USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project | Swaziland


Tuberculosis (TB) is one of the major public health problems confronting the Kingdom of Swaziland. Ministry of Health (MOH) statistics show that tuberculosis accounts for about 10% of in-patient morbidity in the country and is responsible for 20% of in-patient deaths. To compound this, an estimated 80% of TB-infected patients are co-infected with HIV. The high TB/HIV co-infection rate affects both case detection and treatment outcomes adversely.

The USAID ASSIST Project is using modern quality improvement approaches to expand the coverage of integrated TB/HIV diagnostics and treatment services and improve TB treatment outcomes as well as the quality of TB, TB/HIV, and multidrug-resistant (MDR) TB services. ASSIST works with the MOH through the National Tuberculosis Control Programme (NTCP), the Swaziland National AIDS Programme (SNAP), and the National Clinical Laboratory Services (NCLS) to apply lessons learned from established HIV/AIDS and TB quality improvement activities and thereby adapt integrated service delivery models and algorithms for health facilities and providers in Swaziland.

Key Activities
  • Support the MOH and implementing partners to institutionalize modern quality improvement approaches.
  • Contribute to health systems strengthening by building the capacity of model TB/HIV clinics and two Centers of Excellence for TB care and treatment.
  • Support the expansion of Directly Observed Treatment for TB, including management of multidrug-resistant TB.
  • Strengthen the capacities of the MOH and its partners to implement Infection control.
  • Implement integrated TB/HIV prevention, care, and treatment activities.
  • Enable and promote research to improve pediatric TB diagnosis.
2012 to present
US Agency for International Development (USAID) | Swaziland
Swaziland Ministry of Health, National Tuberculosis Control Program
Regions/ Countries 
Geographic Scope 
Hhohho and Manzini districts