Eswatini

Eastern and southern Africa (ESA) is the world’s most heavily HIV-impacted region, with adolescent girls and young women (AGYW) disproportionately affected. To support the scale-up of PrEP amongst AGYW in ESA, in September 2021 UNICEF and partners released the implementation brief “Improving the Quality of Pre-Exposure Prophylaxis Implementation for Adolescent Girls and Young Women in Eastern and Southern Africa,” highlighting considerations to help improve the quality and coverage of AGYW PrEP programming.

The PrEP landscape has evolved significantly in the three years since the original brief was released, both in scale and variety. This updated brief summarises the most recent evidence on AGYW PrEP provision, serving as a supplement to the original 2021 implementation brief.

The Kingdom of Eswatini (formerly Swaziland) released its National Strategic Plan for Ending AIDS and Syphilis in Children (2018 – 2022). This strategy aligns with the ‘Three Frees’ Framework and aims to make a final push towards the elimination of mother-to-child transmission of HIV and syphilis as well as an end to paediatric AIDS.

This Plan has been designed to ensure that every child is born and remains HIV and syphillis free, and that every pregnant woman or mother living with HIV have access to lifelong HIV treatment. In addition, every child and adolescent living with HIV should be linked to quality HIV treatment, care and support to realize their full potential without stigma and discrimination.

These integrated HIV Management Guidelines provide the standards and recommendations to move Swaziland forward in achieving the Government of the Kingdom of Swaziland’s vision of zero new infections and ending AIDS. To achieve this vision we need a concerted effort from all stakeholders and at all levels of service delivery to translate these guidelines into action while ensuring delivery of quality services and efficient use of limited resources.