Eswatini Nazarene Health Institutions

Eswatini Nazarene Health Institutions, a not-for-profit health organization based in Manzini, Eswatini, operates exclusively as a sub-recipient on federal health grants focused on HIV and tuberculosis service integration in southern Africa. The organization holds no prime federal contracts or grants; all three recent awards are sub-grants under Georgetown University's prime grant from the Centers for Disease Control and Prevention (CDC).

ENHI's federal work centers on HIV testing, treatment initiation and retention, tuberculosis screening and prevention, and clinical-service integration across 11 health facilities in Eswatini's Manzini and Lubombo regions. The work is funded through CDC/PEPFAR (President's Emergency Plan for AIDS Relief) and implements the Support Eswatini to Achieve and Sustain Epidemic Control (SEASEC) project. Recent sub-award work includes a February 2024 sub-grant focused on HIV case identification, ART (antiretroviral therapy) initiation and retention, viral-load suppression monitoring, facility mentorship, and clinical guideline implementation; an October 2024 sub-grant expanding this scope to include 7,614 HIV tests, index testing, HIV self-test kit distribution, cervical cancer screening, gender-based violence identification, male circumcision, pre-exposure prophylaxis (PrEP), and TB preventive therapy across a defined patient numerator; and a November 2025 cost-extension sub-grant extending the ALLOCATE project (the two-year TB/HIV service-integration initiative) for twelve additional months with emphasis on facility-led quality improvement, the LEARN mentorship model, and adaptive management through performance monitoring.

Activity is minimal: two awards in 2024 and one in 2025, with combined dollars obligated at $450 thousand. Customer concentration is absolute — all three awards flow through CDC via Georgetown University as the prime grantee. ENHI functions as a local implementing partner delivering clinical services and facility-level capacity building in-country, with Georgetown University providing oversight, monthly review coordination, and approval of major implementation changes. No parent vehicles, IDIQs, or task-order mechanisms apply; sub-grants are direct allocations from the prime recipient.