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.
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.
Men and women in Swaziland who are engaged in multiple or concurrent sexual
partnerships, or who have sexual partners with concurrent partners, face a very
high risk of HIV infection. Ninety-four in-depth interviews were conducted with 28
Swazi men and women (14 of each sex) between the ages of 20 and 39 in order
to explore participants’ sexual partnership histories, including motivations for
sexual relationships which carried high HIV risk. Concurrency was normative,
with most men and women having had at least one concurrent sexual
The dynamics and quality of a person's sexual relationships are critical influencers of his or her mental, emotional, and physical health. Men and women in Swaziland who are engaged in multiple or concurrent sexual partnerships, or who have sexual partners with concurrent partners, face a very high risk of HIV infection. Relationship quality and satisfaction may impact sexual behaviors and partnership dynamics which in turn affect HIV risk.
The HIV prevention policy provides direction and guidelines on the HIV prevention programme implementation and on the response management to an extensive range of stakeholders, which includes policymakers, managers, programmers and implementers, taking into consideration the risk factors to infection and the key drivers to the epidemic.
The 2011 Political Declaration on HIV/AIDS recognizes the urgent need to achieve the Millenium Developmnt Goals (MDGs0 targets, particularly MDG 6 aimed at halting and reversing the HIV epidemic by 2015.