The social implications of participant choice on adherence to Isonaizid Preventive Therapy (IPT): A follow-up study to high completion rates in Eswatini.

Background: Eswatini (formerly Swaziland) has one of the highest rates of TB and HIV co-disease in the world. Despite national efforts to improve service delivery and prevent TB and HIV transmission, rates remain high. A recent prospective, observational study of integrated, patient-selected IPT delivery showed extraordinary improvements in IPT adherence, running counter to previous assumptions.

Integrated and patient-selected care facilitates completion of isoniazid preventive therapy in Eswatini.

Setting: Five human immunodeficiency virus (HIV) care facilities in Eswatini.

Objective: To identify critical factors that enabled persons living with HIV to successfully complete a 6-month course of isoniazid preventive therapy (IPT) provided through a choice of facility-based or community-based delivery, coordinated with antiretroviral therapy (ART) refills.

Design: This was a mixed methods, retrospective cross-sectional study.

Three parallel information systems for malaria elimination in Swaziland, 2010-2015: are the numbers the same?

To be able to eliminate malaria, accurate, timely reporting and tracking of all confirmed malaria cases is crucial. Swaziland, a country in the process of eliminating malaria, has three parallel health information systems. This was a cross-sectional study using country-wide programme data from 2010 to 2015.