Related Research Articles
Eswatini, officially the Kingdom of Eswatini and formerly named Swaziland, is a landlocked country in Southern Africa. It is bordered by Mozambique to its northeast and South Africa to its north, west, south, and southeast. At no more than 200 kilometres (120 mi) north to south and 130 kilometres (81 mi) east to west, Eswatini is one of the smallest countries in Africa; despite this, its climate and topography are diverse, ranging from a cool and mountainous highveld to a hot and dry lowveld.
The Joint United Nations Programme on HIV and AIDS (UNAIDS) is the main advocate for accelerated, comprehensive and coordinated global action on the HIV/AIDS pandemic.
HIV/AIDS originated in Africa in the early 20th century and is a major public health concern and cause of death in many African countries. AIDS rates vary significantly between countries, though the majority of cases are concentrated in Southern Africa. Although the continent is home to about 15.2 percent of the world's population, more than two-thirds of the total infected worldwide – some 35 million people – were Africans, of whom 15 million have already died. Sub-Saharan Africa alone accounted for an estimated 69 percent of all people living with HIV and 70 percent of all AIDS deaths in 2011. In the countries of sub-Saharan Africa most affected, AIDS has raised death rates and lowered life expectancy among adults between the ages of 20 and 49 by about twenty years. Furthermore, the life expectancy in many parts of Africa is declining, largely as a result of the HIV/AIDS epidemic with life-expectancy in some countries reaching as low as thirty-nine years.
Shiselweni is a region of Eswatini, located in the south of the country. It has an area of 3,786.71 km² and a population of 204,111 (2017). Its administrative center is Nhlangano. It borders Lubombo in the northeast and Manzini Region in the northwest.
The United States President's Emergency Plan For AIDS Relief (PEPFAR) is a United States governmental initiative to address the global HIV/AIDS epidemic and help save the lives of those suffering from the disease. Launched by U.S. President George W. Bush in 2003, as of May 2020, PEPFAR has provided about $90 billion in cumulative funding for HIV/AIDS treatment, prevention, and research since its inception, making it the largest global health program focused on a single disease in history until the COVID-19 pandemic. PEPFAR is implemented by a combination of U.S. government agencies in over 50 countries and overseen by the Global AIDS Coordinator at the U.S. Department of State. As of 2021, PEPFAR has saved over 20 million lives, primarily in Sub-Saharan Africa.
Nhlangano is the fourth largest town in Eswatini. It is the capital of the southern district of Shiselweni. The town was formerly known as Goedgegun, but the name was changed to Nhlangano, meaning "the meeting place". Nhlangano is located beside the Ngwavuma River. King George VI of the United Kingdom met with King Sobhuza in the town in 1947 to thank him for the war effort during the Second World War.
Young Heroes is a charity, based in Mbabane, Swaziland. With a focus on orphaned and vulnerable children and their elderly caretakers, Young Heroes directly addresses the HIV/AIDS epidemic in Swaziland — the nation with the world’s highest rate of infection — on three fronts: education and prevention; healthcare; and impact mitigation/poverty reduction.
The Thai Red Cross Society is a major humanitarian organisation in Thailand, providing services as part of the International Red Cross and Red Crescent Movement.
Lesbian, gay, bisexual, and transgender (LGBT) rights in Eswatini are limited. LGBT people face legal challenges not experienced by non-LGBT residents. According to Rock of Hope, a Swati LGBT advocacy group, "there is no legislation recognising LGBTIs or protecting the right to a non-heterosexual orientation and gender identity and as a result [LGBT people] cannot be open about their orientation or gender identity for fear of rejection and discrimination". Homosexuality is illegal in Eswatini, though this law is in practice unenforced. According to the 2021 Human Rights Practices Report from the US Department of State, "there has never been an arrest or prosecution for consensual same-sex conduct."
According to the 2012 U.S. Global Leadership Report, 79% of Botswana people approve of U.S. leadership, with 8% disapproving and 13% uncertain.
Eswatini–United States relations are bilateral relations between Eswatini and the United States.
Education in Eswatini includes pre-school, primary, secondary and high schools, for general education and training (GET), and universities and colleges at tertiary level.
HIV/AIDS in Eswatini was first reported in 1986 but has since reached epidemic proportions. As of 2016, Eswatini had the highest prevalence of HIV among adults aged 15 to 49 in the world (27.2%).
