Eswatini has the highest HIV prevalence in the world; an estimated one in three women and one in five men are HIV positive. And with a high rate of new infections, the epidemic continues to grow. URC has been working to strengthen primary health care services in Eswatini (once Swaziland) since the 1980s.

URC’s first project in the country was the USAID-funded Primary Health Care Operations Research Project (PRICOR) I and II, which addressed critical issues facing primary health care services in developing countries. From 2006–2011, URC also worked with the Ministry of Health in Eswatini to expand access to and the use of provider-initiated HIV testing and counseling. Implementation of activities through USAID’s Health Care Improvement Project (HCI) followed thereafter.

Since then, URC has provided technical support to strengthen Eswatini’s HIV and tuberculosis lab services. Our current activities in Eswatini include HIV/AIDS and Tuberculosis Laboratory Support and the Applying Science to Strengthen and Improve Systems Project (ASSIST) in 2012.