Health and HIV
We work closely with the Ministry of Health, the Ministry of Education and Training, and clinical and CSO partners to deliver community-based HIV and GBV prevention and response programming that mitigates impact, decreases risk, and delivers differentiated and optimized treatment outcomes and links beneficiaries to services.
PEPFAR OVC Programming: We are a key OVC implementing partner, having delivered PEPFAR programming since 2015, leveraging long-standing relationships and trust in communities in all regions of the country. We currently hold 50% of the Pact-primed Triple R program (also known as Insika Ya Kusasa), delivering HIV prevention and impact mitigation activities in 6 Tinkhundla, reaching 11,368 OVC and 5,557 AGYW (15-29 years) annually. Interventions include HIV prevention and protective assets programming; business mentorship and Worth savings and lending groups; COVID-19 awareness and vaccine mobilization and linkages; and impact mitigation activities for HIV, gender based violence/violence against children (GBV/VAC) beneficiaries, leveraging 156 community volunteers, 9 C/ALHIV support groups (Teen Clubs) and HTS referrals.
Voluntary Medical Male Circumcision: Bantwana is a leading organization reaching and successfully engaging 14,752 boys and young men (ABYM) through numerous Voluntary Medical Male Circumcision (VMMC) projects. Since 2015, Bantwana has actively mobilized, sensitized and linked ABYM aged 10-29 years into VMMC services and has consistently reached its annual targets and mobilized for multiple clinical partners including FLAS, CHAPS, ICAP and Georgetown University, and directly into government VMMC integration sites, including Mankhayane, Good Shepherd and RFM hospitals, Matsanjeni, Siphofaneni and Sithobela clinics. Bantwana employs several models to sensitize and mobilize uptake of VMMC among ABYM in the 15-29 priority age group. School-based demand creation interventions typically account for well over 50% of completed referrals, underscoring Bantwana’s strong school-based relationships and performance. Bantwana routinely exceeds targets early, enabling absorption of additional targets to reach. To date, Bantwana has successfully linked 7,722 boys and young men to VMMC services across all 4 regions of Eswatini.
DREAMS: Bantwana has delivered DREAMS and DREAMS-like programming since its inception in 2015, and continues to do so through its work with the Insika Ya Kusasa program. Between 2016 and 2019, Bantwana delivered the DREAMS Innovation Challenge program, reaching 1,635 in-school and out of school AGYW with a mentor-driven, social protective assets curriculum to reduce HIV risk, increase resilience, and provide linkages to HTS; and provided robust supports to 322 teen mothers (15-24 years) in Siphofaneni and Sithobela Tinkhundla to access alternative education classes in primary, lower and higher secondary schools, and with financial literacy and income generating activities. An evidence-based and robust Mentorship Program engaged family and community leaders, and retained adolescent girls in secondary school.
National HIV-focused Life Skills Education (LSE) Program in all Secondary Schools: Since 2011, Bantwana has collaborated with the Ministry of Education and Training to develop and launch the national LSE program. Bantwana supported the National Curriculum Center and Guidance & Counselling Departments to standardize HIV prevention education for all in-school adolescents, developing the LSE syllabi, parallel HIV-focused LSE Facilitator Guides for Forms 1–5. In 2016, with funding from CANGO/Global Fund and UNICEF, Bantwana trained 32 government officers to become Master LSE Trainers, who trained 1,706 teachers, 200 Head Teachers, 95 Principals, and 87 Deputies in 220 schools to deliver the national LSE curriculum. Bantwana supported Master Trainers to facilitate sensitization meetings with 18,005 parents, caregivers, and community members. In its first year of roll out (2016), Bantwana conducted a Knowledge Attitude Practice (KAP) intervention study (funded by OSISA), which revealed an increase in knowledge on HIV prevention and health promotion among students in treatment schools. With funding from CANGO/Global Fund, Bantwana supported Ministry-led M&E of the program. Bantwana developed national M&E tools, conducted qualitative and quantitative evaluation to monitor school uptake and challenges, and guided the MOET to provide supportive supervision, conduct refresher trainings, and address school–level barriers. Through these efforts, the LSE program is well-established in 272 secondary/high schools in Eswatini, reaching over 80,000 adolescents annually with HIV-prevention and life skills education.
School-based Integrated Health Programming: Praised by the MOH and MOET, the Bantwana Schools Integrated Health Program (BSIP) used schools as platforms for integrated HIV service delivery to 15,000 vulnerable adolescents annually. BSIP built the capacity of school stakeholders to introduce/manage ASRH/HIV prevention education, mentorship, and livelihoods activities and, through leveraged funding, reinvigorated Swaziland’s School Health Outreach Program to bring basic health screening, vaccination, referrals for HIV, and health education to 18,000 children annually.