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Swaziland is critically affected by the HIV and AIDS pandemic, which is now an existential threat to its society. As reported in the 2009 CIA World Factbook, Swaziland has the highest HIV infection rate in the world (26% of all more in other reports) and also the lowest life expectancy at 32 years, which is 6 years lower than the next lowest average of Angola. From another perspective, the last available World Health Organization data in 2002 shows that 61% of all deaths in the country were caused by HIV/AIDS.[9] With a record crude death rate of 30 per 1000, this means that about 2% of the Swazi population dies from HIV every year. Chronic illnesses that are the most prolific causes of death in the developed world accounting only for a minute fraction of deaths in Swaziland; for example, heart disease, strokes, and cancer cause fewer than 5% of deaths in Swaziland in total, compared to 55% of all deaths yearly in the US.[10]

In 2004, Swaziland acknowledged for the first time that it suffered an AIDS crisis, with 38.8% of tested pregnant women infected with HIV (see AIDS in Africa). Prime Minister Themba Dlamini declared a humanitarian crisis due to the combined effect of drought, land degradation, increased poverty, and HIV/AIDS. Life expectancy has fallen from 61 years in 2000 to 32 years in 2009.[11] Tuberculosis is also a significant problem, with an 18% mortality rate. Many patients have a multi-drug resistant strain, and 83% are co-infected with HIV.[12]

Public expenditure was at 4% of the GDP of the country, whereas private expenditure was at 2.3%.[13][specify] There were 16 physicians per 100,000 persons in the early 2000s.[13][specify] Infant mortality was at 110 per 1,000 in 2005,[13][specify] with the WHO showing that 47% of all deaths under 5 are caused by HIV/AIDS

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