Sexual and gender-based violence (SGBV) remains a major concern in Eswatini, with abuse affecting women, university students, and minors. Lifetime sexual violence among girls aged 13–24 fell from 48.9 per cent in 2007 to 8.1 per cent in 2022, according to UNFPA, yet the burden remains substantial.

According to the Ministry of Health's annual report, 2,572 incidents were reported in 2025, including 1,462 cases of sexual violence (139 of them involving male survivors).

At MSF's Sitsandziwe Clinic in Matsapha, a major industrial hub near Manzini, teams closely monitor the situation while providing comprehensive support to survivors of sexual violence. National trends remain deeply concerning, with local newspapers reporting cases of sexual abuse against minors. While access to medical care is critical, one of the most significant gaps remains protection and legal support, which are among the barriers that prevent many survivors from seeking timely healthcare.