04/09/2026
FROM CAPACITY GAPS TO LEADERSHIP: ENHI CELEBRATES A TRANSFORMATIVE ALLOCATE PROJECT JOURNEY
97% NUPAS score, strengthened health systems and investment in healthcare workers mark a major milestone for Eswatini Nazarene Health Institutions
By Sandile Zwide Nxumalo
MATSAPHA, ESWATINI — 4 SEPTEMBER 2026 — The Eswatini Nazarene Health Institutions (ENHI) has marked a major institutional milestone following the completion of the Accelerating Local Organizational Capacity for Achieving TB/HIV Epidemic Control (ALLOCATE) Project, with the three-year initiative strengthening healthcare-worker capacity, institutional systems and the delivery of HIV and tuberculosis services across the Kingdom.
The milestone was celebrated on Thursday, 3 September 2026, at Esibayeni Lodge in Matsapha during the ALLOCATE Project Graduation Ceremony held under the theme “From Capacity Gaps to Leadership: ENHI’s Journey to Sustainable Excellence.” The ceremony brought together the Minister of Health, Mduduzi Matsebula, ENHI Chief Executive Officer Mazwi Mavuso, Parliament and government representatives, development partners, healthcare workers, clinical mentors and programme teams.
At the centre of the celebration was a powerful measure of institutional transformation: ENHI has achieved an outstanding 97% overall score in the Non-U.S. Organization Pre-Award Survey (NUPAS) Assessment, up from 68% in 2023.
FROM 68% TO 97%: A FOUR-YEAR TRANSFORMATION
The NUPAS results reflect a sustained improvement journey supported by capacity building, mentorship, technical assistance, stronger governance and institutional commitment.
ENHI recorded 68% in 2023, rising to 71% in 2024, before making a significant breakthrough with 92% in 2025. In 2026, the institution reached an exceptional 97%, demonstrating the progress made in strengthening its organisational systems and operational capacity.
The achievement was announced by Georgetown University Country Resident Director, Professor Samson Haumba, during the graduation ceremony.
For ENHI, the 97% score represents more than an assessment result. It reflects years of work to strengthen financial management, procurement, accountability, governance, programme implementation and institutional systems.
ENHI CEO Mazwi Mavuso described the milestone as evidence of continuous learning, resilience, mentorship, partnership and teamwork, while emphasising that the knowledge and systems developed through ALLOCATE must continue to be applied long after the project has ended.
ALLOCATE REACHES 11 ENHI FACILITIES
Over its three-year implementation period, ALLOCATE supported 11 ENHI facilities, including Raleigh Fitkin Memorial Hospital, contributing to the strengthening of healthcare-worker capacity and the quality of HIV and TB services.
According to Minister of Health Mduduzi Matsebula, the programme contributed to improving the quality of care and quality of life of approximately 30,000 clients receiving antiretroviral therapy across all four regions of Eswatini.
The Minister stressed that behind the figure are individuals, families and communities whose lives depend on effective and compassionate healthcare services.
The programme invested heavily in clinical mentorship, coaching, professional development and knowledge-sharing, strengthening the ability of healthcare workers to provide evidence-based care.
FROM PROJECT SUPPORT TO INSTITUTIONAL OWNERSHIP
Minister Matsebula said the graduation should not be viewed as the end of ENHI's journey, but rather as the beginning of greater responsibility.
He called on graduates to apply their knowledge in their workplaces, mentor colleagues, strengthen teams, improve patient care and contribute to better HIV and TB outcomes.
Mavuso similarly emphasised that certificates should become practical tools rather than decorations, with the true test of the programme taking place in ENHI's clinics, wards, laboratories, offices and boardrooms.
ENHI has also committed to integrating ALLOCATE tools and lessons into its institutional policies, workplans and standard operating procedures, while continuing mentorship, peer learning, staff development, monitoring and performance reviews.
FINANCIAL STEWARDSHIP ALSO SHOWS PROGRESS
The institutional strengthening journey has also produced measurable financial improvements.
Mavuso revealed that ENHI's cumulative deficit had been reduced from approximately E40 million to E26 million in one year, based on its recently audited financial statements for the year ended March 2026.
He described the improvement as evidence of stronger financial stewardship, budgeting and institutional discipline, while acknowledging that further work remains necessary to achieve long-term sustainability.
PARTNERSHIP BEHIND THE PROGRESS
The achievements were supported through a partnership involving the Government and people of the United States of America, the Office of Foreign Assistance, the Centers for Disease Control and Prevention (CDC), and Georgetown University.
Minister Matsebula said the ALLOCATE Project was supported by an investment of more than US$600,000, approximately E9.6 million, over three years, through a sub-award from Georgetown University under SEASEC funds supported by the US CDC.
The Minister described the investment as more than financial support, saying it represented confidence in Eswatini's health sector, ENHI and the ability of local institutions to deliver lasting results.
ENHI also recognised the Ministry of Health, Georgetown University, CDC, development and implementing partners, clinical mentors, healthcare workers, programme teams and other stakeholders whose contributions supported the programme.
THE REAL TEST BEGINS NOW
As ENHI closes the ALLOCATE chapter, the institution now faces the responsibility of protecting and building on the gains achieved.
The organisation's leadership says sustainability will depend on ensuring that strengthened systems remain functional, healthcare workers continue sharing knowledge, resources are responsibly managed and institutional improvements translate into better services and patient outcomes.
The journey from 68% to 97% therefore represents more than an impressive assessment trajectory. It marks ENHI's transition from capacity building towards stronger institutional ownership, leadership and sustainable excellence — with the ultimate measure being safer, better and more responsive healthcare for the people of Eswatini.
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