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.
The National TB Control Program (NTCP), based on the internationally recommended Directly Observed Treatment Short-course (DOTS) strategy, was launched in 1997 and it expanded across the country in a phased manner with support from the World Bank and other development partners.
The objectives of the program are:
• To achieve and maintain TB case detection of at least 70% of the estimated NSP cases in the community.
• To achieve and maintain TB treatment success rate of at least 85% among New Sputum Positive (NSP) patients
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 implementation of prevention and treatment and care components of the HIV program has resulted in a number of results. In terms of prevention; the Service Availability Mapping 2013 shows that HTC coverage has increased from 76% in 2008 to 92% in 2013, 150 facilities in 2010 to162 in 2013 for PMTCT and 24 in 2010 to 45 in 2013 facilities providing VMMC.
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."