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Luke Commission Inc

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Nonprofit Overview

Causes: International, International Relief

Programs: Medical care & treatment 60,983 medical patients treated 159 surgeries sponsored 335,407 medication packages dispensed 2,170 male circumcisions 975 x-rays obtained 43 chronic care patients 77 minor procedures completedhiv/aids/tb care & services 17,655 patients tested & counseled for hiv 822 hiv/tb referrals tracked 866 laboratory services rendered 19,396 tb screenings completed 38 prevention of mother-to-child hiv services provided 168,495 hiv community education & counseling 722 hiv anti-retro viral adherence counseling sessions delivered 127 patients counseled, tested, serviced at campus 33,943 blood pressure & sugar testeddisabilty, optical & spiritual care & services 13,279 eye glasses fitted 623 wheelchairs/adaptive equipment fitted 13,244 children screened 1,557 cataracts found 262 cataracts removed 1,134 bibles distributed 107,512 orphans/vulnerable children clothed 62,110 scripture booklets/book of hope disbursed

Community Stories

2 Stories from Volunteers, Donors & Supporters


Rating: 4

Luke Commission helped us provide funding to a Swaziland TB hospital. Due to the remoteness of the hospital, this isn't easy. I contacted U.S. embassy personnel and they referred us to the Luke Commission. They were quite helpful and good stewards of our donation, and they got the funds where we believed they were needed. We will contribute to this group again.

Review from Guidestar


Professional with expertise in this field

Rating: 5

The Luke Commission has grown from a small medical outreach to address HIV/AIDS in Swaziland, the country with the highest HIV/AIDS rate worldwide, to a sophisticated and effective mobile medical outreach model recognized as a leader in the field. TLC provides free, compassionate, comprehensive healthcare to under-served rural populations through mobile medical outreaches. The Kingdom of Swaziland, Ministry of Health has upgraded these from clinics to mobile hospital outreaches, since they provide the same types of services in the field that hospitals do (medical intake and medical history, surgery, pharmacy, lab, x-rays, assistive devices for people with disabilities, triage, doctor visits, diagnosis and referrals for treatment). TLC will see an average of 650 patients in a day and up to as many as 1,000, because they do not leave until every patient is seen.

TLC works with community coordinators to mobilize outreaches in isolated locations. The coordinator secures a local primary school for the day and engages the entire community in the day long event. TLC transports staff and equipment to set up a mobile hospital with rooms for medical intake, triage, lab, pharmacy, x-ray, surgery, counseling and testing, doctor visits, vision screening and assistive devices. They depart early in the morning and often travel up to 2 hours or more to reach a location. They set up the unit while a community dialog is taking place with the 1,000+ community members waiting to be treated where key health issues such as HIV and TB testing and treatment are discussed. Then each patient is seen by a Swazi staff person for a detailed medical history, lab tests, doctor visit and referral for follow up and medications at the pharmacy. Additional services such as vision care and assistive devices for people with disabilities are also going on at the same time. A room is set aside for voluntary spiritual counseling and support. All medical instructions and prescriptions are provided in siSwati.

The staff:
TLC has a very strong locally trained team of Swazi's who provide counseling, translation, testing, and administrative support for the mobile outreach. The medical team is led by Dr. Harry VanderWal and his wife Echo VanderWal (PAC) with a team of 3 nurses.

TLC delivered 50 mobile hospital outreaches in 2012 and saw 24,000 patients, in 2013 they increased 50% to seeing 36,000 patients in the most inaccessible locations in Swaziland. They test more patients in a single day (100+) for HIV than all the rest of the providers in the country combined and have the highest percentage of patients who successfully enroll and maintain treatment. They perform more male circumcisions than all the rest of the providers in the country on an single day and have the highest rate of followup with patients and the lowest rate of complications.

Since their beginning in 2006, TLC has seen more than 150,000 patients and delivered more than 350,000 medical services. The Kingdom of Swaziland has embraced them as an extension of the national medical system, USAID and the CDC recognize their outstanding performance in the field reaching the most isolated populations.

Funding Sources:
The Luke Commission is funded by donations from individuals, churches, corporations. In recent years, some additional funding has come from grants with USAID and the CDC.

TLC has purchased 30 acres of land and is building a permanent campus in the heart of Swaziland as a base from which to expand their capacity in country and to become a training site for teams from other countries to replicate the mobile medical outreach model that they have perfected.

As a volunteer and supporter, and professional development specialist working across southern Africa. I am extremely impressed with their commitment to the patient, the dignity and compassion with which they approach their work is exemplary. Their vision for what the patient needs to be successful and their drive to remove the barriers preventing them from accessing care and being retained in treatment sets a new standard for the field.

Review from Guidestar