The Swaziland HIV Incidence Measurement Survey 2 (SHIMS2), a household-based national survey, was conducted between August 2016 and March 2017 to measure the impact of the country's national HIV response on HIV incidence and viral load suppression.

SHIMS2 offered household-based HIV counseling and testing with return of results and collected information about uptake of HIV care and treatment services.

The survey team visited over 6,000 households and interviewed over 11,500 adults (15 years and older) and 3,500 children (0-14 years) to collect this information.

The preliminary results were announced in July 2017, during the 9th International AIDS Society Conference in Paris, and the final report was released in May 2019.

Prior to SHIMS 2, ICAP led the first SHIMS in 2010-11.

A Peer educator at Mankayane Government Hospital talks with Rural Health Motivators teaching them about issues they will need to address with their rural patients. RHMs are a cadre of community members selected by the local chiefs to encourage health seeking behavior in the rural population.


Key Findings

HIV incidence among adults 15 years and older: 1.13%
HIV prevalence among adults 15 years and older: 27.0%
HIV prevalence among children 0-14 years:2.8%
Viral load suppression among adults 15 years and older living with HIV:73.1%
90-90-90 among adults living with HIV 15 years and older:87.0% of adults living with HIV know their status;
88.8% of those individuals self-report being on anti-retroviral therapy (ART);
91.4% of those who report being on ART have viral load suppression.


Eswatini Final Report


Eswatini Summary Sheet

Slides of Figures and Maps

SHIMS2 in the News

AFP: Swaziland turns around world's highest HIV infection rate: report
Swaziland, which bears the world's heaviest HIV burden, has halved the rate of new infections in five years by boosting access to virus-suppressing drugs, researchers said Monday.

Aidsmap: Swaziland: New infections halved in five years as HIV treatment scales up
SHIMS2 is the first direct evidence that expanding HIV treatment results in fewer HIV infections in a country with a major epidemic, researchers said.

AP: HIV epidemic 'coming under control' in nation with top rate
The United States government says the HIV epidemic is "coming under control" in the country with the world's highest prevalence of HIV, Swaziland.

CBS NewsAIDS experts fear Trump budget cuts could impact HIV/AIDS fight
After President Trump announced a "hard-power" budget plan that prioritizes defense spending over diplomacy and foreign aid, the United Nations programs combating HIV and AIDS recently released some promising news.

CNN: Proposed US budget cuts will help new HIV infections flourish, experts warn
Fear and concern are consuming the minds of many experts in the field of HIV control and it's not just because of the 1.8 million people that became newly infected with the virus, nor the 1 million who died of AIDS, in 2016.

Devex: Q&A: How Swaziland got on track to contain the world's highest HIV prevalence
Dr. Velephi Okello, the deputy director of health services at Swaziland's ministry of health, presented findings from a new survey showing that Swaziland — which has the highest adult HIV prevalence in the world — is on track toward epidemic control.

IOL: How Swaziland is tackling HIV head on
The Kingdom of Swaziland, the country worst-affected by HIV on the planet, has made monumental gains in the fight against AIDS in the past five years.

Kaiser Family FoundationNew PEPFAR Data Indicate 4 African Countries Approaching Control Of HIV Epidemics
Today, the United States announced that through support from the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) four African countries are approaching control of their HIV epidemics.

Science: Swaziland makes major strides against its AIDS epidemic
New data from Swaziland, a tiny country in southern Africa, provide some of the most convincing evidence yet that aggressively ramping up treatment for HIV/AIDS works on a population level to cut the rate of new infections.

Swazi Observer: Boost for country’s fight to end AIDS
Swaziland has made momentous strides in the fight against HIV/AIDS as SHIMS2 findings revealed a major increase, from 34.8% to 71.3% viral load suppression among those on antiretroviral treatment.

UNAIDS: UNAIDS congratulates Kingdom of Swaziland on achieving over 73% viral load suppression among adults living with HIV and a major reduction in HIV incidence between 2011 and 2016
“Swaziland has demonstrated to the world that shared responsibility and global solidarity produces results,” said UNAIDS Executive Director, Michel Sidibé. 

VOA: Swaziland Cuts HIV Infection Rate in Half
The U.S. government says the HIV epidemic is "coming under control" in Swaziland, the country with the world's highest prevalence of the virus.

PHIA Presents Results at IAS 2017

Check out a recap of PHIA satellite sessions, oral abstracts, and poster exhibitions at IAS 2017 and learn more about the news and highlights.

Click below to watch the oral abstract: Hitting the First 90 Target: Lessons from Population-based Surveys.

Dr Okello IAS Pic

Video: IAS 2017 Oral Abstract: Hitting the First 90 Target: Lessons from Population-based Surveys

Photo: Dr. Velephi Okello, deputy director of Health Services-Clinical Services, Ministry of Health-Eswatini, presents results from SHIMS2.