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Community Contribution

The Luke Commission uses CLA to Manage Rapid Growth in Eswatini

Echo VanderWal

Winner RibbonThe Luke Commission (TLC) is a local NGO in the Kingdom of Eswatini that provides comprehensive medical care to under-served populations through mobile hospital outreaches and at a centrally-located fixed facility.  Faced with substantial staff growth, TLC used a CLA approach to ensure that its unique organizational culture of compassionate care was both preserved and deepened.  TLC credits its use of CLA components—Pause & Reflect, Adaptive Management, Openness, Relationships & Networks, and Continuous Learning & Improvement—as critical elements in making TLC a more self-reliant organization.

The organizational challenge for TLC was that many staff members were joining the organization as adults who were either orphaned or traumatized by the HIV epidemic. In addition, many staff members suffered familial poverty caused by the epidemic.  Without an intentional system to address staff trauma, the difficult work of compassionate care could not be achieved.

Using routine pause and reflect sessions, both senior leadership and all TLC staff address and manage conflict using principles of openness.  Using continuous learning and improvement, TLC staff are trained and cross-trained to provide a strong network and clear relationships between staff that promotes staff development and leadership in a supportive environment.  Using data and a culture that embraces solution-seeking, TLC rapidly adapts and shifts its approach to make it more efficient and effective in the effort to end the HIV epidemic in Eswatini.

Note: This year's case competition entry form included a new question about whether or not the highlighted CLA approach(es) contribute to a country’s Journey to Self-Reliance.The response to this question was not scored as part of the judging process.