Swaziland Background
Data sourced: 2024.   Page updated: 2025-10-30

In Swaziland also known as Eswatini, the current prevalence of tobacco smoking among adults aged 15 years and older, as of 2024, was reported to be 15.8% among males, while among females, it was only 1.7%, with an overall adult smoking prevalence of 8.6%. This represents a slight increase from 2020, when the rates were 14.2% among males, 0.9% among females, and 7.4% overall. The number of smokers in 2024 was estimated to be 70,000 individuals which reflects an increase from 51,665 in 2020.
In terms of smoking-related mortality, in 2021, there were 370 deaths attributed to smoking, with males accounting for 259 of these deaths and females accounting for 110. Smoking-related deaths constituted 2.09% of all deaths in Swaziland, with 2.7% of male deaths and 1.37% of female deaths. These figures highlight the ongoing public health challenges posed by tobacco smoking in Swaziland, underscoring the need for continued public health measures to mitigate its impacts.

Prevalence

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Year Value Reference/Comment
2019 62,584 1A
2024 70,000 1B
References:
  1. (1) WHO global report on trends in prevalence of tobacco use 2000-2025, third edition. (2019). World Health Organization. https://www.who.int/publications/i/item/who-global-report-on-trends-in-prevalence-of-tobacco-use-2000-2025-third-edition. (2) Department of Economic and Social Affairs (Ed.). (2019). World Population Prospects 2019 (Online Edition Rev. 1.; Population Division). United Nations. https://population.un.org/wpp/Download/Standard/Population/
  2. WHO. (2025). WHO global report on trends in prevalence of tobacco use 2000–2024 and projections 2025–2030 (6th edn). World Health Organization. https://www.who.int/publications/i/item/9789240116276
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Year Value Reference/Comment
2019 8.9% 1A
2020 7.4% 1B
2022 7.6% 1C A
2024 8.6% 1D
References:
  1. WHO global report on trends in prevalence of tobacco use 2000-2025, third edition. (2019). World Health Organization. https://www.who.int/publications/i/item/who-global-report-on-trends-in-prevalence-of-tobacco-use-2000-2025-third-edition.
  2. WHO. (2021). WHO global report on trends in prevalence of tobacco use 2000-2025, fourth edition (4th ed). World Health Organization. https://apps.who.int/iris/handle/10665/348537
  3. WHO. (2024). WHO global report on trends in prevalence of tobacco use 2000–2030. World Health Organization. https://www.who.int/publications/i/item/9789240088283
  4. WHO. (2025). WHO global report on trends in prevalence of tobacco use 2000–2024 and projections 2025–2030 (6th edn). World Health Organization. https://www.who.int/publications/i/item/9789240116276
Comments:
  1. Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
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Year Value Reference/Comment
2019 1.4% 1A
2020 0.9% 1B
2022 1% 1C A
2024 1.7% 1D
References:
  1. WHO global report on trends in prevalence of tobacco use 2000-2025, third edition. (2019). World Health Organization. https://www.who.int/publications/i/item/who-global-report-on-trends-in-prevalence-of-tobacco-use-2000-2025-third-edition.
  2. WHO. (2021). WHO global report on trends in prevalence of tobacco use 2000-2025, fourth edition (4th ed). World Health Organization. https://apps.who.int/iris/handle/10665/348537
  3. WHO. (2024). WHO global report on trends in prevalence of tobacco use 2000–2030. World Health Organization. https://www.who.int/publications/i/item/9789240088283
  4. WHO. (2025). WHO global report on trends in prevalence of tobacco use 2000–2024 and projections 2025–2030 (6th edn). World Health Organization. https://www.who.int/publications/i/item/9789240116276
Comments:
  1. Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
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Year Value Reference/Comment
2019 16.3% 1A
2020 14.2% 1B
2022 14.6% 1C A
2024 15.8% 1D
References:
  1. WHO global report on trends in prevalence of tobacco use 2000-2025, third edition. (2019). World Health Organization. https://www.who.int/publications/i/item/who-global-report-on-trends-in-prevalence-of-tobacco-use-2000-2025-third-edition.
  2. WHO. (2021). WHO global report on trends in prevalence of tobacco use 2000-2025, fourth edition (4th ed). World Health Organization. https://apps.who.int/iris/handle/10665/348537
  3. WHO. (2024). WHO global report on trends in prevalence of tobacco use 2000–2030. World Health Organization. https://www.who.int/publications/i/item/9789240088283
  4. WHO. (2025). WHO global report on trends in prevalence of tobacco use 2000–2024 and projections 2025–2030 (6th edn). World Health Organization. https://www.who.int/publications/i/item/9789240116276
Comments:
  1. Current tobacco smoking rates among people aged 15 years and older, 2022 estimates. Crude adjusted prevalence (%).
50,778
2 A
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Year Value Reference/Comment
2017 or earlier 6.3% 3A A
2014 4.8% 3B B
References:
  1. WHO report on the global tobacco epidemic, 2017, Country profiles http://www.who.int/tobacco/surveillance/policy/country_profile/en/
  2. Swaziland STEPS NCD Risk Factor Survey, 2014; National, ages 15-69. Cited in WHO report on the global tobacco epidemic, 2023. Country profile.
Comments:
  1. These rates are modelled using all national survey data published since 1990 to estimate the underlying prevalence trends by sex, then applying age-standardization to allow comparison with other countries. They do not necessarily resemble country data from 2015
  2. Prevalence of daily tobacco smoking from the latest survey.
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Year Value Reference/Comment
2017 or earlier 1.3% 3A A
2014 0.8% 3B B
References:
  1. WHO report on the global tobacco epidemic, 2017, Country profiles http://www.who.int/tobacco/surveillance/policy/country_profile/en/
  2. Swaziland STEPS NCD Risk Factor Survey, 2014; National, ages 15-69. Cited in WHO report on the global tobacco epidemic, 2023. Country profile.
Comments:
  1. These rates are modelled using all national survey data published since 1990 to estimate the underlying prevalence trends by sex, then applying age-standardization to allow comparison with other countries. They do not necessarily resemble country data from 2015
  2. Prevalence of daily tobacco smoking from the latest survey.
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Year Value Reference/Comment
2017 or earlier 11.6% 3A A
2014 9.5% 3B B
References:
  1. WHO report on the global tobacco epidemic, 2017, Country profiles http://www.who.int/tobacco/surveillance/policy/country_profile/en/
  2. Swaziland STEPS NCD Risk Factor Survey, 2014; National, ages 15-69. Cited in WHO report on the global tobacco epidemic, 2023. Country profile.
Comments:
  1. These rates are modelled using all national survey data published since 1990 to estimate the underlying prevalence trends by sex, then applying age-standardization to allow comparison with other countries. They do not necessarily resemble country data from 2015
  2. Prevalence of daily tobacco smoking from the latest survey.
1%
2 A
References:
  1. WHO. (2025). WHO global report on trends in prevalence of tobacco use 2000–2024 and projections 2025–2030 (6th edn). World Health Organization. https://www.who.int/publications/i/item/9789240116276
  2. WHO report on the global tobacco epidemic, 2017, Country profiles http://www.who.int/tobacco/surveillance/policy/country_profile/en/
  3. Swaziland STEPS NCD Risk Factor Survey, 2014; National, ages 15-69. Cited in WHO report on the global tobacco epidemic, 2023. Country profile.
Comments:
  1. These rates are modelled using all national survey data published since 1990 to estimate the underlying prevalence trends by sex, then applying age-standardization to allow comparison with other countries. They do not necessarily resemble country data from 2015
  2. Prevalence of daily tobacco smoking from the latest survey.

