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News release

Most Emaswati worry about affording and obtaining health care, willing to pay higher taxes for universal health care

31 Oct 2025 Eswatini
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News release
Key findings
  • Only 6% of Emaswati say they have medical aid coverage that helps pay for medical bills (Figure 1).
  • Most citizens (70%) who do not have health insurance say it’s because they cannot afford it (Figure 2).
  • More than nine in 10 Emaswati (93%) say they worry about obtaining or affording medical care for themselves or family members, including 81% who worry “a lot” (Figure 3).
  • About two-thirds (68%) of citizens “agree” or “strongly agree” that the government should ensure universal access to adequate health care, even if it means higher taxes (Figure 4). o Poor Emaswati are more likely than better-off respondents to say the government should ensure universal access to health care (76% vs. 64%-66%), as are rural residents compared to urbanites (71% vs. 60%) (Figure 5). o Youth (73%) are more supportive than the elderly (66%), though support is even lower among 46- to 55-year-olds (60%).

More than nine in 10 Emaswati worry about obtaining or affording medical care for  themselves or family members, a recent Afrobarometer study shows. 

Only 6% of citizens have medical aid coverage. Among those who lack medical aid, seven  in 10 cite unaffordability as the main reason. 

Most citizens say they worry that they would not be able to obtain or afford medical care if  they or a family member got sick, including four-fifths who say they worry “a lot.” 

Two-thirds of Emaswati support government provision of universal health care (UHC), even at  the cost of higher taxes. Poorer citizens, youth, and rural residents are especially likely to  endorse UHC.