Overview

CHAI began work in the Kingdom of Eswatini (formerly Swaziland) in 2009 to support the country to eliminate malaria and improve access to lifesaving HIV diagnosis and treatment. Working with the Ministry of Health, Aidsfonds, and other partners, CHAI began the groundbreaking MaxART program in 2011 to reduce new infections and dramatically improve HIV diagnosis and linkage to care. The second phase of the program included a pioneering study to help demonstrate the effectiveness of the World Health Organization (WHO)-recommended ‘Test and Start’ approach to treatment calling for all HIV-positive individuals to begin antiretroviral therapy (ART) regardless of disease progression. In 2017, the government announced a first-time decline in HIV incidence in the country as a result of interventions such as MaxART, and results from the study are helping inform ‘Test and Start’ across sub-Saharan Africa.

Today, CHAI is working to improve access to HIV prevention tools such as oral pre-exposure prophylaxis (PrEP) and is helping the Ministry of Health increase patient access to less expensive and higher quality HIV medicines. We are helping Eswatini in its efforts to become the first country in sub-Saharan Africa to eliminate malaria and move towards quality universal health care coverage by developing and implementing sustainable health financing programs and policies. CHAI is also helping Eswatini decentralize care and management for hypertension and diabetes form tertiary care to primary care facilities.

Our Work

December 21, 2018

CHAI joins the International Decision Support Initiative (iDSI)

CHAI is proud to join the International Decision Support Initiative (iDSI). iDSI is a global network of health, policy and economic experts supporting low- and middle-income countries to make healthcare investment decisions that reflect the best value-for-money. CHAI is one of several partners who will expand the group’s global network of expertise and cross-country experience....

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April 26, 2017

Improving the impact of indoor residual spraying in southern Africa through data-driven approaches

Six countries in southern Africa – Botswana, Mozambique, Namibia, South Africa, Swaziland and Zimbabwe – are on the path towards malaria elimination, having declared their goal to achieve zero locally acquired malaria cases by 2020. The population at risk of the devastating illness in these countries has declined dramatically in recent years, with cases in...

Read More

April 12, 2017

Preventing HIV/AIDS in Swaziland

Hhukwini Clinic in the Hhohho region of Swaziland is a busy health center in the mountainous central-western part of the country. The clinic is visited by about 850 people per month and provides comprehensive primary health care services including diagnosis and treatment for many of the common ailments in Swaziland. It is also one of...

Read More

May 10, 2016

Safe Rollout of Primaquine for Malaria Elimination in Swaziland

The Kingdom of Swaziland’s National Malaria Control Program (NMCP) is pursuing the ambitious goal of malaria elimination, which is defined as zero local malaria cases (originating within Swaziland’s borders). If realized, Swaziland would be the first country in sub-Saharan Africa to achieve this public health milestone. Swaziland is close: during the July 2014-June 2015 malaria...

Read More

December 21, 2018

CHAI joins the International Decision Support Initiative (iDSI)

CHAI is proud to join the International Decision Support Initiative (iDSI). iDSI is a global network of health, policy and economic experts supporting low- and middle-income countries to make healthcare investment decisions that reflect the best value-for-money. CHAI is one of several partners who will expand the group’s global network of expertise and cross-country experience....

Read More

April 26, 2017

Improving the impact of indoor residual spraying in southern Africa through data-driven approaches

Six countries in southern Africa – Botswana, Mozambique, Namibia, South Africa, Swaziland and Zimbabwe – are on the path towards malaria elimination, having declared their goal to achieve zero locally acquired malaria cases by 2020. The population at risk of the devastating illness in these countries has declined dramatically in recent years, with cases in...

Read More

April 12, 2017

Preventing HIV/AIDS in Swaziland

Hhukwini Clinic in the Hhohho region of Swaziland is a busy health center in the mountainous central-western part of the country. The clinic is visited by about 850 people per month and provides comprehensive primary health care services including diagnosis and treatment for many of the common ailments in Swaziland. It is also one of...

Read More

May 10, 2016

Safe Rollout of Primaquine for Malaria Elimination in Swaziland

The Kingdom of Swaziland’s National Malaria Control Program (NMCP) is pursuing the ambitious goal of malaria elimination, which is defined as zero local malaria cases (originating within Swaziland’s borders). If realized, Swaziland would be the first country in sub-Saharan Africa to achieve this public health milestone. Swaziland is close: during the July 2014-June 2015 malaria...

Read More
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Join Our Team

CHAI is looking for dynamic and self-motivated individuals who are committed to strengthening health systems around the world and expanding access to care and treatment of HIV/AIDS, malaria, and other illnesses.

View All CHAI Positions View Country Positions

Join Our Team

CHAI is looking for dynamic and self-motivated individuals who are committed to strengthening health systems around the world and expanding access to care and treatment of HIV/AIDS, malaria, and other illnesses.

View All CHAI Positions View Country Positions