This report describes the key conversation points and lessons learned in the Co-Creating Conscious Learning Cultures Conversations conducted in 2017. There were a total of five conversations held across various locations in Swaziland; drawing from the work of the initial conversation held in the last quarter of 2016. These conversations form part of a series of learning exchanges within the KPREACH program, which aims to reduce HIV infections and HIV-related deaths among key populations in Southern Africa through improved access by KPs to HIV prevention, testing and treatment services. The conversations were arranged according three themes namely: (one) community wellness, (two) mental health and wellbeing, decent work and the politics of money, and (three) sexual liberation. All themes are summarized under the section on conversations.
Swaziland is burdened by poverty, rapid urbanization, lack of employment opportunities and AIDS-related mortality which affect KPs, more significantly.
Key affected populations in Swaziland
Heterosexual sex is the main mode of HIV transmission in Swaziland – accounting for 94% of all new HIV infections. Low and inconsistent condom use, intergenerational sex, transactional sex, gender inequalities, gender-based violence, multiple and concurrent sexual relationships and a low uptake of male circumcision are all key drivers of Swaziland’s HIV epidemic. However, certain groups are more affected than others.
Female sex workers and HIV 1
Swaziland has the highest HIV prevalence among sex workers in the world. An estimated 60.5% are living with HIV. Data on female sex workers is limited.