The evaluation of the Extended Multisectoral HIV and AIDS National Strategic Framework (eNSF) 20142018 was commissioned to assess progress in meeting the HIV and AIDS response targets as well as the country’s progress towards achievement of the Umgubudla targets. The findings of the evaluation will inform the strategic direction for a new strategy 2018-2022.
When the first cases of hIV were discovered in 1986, academics and health practitioners predicted the potential of a wipe out of the Swazi population. The population growth rate was projected to become negavtive beginning 2004. However, the collective contribution of multisectoral partners in Government, communities, organizations and the health sector has enabled the Kingdom to achieve positive results in many areas.
The National HIV Operational Plan (NOP) operationalizes the Extended National Multisectoral HIV and AIDS Framework (eNSF) 2014-2018. The NOP was developed through collective efforts by HIV implementers and partners in the country. The NOP translates the eNSF strategies into key and sub-activities, defines leading partners, targets and the estimatedcosts for these interventions.
Spectrum is a suite of easy to use policy models which provide policymakers with an analytical tool to support decision making processes. Spectrum was used in modelling the magnitude of the HIV epidemic and the demographic, social and economic impacts in Swaziland. The projections were generated by a Mutisectoral Estimates and Projections Core Team led by NERCHA, in 2015.
Antiretroviral therapy has been identified as one of the interventions that can help lower the risk of HIV transmission from one person to another. The protective nature of ART was demonstrated in the HPTN 052 study, but this protection is at the individual level and translating this to the entire population is a function of ART coverage and efficiencies at the national level.