In September 2020, Eswatini became the first country in Africa to achieve the United Nations HIV targets with 96% of people living with HIV aware of their status, 94% on antiretroviral therapy (ART), and 91% virally suppressed. The imminence of these milestones placed sustained epidemic control firmly in the nation’s reach, and strategies had to evolve accordingly. The Eswatini HIV Prevention and Clinical Services (EHPCS) project served to foster epidemic control by addressing the remaining barriers to prevention and treatment continuity. This required the use of technically sound, coordinated approaches that were linked high-level objectives and complimented national strategic plans.
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Child,Precious Ogweno accompanied by caregiver Leah Ogweno, at the TB clinic -HEI in Mbita sub county hospital, Mbita, Homabay. Photo by Kevin Ouma for EGPAF.
Journal Articles
Tuberculosis Preventive Treatment Uptake Among Patients Initiating Antiretroviral Therapy in Malawi: Children Left Behind
Published November 2025
Background: Tuberculosis preventive treatment (TPT) is recommended for people living with HIV (PLHIV) to reduce the tuberculosis (TB) incidence in regions with a high prevalence of TB. We evaluated the uptake and completion of TPT among newly initiated antiretroviral therapy (ART) patients in a programme setting in Malawi. Objectives: To describe TPT initiation and completion rates, and […]
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Topics:
Pediatric Tuberculosis (TB),
Tuberculosis (TB)
Countries:
Malawi
Journal Articles
Birth Defects and Adverse Pregnancy Outcomes in Hospital-based Birth Surveillance in Eswatini
Published February 2025
Background The Botswana Tsepamo study identified an initial neural tube defect (NTD) safety signal with dolutegravir antiretroviral therapy (ART) exposure at conception. We conducted similar surveillance in 5 hospitals in Eswatini from September 2021 to September 2023 to evaluate the prevalence of birth defects and adverse pregnancy outcomes by maternal HIV status and ART regimen/timing. […]
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Countries:
Eswatini
Journal Articles
An integrated, multidisciplinary management team intervention to improve patient‑centeredness, HIV, and maternal‑child outcomes in Lesotho
Published December 2024
Background Reducing perinatal HIV transmission and optimizing maternal and child health (MCH) outcomes in high HIV prevalence settings is an urgent, but complex, priority. Extant interventions over-emphasize individual-level provider and patient behaviors, and neglect critical health systems-level changes. The ‘Integrated Management Team to Improve Maternal-Child Outcomes (IMPROVE)’ study implemented a three-part, patient-centered, health-systems- level intervention […]
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Topics:
Maternal and Child Health
Countries:
Lesotho