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Nicole Miller

country director

Olufemi Akinmade

senior specialist

In 1999, Swaziland’s King Mswati III warned his nation that it “will cease to exist, unless we change our attitudes and behavior” toward HIV and AIDS.

Almost a decade and a half later, Swaziland continues to have the highest rate of HIV infections in the world, at nearly one of every four adults in the 1.2 million-population kingdom.

Controlling and reversing the spread of HIV/AIDS in Swaziland is a long-term effort, and Pact is helping build the sustainability of 17 homegrown organizations participating in a broad HIV/AIDS consortium called the Coordinating Assembly of Nongovernmental Organizations, or CANGO. Strong local NGOs can continue to design local solutions that combat HIV and AIDS as international aid dissolves and national ownership of the challenge grows.

Since 2005, Pact’s capacity development experts have been working with the groups to strengthen their governance, administration, financial management, resource development, program implementation, and monitoring and evaluation processes.

Across 120 rural communities, Pact assists its partners in improving community-based care and support services, encouraging local ownership and participation in HIV/AIDS awareness and treatment programs. Pact’s activities are coordinated with the government’s National Emergency Council on HIV & AIDS (NERCHA), the coordinating body for all HIV & AIDS activities in Swaziland.

After years of work, there are signs Swaziland’s rate of new HIV infections may be slowing, as attitudes change toward HIV testing, use of condoms, male circumcision and other forms of prevention.

Stories and Highlights

Circumcision, soccer and HIV prevention in Swaziland

April 6, 2016
Persuading men and boys to get circumcised is no easy task. On top of fears about pain, it’s an uncommon, stigmatized procedure in this small African country of about 1.2 million people. But the...

Pact, partners featured for mobile tech use in Swaziland

March 4, 2014
Pact’s use of mobile technology in Swaziland has helped local partners deliver more effective HIV services, including improved targeting of the neediest among more than 10,000 orphans and vulnerable...