One of the strategies employed by the Swaziland Ministry of Health through Swaziland National AIDS Program in the National HIV response is development of documents such as policies, Standard Operating Procedures (SOPs), guidelines, job aids and training manuals. The documents are developed in collaboration with stakeholders including Partners and other programs.
The program has experts coordinating the development of these documents relating to the different technical areas of HIV management including Care and Treatment, HIV Testing Services (HTS), Key Populations & Vulnerable Groups, Sexually Transmitted Infections (STIs), Quality Assurance, Palliative Care, Psychosocial Care and Support, Adherence and Psychosocial Support, VMMC and TB / HIV and Monitoring and Evaluation.
This guideline for management of sexually transmitted infections in the Kingdom of Eswatini is building upon the vision of zero new infections, zero STI-related complications and deaths, and zero discrimination and it aims at ending the STI epidemic as a major public health concern.
HIV Self-Testing (HIVST) has the potential to increase knowledge of HIV status and has the public health benefits that may significantly reduce the risk of HIV transmission. With the current optimal uptake of conventional HIV testing in the country, it is important therefore to implement innovative strategies with a view to widen the scope of HIV testing services (HTS) provision in this Swaziland.
The Goal of The National Condom Strategy, 2018-2022 is to improve access to quality and affordable male and female condoms for all sexually active individuals, to contribute to the prevention of HIV, other sexually transmitted infections (STIs) and unintended pregnancies in Swaziland.
Swaziland still leads with high prevalence rates of HIV and AIDS in her population. With a population of just over a million (1,018,449), the prevalence of HIV among those aged 15 to 49 years was estimated at 26 percent. The HIV prevalence is higher among females compared to males which are 22 percent and 15 percent respectively (CSO 2007).
The emergence of resistance to anti-tuberculosis drugs, and particularly of multidrug-resistant TB (MDR-TB) in Swaziland brought to our realization the fact that we are not only confronted with a major public health threat, but also a formidable an obstacle to bringing the TB epidemic under control.
HIV pandemic presents a massive challenge to the control of tuberculosis (TB) at all levels. In Swaziland, the interaction of TB and HIV is increasing the burden of both diseases. At present, an estimated 74% of TB patients are also co-infected with HIV.