TLC reopens with standard rates, essential medicines free

EmaSwati can breathe a sigh of relief as The Luke Commission (TLC) has officially reopened its doors to patients across the country. 

After a period of uncertainty, the much-needed healthcare provider has resumed its operations — albeit with notable changes to how services are accessed and paid for.

According to an official statement released by TLC, patients will now be required to contribute towards the cost of their care. Services such as consultations, diagnostics and medical procedures will be charged at published standard rates. This marks a shift from the commission's long-standing model of providing care free of charge, a move attributed to financial constraints faced in recent years.


Despite this adjustment, there is some good news for the public. Essential medications and health commodities will continue to be provided free of charge. These include vital items such as antivenom for snakebites and refills for HIV and TB treatment. The continuation of these services has been made possible through a cross-subsidised model backed by international partners and the Government of Eswatini via the Central Medical Stores.

TLC’s shift in strategy comes in the wake of significant financial challenges. The organisation was severely impacted by the decision of the Donald Trump administration to freeze USAID funding — a blow felt by many humanitarian efforts in the region. As a direct beneficiary of USAID, TLC was forced to reassess its financial model in order to continue serving the people of Eswatini.

In response to these funding cuts, TLC has joined forces with Lijoye under the newly launched EquiCare Network. This partnership aims to provide high-quality healthcare services through a sustainable, social impact-driven model. The EquiCare Network is expected to help TLC maintain a high standard of care while ensuring that the most vulnerable continue to access life-saving treatment.

For nearly two decades, TLC has played an integral role in Eswatini’s healthcare landscape. The organisation has voluntarily provided over 1.5 million free patient visits, reaching deep into underserved rural communities. Its mobile hospital units and commitment to holistic care have earned it a reputation as one of the country’s most trusted medical institutions.



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