Rwanda faces a generalized epidemic, with an HIV prevalence rate of 3.1 percent among adults ages 15 to 49. The prevalence rate has remained relatively stable, with an overall decline since the late 1990s, partly due to improved HIV surveillance methodology. In general, HIV prevalence is higher in urban areas than in rural areas, and women are at higher risk of HIV infection than men. Young women ages 15 to 24 are twice as likely to be infected with HIV as young men in the same age group. Populations at higher risk of HIV infection include people in prostitution and men attending clinics for sexually transmitted infections.
The first HIV/AIDS cases in Nepal were reported in 1988. The HIV epidemic is largely attributed to sexual transmissions and account for more than 85% of the total new HIV infections. Coinciding with the outbreak of civil unrest, there was a drastic increase in the new cases in 1996. The infection rate of HIV/AIDS in Nepal among the adult population is estimated to be below the 1 percent threshold which is considered "generalized and severe". However, the prevalence rate masks a concentrated epidemic among at-risk populations such as female sex workers (FSWs), male sex workers (MSWs), injecting drug users (IDUs), men who have sex with men (MSM), Transgender Groups (TG), migrants and Male Labor Migrants (MLMs) as well as their spouses. Socio-Cultural taboos and stigmas that pose an issue for open discussion concerning sex education and sex habits to practice has manifest crucial role in spread of HIV/AIDS in Nepal. With this, factors such as poverty, illiteracy, political instability combined with gender inequality make the tasks challenging.
With less than 1 percent of the population estimated to be HIV-positive, Egypt is a low-HIV-prevalence country. However, between the years 2006 and 2011, HIV prevalence rates in Egypt increased tenfold. Until 2011, the average number of new cases of HIV in Egypt was 400 per year. But, in 2012 and 2013 it increased to about 600 new cases and in 2014 it reached 880 new cases per year. According to UNAIDS 2016 statistics, there are about 11,000 people currently living with HIV in Egypt. The Ministry of Health and Population reported in 2020 over 13000 Egyptians are living with HIV/AIDS. However, unsafe behaviors among most-at-risk populations and limited condom usage among the general population place Egypt at risk of a broader epidemic.
Eswatini for Positive Living (ESWAPOL) is a Swazi NGO that was formed in 2001 by Siphiwe Hlophe and four other HIV-positive women. ESWAPOL provides counselling and education, and seeks to improve the living conditions of people who are affected by or infected with HIV in the rural areas, many of whom are women. The organisation has over 1000 members, mostly women, and is highly active in e.g. challenging the policies of the Swazi government on its AIDS and Women's Rights policies.
The Swaziland Reformed Church was founded in 1944 and become a congregation of the Dutch Reformed Church in Africa in 1967. Later the Swaziland Missionary Board was formed to coordinate the missionary work of the Reformed Church in Swaziland. In 1989 Swaziland become a Regional Synod of the denomination. In 1991 the Swaziland Reformed Church became independent and has 20 communities within which it is working. The church was a member of the Reformed Ecumenical Council and later became a member of the World Communion of Reformed Churches.
The Health in Eswatini is poor and four years into the United Nations sustainable development goals, Eswatini seems unlikely to achieve goal on health. As a result of 63% poverty prevalence, 27% HIV prevalence, and poor health systems, maternal mortality rate is a high 389/100,000 live births, and under 5 mortality rate is 70.4/1000 live births resulting in a life expectancy that remains amongst the lowest in the world. Despite significant international aid, the government fails to adequately fund the health sector. Nurses are now and again engaged in demonstrations over poor working conditions, drug stock outs, all of which impairs quality health delivery. Despite tuberculosis and AIDS being major causes of death, diabetes and other non-communicable diseases are on the rise. Primary health care is relatively free in Eswatini save for its poor quality to meet the needs of the people. Road traffic accidents have increased over the years and they form a significant share of deaths in the country.
References
- ↑ Coordinating Comprehensive Care for Children (4Children) Semi-Annual Performance Report October 1, 2017 – March 31, 2018
- ↑ Suguayani. "Nhlangano AIDS Training Information and Counseling Center". List of Information. Retrieved 2021-08-08.
- ↑ Mkhonta, Starsky (5 November 2013). "Ex-Minister Xaba Graceful in Defeat". Swazi Observer. Retrieved 4 January 2014.