Smoking-related mortality

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Year Value Reference/Comment
2016 737 1A
2021 370 1B A
References:
  1. The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
  2. Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
  1. Number of tobacco-related deaths in the population in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
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Year Value Reference/Comment
2016 172 1A
2021 110 1B A
References:
  1. The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
  2. Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
  1. Number of tobacco-related deaths in the population in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
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Year Value Reference/Comment
2016 565 1A
2021 259 1B A
References:
  1. The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
  2. Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
  1. Number of tobacco-related deaths in the population in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
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Year Value Reference/Comment
2016 6.12% 1A
2021 2.09% 1B B
References:
  1. The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
  2. Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
  1. Percentage of tobacco-related deaths to deaths from all causes in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
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Year Value Reference/Comment
2016 2.9% 1A
2021 1.37% 1B B
References:
  1. The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
  2. Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
  1. Percentage of tobacco-related deaths to deaths from all causes in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
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Year Value Reference/Comment
2016 7.1% 1A
2021 2.7% 1B B
References:
  1. The Tobacco Atlas. Available at: https://tobaccoatlas.org/topic/deaths/ Data source: GBD 2016 Risk Factors Collaborators.
  2. Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
  1. Percentage of tobacco-related deaths to deaths from all causes in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
References:
  1. Global Burden of Disease (GBD) 2021. https://vizhub.healthdata.org/gbd-results/
Comments:
  1. Number of tobacco-related deaths in the population in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
  2. Percentage of tobacco-related deaths to deaths from all causes in 2021 by gender for all age groups. Tobacco-related mortality includes smoking tobacco use, smokeless tobacco use and second-hand smoke.
The GSTHR database is updated regularly by our team. However, please be aware that the information we provide does not constitute legal advice. We cannot guarantee that the information is up to date or accurate, as the regulatory status of different product categories can change at short notice and with little publicity. If you wish to check the legal status of use or possession of any safer nicotine product in a specific country or region, you should verify the information independently. If you have reason to think that the information supplied on the GSTHR is inaccurate, please contact us with details and any references and we will rectify any errors.