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In 2007, AHF established Lamvelase clinic in Manzini, Eswatini’s second-largest city, to care for HIV positive patients in and around the city, and to alleviate some of the capacity limitations created by the expanding need for ART. The founding of the clinic was realized through AHF’s partnership with the Manzini Municipal Council, the Ministry of Health, and Population Services International in conjunction with Family Life Association Eswatini and AMICAALL Eswatini. The AMICAALL program is responsible for coordinating the clinic’s services with other prevention activities, social support and community mobilization. Currently AHF has clinics in Manzini, Piggs Peak, Mbabane, Nhlangano and Matsapha providing comprehensive HIV care where all HIV related HIV services are integrated under one roof. These include tuberculosis treatment and testing and Sexual Reproductive Health services that include Family planning, antenatal care, and cervical cancer screening The clinic also has in-house laboratory equipment for performing all testing with immediate results.

The AHF AHF clinics have gained popularity for their quality of care and relatively short wait times. In addition to the prevention and treatment offered through the healthcare centres, AHF Eswatini conducts outreach programs to promote condom use and HIV and TB testing. In 2009, AHF Eswatini started distributing AHF-branded LOVE Condoms and offering confidential, rapid HIV testing all around Eswatini. In 2016 they added AHF ICON Gold condoms and in accordance with the government’s adoption of the WHO test and treat policy in 2016, AHF started implementing a universal test and treat program to start clients who test HIV on antiretroviral treatment immediately, improving long-term health outcomes.

As of 2018, approximately 210,000 Swazi people were living with HIV, out of the 1.4 million total population. An estimated 7,800 new HIV infections occurred that year. Gender prevalence amongst adults (15-49) shows women at 34.8% compared to men at 19.2%. Out of the 210,000 Basotho living with HIV, approximately 180,000 are on treatment. There are 2400 deaths annuallyl, down from 7000 a year ten years ago.

Sources: https://www.unaids.org/en/regionscountries/countries/swaziland

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