USAID Health Care Improvement Project (HCI) | Swaziland


With PEPFAR funding through USAID/Swaziland, URC assisted the Ministry of Health and Social Welfare, the National TB Control Program (NTP), and the Swaziland National AIDS Program to use the World Health Organization-recommended treatment strategy to detect and cure tuberculosis (TB). The project’s goal was to reduce the number of deaths caused by TB and HIV by increasing TB case detection, successfully treating patients, and by addressing issues of multi-drug resistant (MDR) TB and TB/HIV co-infection.

Read more about the HCI project or visit the USAID ASSIST Project website.

Key Activities

  • Provided technical support to the NTP, the National AIDS Programs, and the National Clinical Laboratory Services to put in place cost-effective, evidence-based interventions for the management of TB, TB-HIV co-infection, and MDR-TB
  • Strengthened HIV testing and counseling decentralization, TB and HIV service integration, MDR-TB surveillance, and laboratory services through capacity building and quality improvement coaching of health care providers in TB diagnostic sites and primary health care clinics
  • Contributed to health systems strengthening in the areas of health information management, health workforce development, essential TB and HIV medicines and supplies provision, infrastructure development, and health systems financing
  • Supported hospitals, health centers, and primary health care clinics in providing high-quality TB screening, diagnosis, and treatment services to increase TB treatment enrollment and success
  • Supported national hospitals and health centers to expand access to antiretroviral therapy for TB patients and improve management of MDR TB


  • TB case detection increased from 32% in 2007 to 70% in 2010
  • TB treatment success rose from 43% in 2007 to 73% in 2010
  • Cotrimoxazole uptake among TB-HIV co-infected patients increased from 32% in 2007 to over 95% in 2010
2007 to 2013
US Agency for International Development (USAID)
Regions/ Countries 
Geographic Scope 
All hospitals, health centers and TB diagnostic units in all four regions of the country.