Background: Obesity and associated chronic diseases are increasing in frequency in African populations that also have a high burden of disease from infectious diseases such as HIV/AIDS and tuberculosis. Obesity and diabetes mellitus are common in Swaziland, Southern Africa, where >10% of children under the age of five are already obese. Methods: To examine the school food environment in primary schools in Hhoho, Swaziland, the menus at two tuck shops (in-school convenience shops) were evaluated and macronutrients were obtained for various items. Results: Both tuck shops sold a high number of sugar-sweetened beverages and other nutrient-poor, high caloric foods. Correspondingly, neither tuck shop sold low fat or skim milk or fruits or vegetables. The tuck shops were open all day and available to students as young as those in the preschool grades. Conclusion: To curb obesity and associated conditions in Swaziland, school officials and health policy advocates need to focus on the school nutrition environment.