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ICAP began partnering with the Government of the Kingdom of Swaziland in 2005 to reduce mother-to-child transmission of HIV and support the rapid scale-up of HIV care and treatment.

ICAP now provides technical leadership and assistance at a national and regional level, working with the Ministry of Health (MOH) to strengthen TB/HIV service delivery, improve health information systems and disease surveillance, conduct research, and build laboratory and research capacity.

Current Projects

Strengthening Capacity for TB/HIV Services

ICAP works with the MOH to enhance capacity and service delivery at the national level for tuberculosis (TB), MDR-TB, and HIV/TB activities. At the regional level, in Manzini, ICAP is working to build capacity of the Regional Health Management Team and improve coverage and quality of adult and pediatric HIV testing, prevention, care, and treatment. This approach emphasizes systems development, training and mentoring for health care workers, and integrating systematic, continuous quality improvement. (funded by PEPFAR through the CDC)

Strengthening Epidemiologic and Research Capacity

ICAP is partnering with the MOH to build capacity in epidemiology and research and strengthen the monitoring and use of data to inform policy and programming. The scope of work includes support for epidemiology, surveillance, research ethics, and the Health Research Training Program.

ICAP is also providing technical assistance and support to conduct the second Swaziland HIV Incidence Measurement Survey (SHIMS2) to assess HIV prevalence, incidence, and access to prevention, care, and treatment services. The survey consists of household-based interviews and HIV counseling and testing for adults and children. The first SHIMS was conducted in 2010-2011. Survey findings will be used to assess the impact of Swaziland’s HIV response at the national level and to help guide and target future investment and programs. SHIMS 2 is part of the PHIA Project, which will conduct surveys in more than ten other countries in sub-Saharan Africa. (funded by PEPFAR through the CDC)

Strengthening Laboratory Quality and Services

ICAP is enhancing laboratory capacity as a critical element of a strong health system. This includes education and training for lab accreditation, improving equipment and supply chain management, strengthening lab information systems, and improving access to testing. (funded by PEPFAR through the CDC)

Global Technical Assistance

Through a technical assistance program for PEPFAR-supported countries, ICAP is leading three TA projects in Swaziland:

The Safe Generations Study

Safe Generations is an implementation science study that is evaluating the impact of Option B+ on mother-to-child transmission of HIV and retention in care. (funded by PEPFAR through USAID)

The Link4Health Study

Link4Health is an implementation science study that uses a randomized trial design to evaluate the effectiveness of various HIV intervention strategies on linkage and retention in care. (funded by the NIH)

Recently Completed Projects

Swaziland Rapid Scale-Up

Through this five-year project, ICAP worked with the MOH and with regional health management teams and health facilities in Hhoho, Lubombo, and Manzini regions to improve and expand access to adult and pediatric HIV care and treatment. This scope of work included innovative approaches to expand nurse-initiated antiretroviral treatment (ART), enhance referral systems, and improve patient retention in care. (funded by PEPFAR through the CDC)

For more on the impact and innovations of Rapid-Scale Up project, read the full project report here.

TA for HIV Prevention, Care and Treatment

Through this five-year award, ICAP provided technical assistance to the MOH to improve use of national HIV program data to inform public health decision-making and ART programs. (funded by PEPFAR through the CDC)

Capacity Building for Nursing and Midwifery

Through this five-year award, ICAP worked with the MOH to update national nursing strategies, policies, and guidelines and with nurse education institutions to improve training, resources, and support for a broader clinical scope of work for nurses. (funded by PEPFAR through HRSA)