Why America’s Investment in The Luke Commission Matters—Now More Than Ever
The United States is facing an escalating debt crisis, and we understand that Americans want every dollar invested abroad to bring direct, strategic benefits back home. That’s exactly what we’ve been doing at The Luke Commission (TLC) for the past 20 years—delivering life-saving health services with unmatched efficiency while also protecting U.S. health security, strengthening American-led global leadership, and safeguarding key U.S. economic interests in Eswatini, Africa’s last remaining Taiwanese ally.
A 15-Year U.S. Partnership That Delivers Results
What started as a small, family-funded medical outreach has grown—through 15 years of partnership with the U.S. government (PEPFAR & USAID)—into a nationally recognized, high-impact health system that now reaches 300,000 patients every year. This longstanding U.S. investment has yielded extraordinary, measurable outcomes and serves as a blueprint for maximizing impact with limited resources.
The U.S. government has long been a champion of global health security. This administration has made it clear that the future of aid isn’t just about providing more—it’s about accountability, transparency, and partnerships that get real results. TLC has pioneered a model that delivers on this mandate.
Why This Matters to America
Our work aligns with the core U.S. priorities of Protect, Power, and Prosper:
Protect – We help prevent regional health risks that could destabilize Eswatini and threaten U.S. health security, preventing epidemic spillover into the United States.
Power – TLC, a partner with deep-rooted American investments, strengthens U.S. global health leadership, ensuring that American investments deliver measurable results. Eswatini’s stability also prevents China from displacing the U.S. as the preferred partner.
Prosper – U.S. businesses, including Coca-Cola (25% of Eswatini’s GDP), depend on a healthy workforce. TLC ensures economic stability, reinforcing key U.S. trade relationships.
A Proven Model for Maximum Impact
We’ve spent years proving that strategic investments in healthcare can transform communities. Here’s how:
Fully Digitalized Health Infrastructure (Luvelo) – Built with USAID and other American support, Luvelo is an electronic health system that tracks every patient, commodity, team member, and donor dollar to ensure 100% accountability and maximize impact.
Leading the HIV Fight – We helped Eswatini become the first country in the world to achieve HIV epidemic control. We’ve led in ART (antiretroviral therapy) initiations and TB case detection, changing the course of history for a nation once devastated by HIV.
COVID-19 & Beyond – TLC cut Eswatini’s COVID-19 fatality rate by 50%, built the nation’s first medical oxygen plant, and led the national vaccine tracking system, ensuring 100% vaccine utilization.
Unmatched Efficiency – TLC scaled to serve 300,000 patients annually on a lean budget, proving that technology and accountability can transform global aid, ensuring every dollar delivers measurable impact.
Why the U.S. Should Leverage TLC
We know the U.S. can’t afford to waste another dollar on ineffective aid models. That’s why we’ve built a blueprint for high-impact, cost-effective service delivery that can be replicated—not just in Africa, but for U.S. healthcare, disaster response, and global partnerships.
We stand ready to work alongside U.S. leaders in implementing high-impact, accountable solutions. Every dollar invested in TLC doesn’t just save lives—it strengthens America’s leadership, protects U.S. interests, and creates a healthier, more stable world. Let’s build on this success together.