Swaziland has the highest HIV prevalence in the world and the highest TB incidence rate in the world.
According to a PEPFAR report: Swaziland’s population is 1,132,657 in 2016; 37% are less than 15 years old and 76% live in rural settings. About 24% of children aged 0-17 years are orphans, and 45% are either orphans or vulnerable children.HIV prevalence for children aged 2-14 years is 4%; 28% for adults aged 15-49 years (men: 22%; women: 33%), and 14% for adults 50+ years.  Among men, 35-39 year-olds have the highest prevalence (47%), while 30-34 year-olds have the highest prevalence among women (54%). This is a generalized epidemic affecting all regions. Overall HIV prevalence in 2016 is 27% in Hhohho, 30% in Manzini, 28% in Shiselweni, and 30% in Lubombo. Among 5,582 TB patients in 2014, 3,904 (71%) were co-infected with HIV’’
In its efforts to fight against HIV/AIDS, Swaziland has set ambitious targets for HIV prevention in order to accelerate the scale-up of high impact prevention interventions, with the focus on ending AIDs by 2030. The goal of the HIV prevention programme in Swaziland is to reduce new HIV infection among adults and children by 2018 from 2.9% in 2011 to 1.5 % by 2018 among adults and among children aged 12-18 months  reduced from 15.4% in 2011 to 2% by 2018 (eNSF, 2014-2018).

Situated in the East of the Country, Lubomo region is the most rural and poor of the 4 regions, with the majority of the population working as subsistence farmers or informally or seasonally employed.  The Lubombo region is also one of the most affected by HIV and TB.
Joyful Hearts Organization willing to continue contributing to the eradication of HIV/AIDS and TB in the country by conducting a Comprehensive HIV/TB Care Project in four regions of  the country.

The overall goal of the program is to Increase comprehensive HIV/TB care services in Lubombo and Manzini regions, through the delivery of targeted communities and facilities based HIV/TB clinical and support care services as well as community education and engagement by 2020. With this projection, we plan to reach a total of 36000 people (including 15000 children) and we plan to reach following objectives:

Joyful Hearts will use HTS and Index testing as entry point to care and treatment (Pre-ART/ ART and TB treatment). HTS will also enable individuals to access other services such as voluntary medical male circumcision (MC), post exposure prophylaxis (PEP), prevention of mother to child transmission (PMTCT), treatment, control and management of sexually transmitted infections (STIs) and non-communicable diseases (NCDs). We will work in collaboration with clinics for linkages.