Swaziland has made significant progress over the last decade in battling the HIV epidemic. With the scale up of antiretroviral therapy (ART) and prevention programmes, such as those to prevent mother-to-child transmission of HIV. The country’s HIV prevalence has also remained relatively high, with 19% among population 2 years and older and 26% among 15-49 years’ age group, (SDHS, 2006/07) though a decline has been noted in the incidence.
Key National Documents
The TB Control programme of the Kingdom of Swaziland has been implementing a National TB Control Strategic Plan (TB NSP) covering the period 2010 - 2014. Before it elapsed and to inform the development of a successor plan, the government through the Ministry of Health requested WHO to lead a joint external review of the implementation plan and to assess its impacts on the TB situation in the country. The review was designed to identify successes and best practices to be enhanced and built upon, opportunities to be optimized, gaps to be embraced, and challenges to be addressed.
This TB National Strategic Plan (TB NSP) 2015-2019 is a successor plan for the 2010-2014, TB NSP. The goal of the 2015-2019 TB National Strategic Plan (TB NSP) is to achieve a 35% reduction of TB prevalence rate by 2019 to 907/100,000 of 2013. The NSP is based on five objectives for the next fives years as follows:
1. To increase TB case detection rates from 46% in 2013 to 70% in 2017 and 80% by 2019
2. To increase TB treatment success rates for all bacteriologically confirmes cases from 72.9% in 2013 to 90% by 2019
The Swaziland Male Circumcision Strategic and Operational Plan for HIV Prevention 2014-2018 builds on the achievements of the Strategy and Implementation Plan for Scaling up Safe Male Circumcision for HIV Prevention 2009-2013. Developed under the leadership of the Ministry of Health, the 2014-2018 plan outlines the next phase of the national program to scale up male circumcision (MC) for HIV prevention. Voluntary medical male circumcision (VMMC) is a critical pillar of Swaziland’s HIV response.
In The Strategy and Implementation Plan for Scaling Up Safe Male Circumcision for HIV Prevention in Swaziland, 2009–2013 (Ministry of Health, 2009) the Government of the Kingdom of Swaziland outlined plans for integrating and scaling up male circumcision (MC). MC is to be delivered widely as part of a broad range of human immunodeficiency virus (HIV) prevention measures, as outlined in the National Strategic Framework for Response to HIV and AIDS, 2009–2014 (Ministry of Health, 2009). The MC Communications Strategy 2009–2013 is intended to support this initiative.
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 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.