and services and how these interventions and services do and do not meet the ongoing needs of KP; and
4. To identify ways in which PHDP interventions and services can be tailored to meet the needs of FSW and MSM, including specific program models and communication messages.