Swaziland HIV Incidence Measurement Survey (SHIMS) report
The Swaziland HIV Incidence Measurement Survey (SHIMS) is a nationally representative survey aimed at assessing the impact of Soka Uncobe in the context of other national HIV prevention programs. SHIMS is the first measurement of directly-observed new HIV infections in Swaziland. This survey was led by the Ministry of Health in collaboration with PEPFAR and CDC and with ICAP as an implementing partner. The survey coincided with the Government of Swaziland’s expansion of HIV prevention services such as HIV counseling and testing, condom use, antiretroviral treatment, and male circumcision. This report describes data collected from a cross-sectional, pre-cohort survey and from a longitudinal cohort which was conducted prior to the expansion of Soka Uncobe. It describes a national HIV prevalence estimate, a prevalence measure of male circumcision, and a directly observed HIV incidence rate. It also describes the results of the validation of three laboratory assays (NAAT, BED EIA, and LAg-Avidity EIA) for the estimation of HIV incidence.