Abstract

Swaziland has the highest HIV prevalence in the world. It is recognised that young women, especially adolescents, are particularly vulnerable to HIV infection and bear a disproportionate burden of HIV incidence. The HIV data from Swaziland show the location of the epidemic, which is particularly high among adolescent girls and young women. This paper is based on research in Swaziland, commissioned because of the perception that large numbers of children were dropping out of the school. It was assumed that these “dropouts” had increased risk of HIV exposure. This study carried out a detailed analysis using the Annual Education Census Reports from 2012 to 2014 produced by the Ministry of Education. In addition, this topic was explored, during fieldwork with key informants in the country. While HIV prevalence rises rapidly among young women in Swaziland, as is the case across most of Southern Africa, the data showed there were few dropouts. This was the case at all levels of education — primary, junior secondary and senior secondary. The major reason for dropping out of primary school was family reasons; and in junior and senior secondary, pregnancy was the leading cause. Swaziland is doing well in terms of getting its children into school, and, for the most part, keeping them there. This paper identifies the students who face increased vulnerability: the limited number of dropouts; repeaters who consequently were “out-of-age for grade”; and orphans and vulnerable children (OVC). The learners who were classified as repeaters and OVC greatly outnumbered the dropouts. We argue, on the basis of these data, for re-focussed attention and the need to develop a method for tracking children as they move across the vulnerable groups. We acknowledge schooling is protective in reducing children’s vulnerability to HIV, and Swaziland is on the right track in education, although there are challenges.

Highlights

  • The country has been responsive to the epidemic

  • The main gains have been in placing people on treatment; and by 2016, 80% of adults living with HIV were receiving treatment (UNAIDS, 2017)

  • Vinnitchok, Dlamini and Mabuza of children who dropped out of school. They were deemed to be at a greater risk of infection because they were not receiving AIDS education through the school system; were believed to come from poorer families; and thought to be more likely to experience gender-based violence (GBV)

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Summary

HIV in Swaziland

During the early years of the epidemic the country experienced an almost exponential rise in the number of infections, which peaked in 2004. The data from the DHS survey show HIV prevalence in children aged 2–4 years. These children were infected though mother-to-child transmission (prevention interventions were not widely available at that time). The SHIMS study collected HIV prevalence and incidence (the number or rate of new infections) data for men and women aged between 18 and 49 years (Ministry of Health, 2012). This is summarised, which shows that women aged between 18 and 19 have a prevalence rate of 14.3%, which rises to 31.5% by age 20–24.

Both genders
Education in Swaziland
Findings
Female Male Total
Full Text
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