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Browse POLICY Project (1995-2006) Materials

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HP+ More recent Swaziland publications are available.

  • English
  • Despite some attempts to integrate family planning with sexually transmitted infection (STI) and HIV/AIDS services, policies and programs continue to treat them as unrelated areas of intervention. Furthermore, international attention to the HIV/AIDS pandemic has overshadowed attention to family planning, particularly in Africa where the HIV/AIDS epidemic is most acute. Yet family planning is closely related to two components of HIV/AIDS services: prevention of mother-to-child transmission (PMTCT) and voluntary counseling and testing (VCT). Is there a role for family planning in the context of HIV/AIDS programs? This paper analyzes how international guidelines, national HIV/AIDS policies and PMTCT and VCT policies have addressed family planning in 16 high-HIV prevalence countries. It also describes major gaps in the various countries’ policy environment.
  • With one of the highest HIV prevalence rates in the world, Swaziland faces substantial demand for care and support by those affected by HIV/AIDS. In particular, women bear the brunt of the epidemic, as historically their unequal social and legal status has made them more vulnerable to HIV and less able to access care and support. Against this backdrop, the USAID-funded POLICY Project initiated a core package project in May 2003. Named Sikanyekanye, meaning "we are together," the project sought to identify and address operational policy barriers to improving and promoting HIV-positive women's reproductive health within the context of programs that address reproductive health, HIV/AIDS, and sexually transmitted infections (STIs). Project activities focused on voluntary counseling and testing, prevention of mother-to-child transmission, and antenatal care. This report provides background information on the status of women, HIV/AIDS, and the policy environment in Swaziland. It includes a detailed description of the project approach, activities, and results, followed by implementation challenges. The report ends with an examination of the project's impact, concluding that the advocacy and policy change strategy used in the core package provides a multisectoral and multilevel framework for advancing HIV-positive women's reproductive health globally.
    Swaziland CP report final.pdf