Management and Coordination


The Ministry of Health is mandated to formulate health policies and monitor and evaluate implementation of these policies to ensure that all Swazis access quality health services. Ministry of Health leads the health sector response to HIV and AIDS through Eswatini National AIDS Programme (ENAP). ENAP is responsible for providing technical leadership and coordination of the HIV health sector response, implementing HIV prevention; treatment; care and support; and supportive cross-cutting and health system interventions. The programme comprises of a decentralized leadership and governance structure. The national office works closely with the regional offices in the provision of services under ENAP.

The Programme Manager and Deputy Programme Manager are responsible for the coordination and management of the health sector response to HIV. The Programme Manager reports to the MoH Directorate. The Deputy Programme Manager supports the regional offices to function well. There are also 5 technical leads under the Programme Manager who help between service delivery as well as technical assistance (including programme management).

Organizational Structure of SNAP
  1. Programme management
  2. Technical leadership of key intervention areas
  3. Supportive health systems
  4. Administrative support functions (Administration, Human Resources, Procurement, Finance)
Priority Strategies
  • Strengthen capacity of SNAP to coordinate and manage the health sector HIV and AIDS response
  • Strengthen the management of the health sector HIV and AIDS response
  • Strengthen human resources for SNAP
  • Mobilize and manage resources for HIV and AIDS for health sector
  • Strengthen logistics support for the SNAP office
Achievements at Regional Level
  • Participation in national campaigns such as the Back to School Voluntary Medical Male Circumcision (VMMC) campaign
  • Decentralization of ART services to lower health facility level, through Nurse-led ART Initiation (NARTIS) and deployment of Point of Care CD4 technology
  • Establishment of TB/HIV technical Working Groups (TWGs) in some regions
  • Introduction of Regional HIV Semi-Annual Review (ReHSAR) meetings
  • Establishment of Regional Mentoring Teams to provide support to Health Care Workers (HCWs) in  facilities.

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