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Swaziland

With an estimated adult prevalence of 26.3 percent, Swaziland has the world’s most severe HIV/AIDS epidemic, posing a serious challenge to the country’s economic development. Since Swaziland’s first AIDS case was reported in 1986, the epidemic has spread relentlessly in all parts of the country. According to the Joint United Nations Program on HIV/AIDS’s (UNAIDS’s) Epidemic Update 2009, average Swazi life expectancy fell by half between 1990 and 2007, in great part due to the epidemic. Approximately 190,000 people in Swaziland are HIV positive, including 15,000 children under age 15.

In June 2009, the Government of Swaziland signed the Swaziland Partnership Framework on HIV and AIDS for 2009–2013. This Partnership Framework was the second of its kind established between the USG and the Swazi Government for PEPFAR programs. The Framework promotes a more sustainable approach to combating HIV/AIDS, characterized by strengthened country capacity, ownership, and leadership, as well as coordinated financial commitments. It focuses on five pillars: developing a comprehensive national HIV prevention program; improving the coverage and quality of HIV-related treatment and care; mitigating the impacts of HIV/AIDS with a focus on children; increasing access to high-quality medical MC; and building the human and institutional capacity needed to achieve and sustain these goals.

View the full USAID HIV/AIDS Health Profile for Swaziland - October 2010 [PDF, 215KB].

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