The report presents major achievements of the SRH Program in summaries that are useful to policymakers, program managers, health service providers and other stakeholders. The level of analysis in the report is primarily descriptive and is particularly useful for assessing progress of the program activities, against national targets as set out in National Health Sector Strategic Plan (NHSSP), Millennium Development Goals (MDGs), and Sexual Reproductive Health (SRH) strategy. The program is one of the key players in MDG 4 which is to reduce infant mortality from 79 to 24.
The Swaziland SRH strategy seeks to address elen strategic focus areas in order to attain the National SRH Goal which is to "guide establishment of an evidence-based framework for the implementation of a well-coordinated and integrated sexual and reproductive health and rights programme in order to attain the highest level of health and well-being for all people of Swaziland."
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;
The High maternal mortality rate, high adolescent fertility rate, unmet need for family planning, and on-going problems with sexual and gender based violence are some of the indicators that highlight a need for comprehensive sexuality education and evidence based interventions. This SRH Policy provides concrete areas of focus and is aligned to internationl and national policies and frameworks.