Isoniazid Preventative Therapy (IPT) in Swaziland

Improving Uptake and Identifying Critical Factors to Enable Successful Delivery and Treatment Completion

Isoniazid Preventative Therapy (IPT) is a highly effective tuberculosis (TB) prevention method for people living with HIV, with a 33-64% reduction in TB in HIV+ patients who completed IPT. This benefit is enhanced to an 80-95% reduction when IPT is combined with proper anti-retroviral therapy (ART).

Country Program: 

TB in Mines

   In 2015, USAID TB CARE II project began an initiative to address TB in miners in the Southern African Region.  The overall objective is to improve detection and management of TB and other co-morbidities among the mine workers and their families.  This would also help to control the spread of TB and reduce new incidences of TB.

Reducing TB Delays: Evaluating the Frequency and Causes of Delays in Bangladesh and Swaziland


In 2011-2012, TB CARE II undertook a study to understand TB patients’ delays and inform the development of an integrated set of recommendations for TB program managers and service providers regarding the appropriateness of different strategies for reducing patient factor delays in accessing TB diagnostic and treatment services.



Swaziland is classified by WHO as a high burden HIV country – 73% of TB patients were HIV positive in 2014.  While uptake of CPT among TB/HIV co-infected patients was high (98%), only 79% of HIV-positive TB patients were on ART.

Scaling-Up Coordinated TB/HIV Treatment

CDC-Lab Project Helps SANU Launch Medical Laboratory Science Programme


Begining in August 2012, Students at Southern African Nazarene University (SANU) in Manzini, Swaziland can now complete a Bachelor of Science in Medical Laboratory Science Programme (BSMLSP), a degree program developed by the university in partnership with the TB and HIV Laboratory Technical Assistance Project, implemented by University Research Co., LLC (URC) through support from the US Centers for Disease Control.

The BSMLS Programme is a certification program that includes courses in basic sciences, communication skills, computing for health sciences, anatomy and physiology, as well as religious studies. Twenty-nine students were enrolled in the first semester starting in August 2012, most of whom will be sponsored by the Government Scholarship Programme. SANU also launched a Pharmacy Assistant course this semester. 

At a launch ceremony held November 1, 2012, the Prime Minister of Swaziland offered the following words: "The courses represent a direct response to the priorities of His Majesty's Government and the outcome of extensive consultations between SANU and Government. The SANU University Senate gave approval for the two programmes to commence in August 2012 and we are grateful for the innovative spirit shown by SANU in introducing these highly relevant courses."