2009. 125 p.
Swaziland. National Emergency Response Council on HIV/AIDS, NERCHA
World Bank Global AIDS Monitoring and Evaluation Team, GAMET
NERCHA (National Emergency Response Council on HIV/AIDS), MOHSW (Ministry of Health and Social Welfare), UNAIDS and GAMET/World Bank are collaborating in a capacity development process to support an evidence based review of Swaziland's epidemiological situation (Know Your Epidemic, KYE) and the national HIV prevention response (Know Your Response, KYR). The process for the KYE was an in-depth review of available epidemiological data from Swaziland and the sub-region, and application of the UNAIDS incidence estimation model. The aim was to determine the epidemiology of new (incident) infections. For the KYR part, data were collected on the policy context for prevention, and prevention activities by implementers, and data from the National AIDS Spending Assessment (NASA) of 2008 were reviewed. In a final step, the KYE and KYR evidence was linked to produce an epidemic, response and policy synthesis with recommendations to improve the HIV prevention response through aligning prevention activities with the evidence on the sources of new infections. The study examined the hypothesis that multiple, concurrent long-term heterosexual relationships, happening in a context of implicitly permissive social norms, gender inequality and economic need, are a key contributor to HIV transmission in Swaziland.
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