HIV in Swaziland
In November 2009, 24-year-old Zanele Mamba was living with her husband, Mfanzile Dlamini, in a one-room hut in Mkhulamini, Swaziland. Both were HIV-positive but relatively healthy thanks to government-supplied antiretroviral drugs (ARVs). Their 14-month-old daughter, Phiwa, was born HIV-negative thanks to prevention of mother-to-child transmission (PMTCT) services provided by the Elizabeth Glaser Pediatric AIDS Foundation. Jon photographed Zanele and her family in November 2009 as part of a World AIDS Day feature story.
When Jon visited Swaziland again in November 2010, he found things had changed drastically for Zanele and her family. Earlier that year, Mfanzile’s treatment failed and he became ill. He lost his job and died in June 2010. Soon after the funeral, Mfanzile’s family forced Zanele and Phiwa from their home. Zanele was six months pregnant at the time.
Zanele and Phiwa moved 60 kilometers to the Lubombo region, where they live with Zanele’s mother, Alice Mamba (who is also HIV-positive), and Zanele’s sister and three orphaned nieces. On September 23 2010, Zanele gave birth to a son, Nkosingphile, who received PMTCT services and has tested HIV-negative so far. Phiwa is a healthy two-year-old. All photos © Jon Hrusa/EPA