SIAPS Swaziland End of Project Report

Swaziland’s pharmaceutical services have limitations due to weak legislation and a shortage of pharmacy personnel at health facilities. In addition, facilities in the country are often faced with a shortage of essential medicines. In the case of antiretrovirals (ARVs), this is due to a variety of factors, from the procurement system to the movement of medicines from the central warehouse to the service delivery points.

The Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program, implemented by MSH, worked to address the gaps in the pharmaceutical and supply chain management system for HIV treatment and care services.

SIAPS contributed to the national goal of decentralizing HIV treatment services and to the scale-up of HIV treatment to all people living with HIV. This was accomplished by improving ARV availability, strengthening pharmaceutical human resource capacity for HIV management, strengthening the laboratory supply chain for HIV diagnosis, improving pharmaceutical sector governance, improving patient safety, and supporting the logistics management information system. SIAPS also focused on improving metrics, monitoring and evaluation, capacitating local governments and organizations, and increasing country ownership in all its interventions.