Swaziland Core Package Final Report: Sikanyekanye- Meeting the Reproductive Health Needs of HIV-Positive Women in Swaziland POLICY (January 2006)  Full Document (English)      Order for free      email to me  With one of the highest HIV prevalence rates in the world, Swaziland faces substantial demand for care and support by those affected by HIV/AIDS. In particular, women bear the brunt of the epidemic, as historically their unequal social and legal status has made them more vulnerable to HIV and less able to access care and support. Against this backdrop, the USAID-funded POLICY Project initiated a core package project in May 2003. Named Sikanyekanye, meaning "we are together," the project sought to identify and address operational policy barriers to improving and promoting HIV-positive women's reproductive health within the context of programs that address reproductive health, HIV/AIDS, and sexually transmitted infections (STIs). Project activities focused on voluntary counseling and testing, prevention of mother-to-child transmission, and antenatal care. This report provides background information on the status of women, HIV/AIDS, and the policy environment in Swaziland. It includes a detailed description of the project approach, activities, and results, followed by implementation challenges. The report ends with an examination of the project's impact, concluding that the advocacy and policy change strategy used in the core package provides a multisectoral and multilevel framework for advancing HIV-positive women's reproductive health globally.