In Eswatini, it has become increasingly difficult for people to access innovative preventive treatments like long-acting PrEP due to the health ministry’s over-reliance on external funds. In 2025, as funding for programs like PEPFAR became uncertain, MSF supported the integration of CAB-LA into PrEP regimens at our Sitsandziwe sexual health clinic, securing a number of doses of the medication.
The initial uptake of CAB-LA was promising. A majority of patients who began using it continued to do so at the end of 2025, expressing appreciation for the ability to take it discreetly.
In addition to this initiative, we continued to run our other HIV counseling, testing, prevention, and treatment activities in Sitsandziwe in 2025. Services also include family planning consultations, mental health support, vaccinations, screenings for cervical cancer and chronic hepatitis, and comprehensive care for sexually transmitted infections and sexual and gender-based violence.
In Manzini city, the capital of Manzini district, an MSF team runs a high-dependency unit in the government hospital, providing care for people with non-communicable diseases.
