The core focus of impact mitigation is to reduce the negative impact associated with HIV and AIDS on society, in particular in homesteads/households and individuals by addressing strategic issues of vulnerability. The relationship between the impact of HIV and vulnerability is seen as reciprocal. On one hand, social and economic circumstances such as poverty, abuse, violence, prejudice and ignorance (that is, pre-existing vulnerability before HIV infection) increase an individual’s susceptibility to infection and therefore fuel HIV transmission. In other cases, HIV positive status can generate and reinforce vulnerabilities that further worsen the quality of life of the person affected. Vulnerable groups that the programme focuses on include orphaned and vulnerable children, people living with HIV and the elderly. Interventions will focus on homesteads, households and individuals.
Swaziland has established criteria for vulnerability, notably: death of an adult in the household in the past 12 months, presence of an ill adult who requires care, presence of an orphaned child.
It is intended that the implementation of identified impact mitigation interventions will achieve the following thematic impact level results:
- Percentage of households with vulnerable individual/s6 that are able to cope with the impact of HIV has increased from 72% in 2008 to 80% in 2014.
- Percentage of households with vulnerable individual/s that report that all the services they received were relevant, timely, comprehensive and of good quality is increased to 70% in 2014.
The following interventions have been identified to contribute to the achievement of the above impact level result.
Food and nutrition for vulnerable households and individuals
Education support for OVC
OVC socialisation and protection
Provision of psychosocial support
Strengthening of community systems, including identification and support of alternative sustainable livelihoods, as well as the strengthening of community-based institutions to support interventions that are community initiated and driven. Attention will be paid to care for carers at community level to ensure sustainability of services. Stakeholders will complement existing government support to community-based interventions.
Strengthening social protection systems through improved capacities of Department of Social Welfare and the National Children’s Coordination Unit (NCCU). This will involve linking the informal social protection systems to the formal social protection systems. The capacity of NCCU and the Department of Social Welfare to coordinate and monitor implementation of impact mitigation for individuals, households and families affected by HIV and AIDS will be strengthened.