Dr. Sibusiso Dlamini

Dr. Sibusiso Dlamini is a general practitioner at Mbabane Government Hospital, the main public referral hospital of the Kingdom of Eswatini (formerly Swaziland), located in the highland capital Mbabane. With 15 years of frontline clinical experience, Dr. Dlamini has built his practice around the two conditions that most profoundly shape Eswatini's public health landscape: HIV/AIDS and tuberculosis. Eswatini has historically had one of the highest HIV prevalence rates in the world, and TB co-infection is common, meaning that a large proportion of patients presenting to Mbabane Government Hospital require integrated HIV-TB management—an area in which Dr. Dlamini has developed considerable expertise. He is trained in the initiation and management of antiretroviral therapy and in the application of Eswatini's national TB treatment protocols. Alongside this infectious disease burden, he manages a growing caseload of non-communicable diseases including hypertension and diabetes mellitus, conditions that affect an increasing proportion of the Swazi adult population. Dr. Dlamini is fluent in English, the official language of professional and formal discourse in Eswatini, and in SiSwati, the national language spoken by virtually all Swazi citizens, allowing him to provide culturally connected care to all patients regardless of their educational background.

Dr. Dlamini completed his MBChB at the University of the Witwatersrand in Johannesburg, South Africa, following the long-established practice of Swazi medical students undertaking their training at South African universities given the absence of a medical faculty in Eswatini. He subsequently obtained a Diploma in HIV Medicine, reflecting the country's acute need for clinicians skilled in antiretroviral therapy and opportunistic infection management. He returned to Eswatini after qualification and joined the staff at Mbabane Government Hospital, where he has remained committed to public sector practice.

Dr. Dlamini's clinical expertise is centred on HIV and TB management within the public health system. He is skilled in HIV testing, pre-test counselling, and the initiation and long-term management of antiretroviral therapy including regimen switching for treatment failure. He manages TB and HIV-TB co-infection according to national guidelines, coordinating with the country's TB programme infrastructure. His primary care repertoire also includes management of hypertension and diabetes, anaemia assessment and treatment, malaria diagnosis and management for patients presenting from lower-altitude regions, and routine wound care and minor surgical procedures.

Dr. Dlamini is primarily committed to clinical service at Mbabane Government Hospital. He has engaged with national HIV programme monitoring activities and has participated in workshops organised by the Eswatini National AIDS Programme and the National Tuberculosis and Leprosy Programme aimed at improving treatment outcomes and retention in care. He contributes clinical insights to the Eswatini Medical and Dental Association's continuing education activities.

Dr. Dlamini provides medical care at Mbabane Government Hospital for visitors and travellers in Eswatini, as well as members of the Swazi diaspora returning from South Africa and beyond who seek primary care during their time at home. He communicates fluently in English, and his SiSwati language skills enable full engagement with the local population. Consultations at the hospital are arranged through the outpatient department.

Dr. Dlamini is a member of the Eswatini Medical and Dental Association and is recognised within the Mbabane Government Hospital community for his sustained commitment to HIV and TB care in the public sector. His dedication to a patient population facing significant stigma and socioeconomic barriers to healthcare has been noted by hospital leadership and public health programme administrators.