Swaziland is one of the countries with the highest Human Immune-deficiency Virus (HIV) rates in the world.
Consequently, the increased need for care and support for people living with Acquired Immune-deficiency Syndrome
AIDS), as well as orphaned and vulnerable children, is unprecedented. The response to combat the HIV epidemic has
been evident in many areas as the country continues its fight against the HIV epidemic. However, efforts to provide care
and support - including Anti-Retroviral Therapy (ART), management of opportunistic infections, and community homebased
care - have, so far, largely stemmed from the health sector. Housing care and other non-medical support is continuing
to lag behind. Lack of proper housing is one of the deprivations suffered by orphaned children and people living
with AIDS, which predisposes them to attacks by opportunistic infections and other vulnerabilities and disrupts the
continuum of care, whilst at times denying occupants the required privacy.
This paper focuses on creating an understanding of why housing care and support for HIV and AIDS affected is lagging
behind in Swaziland. It suggests cultural, economic, political and policy issues as the underlying reasons for this,
and, therefore, concludes that there is need for bold policy reforms in these areas. In order to create a proper framework
for such reforms, the paper reviews the following:
1. The national housing policy's implications on the care and support for people living with HIV and AIDS and the
orphaned and vulnerable children; and
2. The current human settlements related responses to HIV and AIDS in Swaziland's rural, peri-urban and urban
In this context, urban development planning paradigms and the extent to which HIV and AIDS is being integrated
into the development plans are discussed.
Keywords : Housing, HIV, AIDS, Mainstreaming, Care and Support, Organised Self-Help Housing.
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