Food by Prescription

About this Operation

Resource Situation

This operation has been modified as per budget revision 5 (see below)

Swaziland has the highest prevalence rate of HIV in the world with 26 percent of the adult population and 38 percent of pregnant women infected.  Around 80,000 people living with HIV require anti-retroviral treatment and 9,300 are estimated to need prevention of motherto-child transmission treatment. Of these, 59 percent and 88 percent respectively are currently receiving medication. A malnutrition baseline survey, undertaken in October 2010, found that 24 percent of those receiving anti-retroviral treatment and 57 percent of those initiating tuberculosis treatment were acutely malnourished. Wasting is strongly associated with poor treatment outcomes and is a reliable predictor of mortality.

The objective of this development project is to improve the client’s nutritional recovery, treatment success and survival rate as well as improve food consumption within the targeted households. Under the leadership of the Ministry of Health, WFP will implement a Food by Prescription programme in the main health facilities across the country targeting: (i) undernourished clients undergoing anti-retroviral treatment; and (ii) tuberculosis treatment and women enrolled into the prevention of mother-to-child transmission/ante-natal care. WFP will provide individual monthly take-home ration of Supercereal and a household ration. In addition, moderately malnourished children in supplementary feeding programmes, many of whom are HIV positive or exposed, will also be assisted.

Throughout the lifespan of the project, WFP will work to develop the capacity of the Ministry of Health’s National Nutrition Council with the view to handing over the implementation of the Food by Prescription programme in the future. In particular, capacity development efforts will focus on project management, procurement, storage and inventory management.


Budget revision 5 to Swaziland DEV 200353 extends the operation by twelve months (to 30 June 2017), with no change in the objectives and overall design of the operation.