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The Swaziland Ministry of Health (MOH) coordinates about 80% of Swaziland's response to HIV and AIDS. Ministry of Health established the Swaziland National AIDS Programme (SNAP) in 1987 to coordinate HIV Programmes in the country, to ensure that the response is efficiently and effectively managed at national, regional and facility level. The national program delivers the services through its several thematic areas which are HIV Prevention, HIV Care and treatment, Research and Cross Cutting Interventions.

MISSION

Improving the health of the people of Swaziland through an effectively coordinated health sector response to HIV

VISION

An HIV free generation and AIDS free population

SERVICES PROVIDED

HEALTH SYSTEM SUPPORT

SNAP develops innovative approaches to improving the systems that support Health Workers including medicines, communications, data management, capacity building and supervision.

HIV/AIDS EPIDEMIC IN SWAZILAND

Indicates that Swaziland has a generalized HIV epidemic, with a prevalence rate of 26% among 15-49 and 31% among those aged 18-49 years. New HIV infections are declining, and the HIV incidence rate among those aged 18-49 years is estimated at 2.4% (1.7% among men; 3.1% among women). HIV incidence is highest among women aged 18-19, 20-24 and 30-34 years, and among men aged 30-34 years. The gender disparity in HIV incidence is also reflected in HIV prevalence, with an estimated 38% prevalence among women compared to 23% among men. Studies show that the HIV epidemic is stabilizing and shifting to older population groups.

Almost 1 in every 2 children (45%) below the age of 18 is either orphaned or vulnerable. Reported HIV prevalence among female sex workers is high at 70%. HIV prevalence among men who have sex with men (MSM), is 17%, which is slightly lower than the general male population aged 15-49 years (19%). Like a number of countries in the region, Swaziland is confronting the dual epidemics of HIV and tuberculosis (TB). The risk of acquiring TB is estimated to be between 20-37 times higher among people living with HIV (PLHIV). About 80% of TB patients are also HIV-positive, and TB is responsible for more than 25% of deaths among PLHIV. Swaziland is making progress in tackling the co-epidemics, with 66% of TB/HIV co-infected patients receiving treatment for both diseases in 2012, an improvement from 35% in 2010.

According to The Swaziland HIV Investment Case 2015, Swaziland has made significant progress in reducing HIV incidence and AIDS-related mortality by more than 25% and 35% respectively in the last 10 years. Some 101, 730 (87%) of the 117, 044 eligible people- also translated as 49% of all people living with HIV- are now accessing treatment, with Government financing virtually all ARVs stocks. Transmission of HIV from mother to child at 6 – 8 weeks has been reduced to 2% as over 80% of pregnant women access prevention of mother to child transmission (PMTCT) services. HIV prevalence among young people has been substantially reduced by 54% and 20% among young men and women aged 20-24 respectively.

Swaziland on 90-90-90 UNAIDS Targets

Call for AIDS Free Generation in Swaziland

His Majesty King Mswati III, has a vision of achieving an AIDS Free generation by 2022. He echoed the same vision during the opening of Parliament in 2016. In his speech His Majesty encouraged every Swazi to know their HIV status as one of the basic requirements of healthy living. To achieve this goal, the Swaziland Ministry of Health – SNAP is working towards achieving the UNAIDS 90-90-90 targets by 2020. This means that by 2020; 90% of all people living with HIV know their HIV status, 90% of those diagnosed with HIV receive sustained antiretroviral therapy (ART) and 90% of all people receiving antiretroviral therapy will be virally suppressed. The Programme continues to implement other new interventions and strategies, that will contribute to achieving His Majesty’s vision.