By Phesheya Ian Kunene
MBABANE – The Ministry of Health has made significant strides in addressing critical challenges within Eswatini’s healthcare sector.
This progress was highlighted in a government performance report covering November 2023 to September 2024, presented by Prime Minister Russell Dlamini last week.
Health Minister Mduduzi Matsebula reported advancements in reducing supplier debts, improving emergency services, and enhancing the distribution of medical supplies. Among the notable achievements was the purchase of eight ambulances, aimed at bolstering emergency response capabilities, particularly for critically ill patients requiring continuous care. These ambulances have been
allocated to key health facilities, including Dvokolwako Health Centre, Piggs Peak Government Hospital, and Mkhuzweni Health Centre.
In a bid to improve cancer detection and treatment, the ministry also acquired a mobile cancer screening vehicle and related equipment to serve remote communities. Minister Matsebula revealed plans to procure three additional vehicles to ensure comprehensive nationwide coverage.
On medical supplies, the Central Medical Stores (CMS) fulfilled 83% of requisitions within three months, excluding the stocktaking period in March. This achievement marks a significant improvement in the timely delivery of essential medicines and supplies.
Addressing financial challenges, the minister acknowledged outstanding debts amounting to E208.9 million, caused by budget constraints and administrative delays. However, E77.7 million of these arrears have been cleared, with efforts ongoing to settle the remaining E131.7 million. Improved financial systems and allocations in the 2024/25 budget have been instrumental in these efforts.
Infrastructure Development
The ministry also highlighted infrastructure achievements, including the completion of three capital projects. Among them is the Ndunayithini Clinic, which now features a maternity ward, screening offices, and a generator house. Another milestone is the addition of a maternity department at KaZondwako Clinic, funded jointly by the government and the Usuthu Royal Trust.
Tackling Health Challenges
Eswatini continues to face a dual burden of communicable and non-communicable diseases. HIV/AIDS remains a major health concern, with the country having one of the highest prevalence rates globally. Nevertheless, the government’s efforts in expanding antiretroviral therapy coverage have significantly reduced AIDS-related deaths, improving the quality of life for those living with the virus. Tuberculosis (TB), often linked to HIV, also remains a challenge. The ministry has focused on strengthening TB detection, treatment, and prevention programs, particularly in rural areas with limited healthcare access.
Non-communicable diseases like diabetes, hypertension, and cancers are on the rise due to changing lifestyles and urbanization. Minister Matsebula emphasized the need for early detection and public education to reverse this trend. Outreach programs and mobile health clinics have been deployed to ensure that vulnerable populations receive timely interventions.
Maternal and Child Health
Reducing maternal and infant mortality rates remains a top priority. The construction of maternity wards and expansion of maternal health services demonstrate the government’s commitment. Vaccination campaigns have also played a key role in controlling preventable diseases among children.
Collaboration for a Healthier Nation
Minister Matsebula reiterated the ministry’s dedication to improving the healthcare system. He stressed that collaboration with international partners, such as the World Health Organization, and other stakeholders will remain crucial to achieving Eswatini’s health goals. The government’s initiatives reflect a holistic approach to addressing the country’s health challenges, promising a stronger and more accessible healthcare system for all citizens.
