Partnering to Achieve Epidemic Control in Swaziland

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Date: 06/29/2015 Location: PEPFAR Description: Image of Swaziland logo © PEPFAR

The United States (U.S.) is proud to support Swaziland’s leadership in the global HIV/AIDS response. With the world’s highest prevalence rates of HIV/AIDS and tuberculosis (TB), the Government of the Kingdom of Swaziland (GKOS) faces consistent challenges to curtail the spread and mitigate the impact of HIV/AIDS. PEPFAR provides direct service delivery and technical assistance in Swaziland to maximize the quality, coverage, and impact of the national HIV/AIDS response. Working together with the GKOS and other development partners, PEPFAR is aligning investments to scale up interventions that are most effective in the areas and populations with the highest burden of HIV/AIDS – in line with PEPFAR 3.0.1

Key priorities include:

  • Strengthening integration of TB/HIV clinical services to improve access to and quality of care, in line with new national guidelines that expand eligibility criteria for antiretroviral treatment (ART);
  • Scaling up HIV combination prevention activities with a focus on key and vulnerable populations, including HIV testing and counselling, prevention of mother-to-child transmission (PMTCT), and treatment retention;
  • Strengthening the continuum of care and treatment to increase uptake and retention of high-impact services; and
  • Implementing cross-cutting activities to strengthen the national health system, including increasing human resources for health, supporting the social welfare system and workforce, and scaling up strategic monitoring and evaluation across programs.

HIV/AIDS in Swaziland

Number of people living with HIV (all ages), 20132         


Deaths due to AIDS (all ages), 20132


Number of orphans due to AIDS (0-17), 20132


Estimated antiretroviral (ARV) coverage (adults ages 15+), 20143


Estimated percentage of pregnant women living with HIV who receive ARVs for PMTCT, 20143


Saving Lives

In 2014, PEPFAR supported the following achievements in Swaziland:

  • Life-saving ART for 88,059 people;
  • Voluntary medical male circumcision for HIV prevention for 11,934 men;
  • Testing and counseling for 253,632 people;
  • Care and support for 41,794 orphans and vulnerable children affected by HIV/AIDS; and
  • ART for 8,929 pregnant women living with HIV to reduce the risk of mother-to-child transmission.

Get the most up-to-date data on program results, expenditures, and planned funding at

PEPFAR Planned Funding in Swaziland, Fiscal Years 2007 – 2013 (USD in Millions)4















  1. Office of the U.S. Global AIDS Coordinator and Health Diplomacy. (2014). PEPFAR 3.0 - Controlling the Epidemic: Delivering on the Promise of an AIDS-free Generation. Washington, DC: Author.

  2. UNAIDS. (2013). Swaziland: HIV and AIDS estimates. Retrieved April 3, 2015, from

  3. UNAIDS. (2014). The gap report. Geneva: Author.

  4. Data reflect information available on the PEPFAR Dashboards, which represent planned new bilateral funding initially approved in the PEPFAR Country Operational Plans/Regional Operational Plans (COPs/ROPs) each fiscal year. As additional funding may be approved and made available after the initial COPs/ROPs submission, or to PEPFAR-supported countries that are not required to submit an annual COP/ROP, data on the Dashboards may not represent the final PEPFAR programmatic funding level in countries each fiscal year. U.S. Government interagency website managed by the Office of U.S. Global AIDS Coordinator
and the Bureau of Public Affairs, U.S. State Department.
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