Physical Health Eswatini Project #17222

HIV Care for 5000 children/caregivers in Swaziland

by Kudvumisa Foundation USA Inc

HIV Care for 5000 children/caregivers in Swaziland

Project Report | Aug 11, 2026
Two Decades-Bridging the Divide

By Temnotfo Mvubu | News Writer

Community Visits

For nearly two decades, our mission has been to bridge the divide between vulnerable rural Eswatini households and the essential HIV services they require. By confronting the challenges of geographical isolation and financial hardship through both our dedicated clinic and direct community engagement, we have witnessed Eswatini transform from a nation burdened by the highest global infection rates to a model of significant epidemiological progress. This achievement is a testament to the collective strength of national initiatives and the steadfast commitment of partners like you.

Since our last report, we have continued delivering consistent HIV prevention, testing, and treatment services to communities across rural Eswatini. Today, more than 1,000 people living with HIV across our communities rely on our services to access uninterrupted antiretroviral treatment, routine monitoring, counselling, and ongoing support close to home. Each month, we provide an average of 860 ARV refills through our clinic and community outreach services, conduct approximately 70 HIV tests, and initiate 6 new clients on PrEP, ensuring that treatment remains uninterrupted while expanding access to HIV prevention. Alongside every test and treatment visit, our team provides counselling and support that empowers individuals and caregivers to make informed decisions about their health and remain engaged in lifelong care.

Beyond the clinical work, our team continues to walk alongside families facing the hardest chapters of illness; sitting with them, praying with them, and responding to needs that no prescription can address on its own.

Yet our journey is far from over. Many families in remote areas still struggle to access not just steady treatment, but the testing and preventative care that stop new infections before they start and adolescents remain especially vulnerable. As global funding pressures continue to threaten HIV programs across lower-middle income countries like Eswatini, the role of committed donors has never mattered more. Because of you, care continues to reach the communities furthest from help,one test, refill, and empowered person at a time. Thank you for standing with us.

Care and Compassion

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Apr 15, 2026
Rolling Hills and Hard-to-Reach Communities

By Temnotfo Mvubu | Grant Writer/Research

Health care in the community

In the rolling hills and hard-to-reach communities of Northern Lubombo, access to healthcare is often shaped by distance, cost, and circumstance. Against this backdrop, our organisation continues to provide critical HIV care services to children and caregivers through a mix of clinic-based care and community outreach. Through our clinic in Maphiveni, supported by mobile and in-community services, we are expanding access to life-saving treatment, improving adherence, and strengthening local health systems.

To date, the project has made meaningful progress in reaching underserved populations. In the past three months, 85 individuals were tested for HIV, with those identified at risk connected to the right prevention and treatment services, including PrEP and ART. While uptake of PrEP remains an area for growth, all newly diagnosed clients were successfully started on ART, ensuring timely access to life-saving treatment. Encouragingly, 771 clients currently on treatment have achieved viral load suppression, showing strong adherence and continuity of care. In addition, 640 individuals have relied on our services for ongoing ART refills over the last three months, demonstrating consistent engagement in care. Through our mobile outreach clinics and community-based work, we continue to reach people in remote areas, bringing essential HIV services closer to where they live and supporting ongoing care.

Despite this progress, some challenges remain. Geographic isolation still affects how regularly some individuals can access care, especially during a time when petrol availability is strained and public transport costs may increase. Financial pressures also make it harder for some beneficiaries to keep up with regular clinic visits, while stigma, although reduced, still affects testing and treatment uptake. At the same time, growing demand for community-based services is putting pressure on our mobile outreach teams, highlighting the need to expand our reach and strengthen how services are delivered.

We remain committed to addressing these challenges while building on the progress achieved so far. By continuing to adapt our service delivery model and strengthen community partnerships, we move closer to ensuring fair and reliable HIV care for all children and caregivers in our target areas. Encouragingly, the country has also recently introduced the PrEP injection, marking another important step forward in HIV prevention. While this option is not yet available at our clinic, it shows the real progress being made across the country toward reducing new infections and moving closer to an AIDS-free future. We extend our sincere appreciation to all those whose continued support makes this work possible.

Heath care in the clinic

The Kudvumisa Clinic at Maphiveni

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Dec 17, 2025
How do we turn generosity into real change?

By Temnotfo Mvubu | Grant Writer/Research

Teen club, where teens coping with HIV are helped

We see the answer every day through the lives touched by this project. Across Eswatini, where HIV remains a significant public health challenge, many families in rural, underserved villages continue to face barriers to care. Long distances to clinics, transport costs, and limited local resources make access especially difficult in these areas, with young girls and women often carrying the greatest burden.

Over the past few months, your contributions have helped bring essential HIV health services directly into communities that would otherwise go unreached. Children and caregivers have accessed HIV testing and counselling, routine blood work, ongoing treatment support, and medication refills; services that are critical to maintaining health and stability.

Beyond the on-site services offered at the Maphiveni clinic, our community outreach and Teen Club programmes have remained a cornerstone of our efforts to end AIDS by 2030. For those unable to travel to healthcare facilities—particularly in rural communities with limited or distant services—we continue to bring care directly to their doorsteps, even in the face of funding freezes and drug shortages. This reflects our unwavering commitment to ensuring that no one is left behind simply because of where they live.

Our Teen Club, a safe and supportive space for adolescents living with or affected by HIV, is thriving. Recently, nine members graduated from the programme, and we are exploring ways for them to use the knowledge, confidence, and support they’ve gained to mentor others and help reduce the stigma that still exists. Through creative activities and open dialogue, adolescents have learned about their health, built confidence, and formed meaningful connections with peers who share similar experiences. We also celebrated our annual Christmas party, bringing the group together for a joyful day of festive cheer. The teens received Christmas gifts filled with toiletries and treats—a small gesture of love that meant so much. Programmes like these play a vital role in strengthening treatment adherence and reducing isolation.

Throughout the year, we also expanded HIV prevention efforts, reaching more young girls and women in vulnerable communities. By integrating prevention services, including PrEP, into routine care, we are empowering individuals to take proactive steps toward protecting their health and shaping safer futures.

As we wind down the year, we reflect on the meaningful impact of radical generosity and look ahead to a new year filled with opportunities to do even more.

Our goals remain the same: to create access to life-saving healthcare, empower families, and improve health outcomes. With $46,251 raised toward our $100,000 goal and 513 donations to date, the journey continues. Your continued support ensures that vital services reach even more children and caregivers facing barriers to care.

Thank you for helping turn compassion into action.

Happy Holidays

Community based services and outreach

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