Swaziland is a small country located in southern Africa that is home to approximately one million people. The needs in Swaziland are staggering, as HIV/AIDS claims the lives of an estimated 42% of the population. It is the elderly and the children who are left with an entire generation of mothers and fathers yielding to the deadly effects of this disease. The life expectancy in Swaziland is the lowest in all of Africa at 29 years.

Currently it is estimated that there are 70,000+ orphans and vulnerable children in Swaziland. Considering existing health conditions, it is estimated that in 2010 there will be 130,000+ orphans and vulnerable children in Swaziland.

In Swaziland, Heart for Africa is working with three children's homes, El Shaddai, New Hope Center, and Emmanuel Khayelethu.