Developing Advanced Practice Nursing Education, Practice and Policy in Eswatini

Part of the Advanced Practice in Nursing book series (APN)


Seed Global Health (Seed) supports health system strengthening in Sub-Saharan Africa (SSA) in response to a growing burden of disease in the face of a critical shortage of health workers. The University of Eswatini partnered with Seed Global Health, a founding partner of the Global Health Service Partnership (GHSP), between 2016 and 2018 to support the development and implementation of a master’s level Family Nurse Practitioner (FNP) program. Four US nurse practitioner GHSP Educators worked side-by-side with faculty over the 2-year partnership. The collaboration between GHSP educators and Eswatini nursing faculty and leaders to develop and implement the FNP curriculum and role is described. The cohesion of the nursing leaders across education, government, professional associations, and communities is central to the evolution of the FNP program.


Eswatini UNISWA Seed Global Health Nursing Leadership Family Nurse Practitioner (FNP) 


  1. DiCenso A, Bryant-Lukosius D, Martin-Misener R, Donald F, Abelson J, Bourgeault I, Kilpatrick K, et al. Factors enabling advanced practice nursing role integration in Canada. Nurs Leadersh. 2010;23(Special Issue):211–38. Scholar
  2. Harris C. Morgan Stanley’s Carla Harris: invest in ‘relationship currency’. [Internet]. Chicago, IL: Network of Executive Women; 2018. [cited 2019 May 28]. Available from Scholar
  3. Kingdom of Eswatini Ministry of Health Monitoring and Evaluation Unit. Annual TB program report. [Internet]. 2017. [cited 2019 June 27]. Available from
  4. Lovink MH, Persoon A, Koopmans R, Van Vught A, Schoonhoven L, Laurant MG. Effects of substituting nurse practitioners, physician assistants or nurses for physicians concerning healthcare for the aging population: a systematic literature review. J Adv Nurs. 2017;73:2084–102.CrossRefGoogle Scholar
  5. Mathunjwa MD, Potgieter E. The roles of family nurse practitioners (FNPS) in Swaziland and their needs for continuing education. Afr J Nurs Midwifery. 2004;6(2):13–9.Google Scholar
  6. Price-Mitchel M. Creating a culture of integrity in the classroom. [Internet]. San Rafael: George Lucas Educational Foundation; 2015. [cited 2019 May 13]. Available from Scholar
  7. The World Bank Data. Physicians (per 1000 people). [Internet]. 2019a. [cited 2019 June 27]. Available from
  8. The World Bank Data. Nurses and midwives (per 1000 people). [Internet]. 2019b. [cited 2019 June 27]. Available from
  9. UNAIDS. AIDSinfo—Eswatini. [Internet]. 2017. [cited 2019 June 27]. Available from
  10. United Nations. Sustainable development goals. [Internet]. 2019. [cited 2019 June 26]. Available from
  11. World Health Organization. Health financing for universal health coverage. [Internet]. 2019a. [cited 2019 June 26]. Available from
  12. World Health Organization. Primary health care. [Internet]. 2019b. [cited 2019 June 26]. Available from
  13. Worldometers. Swaziland population. [Internet]. 2019. [cited 2019 June 27]. Available from

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Seed Global HealthBostonUSA
  2. 2.University of EswatiniMbabaneEswatini
  3. 3.Washington State UniversityVancouver, WashingtonUnited States

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