Funded by the U.S. Agency for International Development and implemented by a consortium made up of Jhpiego, the Christian Health Association of Lesotho (CHAL) and Wits Reproductive Health Institute, the three-year Khanya Project is strengthening services for voluntary medical male circumcision (VMMC) and pre-exposure prophylaxis (PrEP) for HIV prevention. The project aims to reduce the number of new HIV infections and maintain HIV epidemic control through coordination, collaboration and robust partnerships with the government of Lesotho, CHAL and community-based organizations—to whom the program will transition by 2023. Services to be transitioned to local stakeholders at facility and community levels consist of a population-specific minimum package of VMMC for integrated adolescents and adults, and PrEP for populations at risk of contracting HIV.

Jhpiego is supporting a study in Lesotho with the goal of increasing TB yield through universal testing as compared to standard TB screening among household and community contacts. Jhpiego’s support includes implementation of the clinical trial, collection of specimens, arranging and supporting training of staff, collection of data and overall capacity development. This work is being conducted under a multi-country study (in Lesotho, South Africa and Tanzania) funded by the European and Developing Countries Clinical Trials Partnership. The multi-country study is led by the Aurum Institute with partners Forschungszentrum Borstel Leibniz Lungenzentrum, National Institute for Medical Research in Tanzania, University College London, Karolinska Institutet and Jhpiego.

With funding from the Global Fund for AIDS, Tuberculosis and Malaria, Jhpiego has been supporting programs for TB and HIV treatment, support and care in Lesotho. Currently under this award, Jhpiego is strengthening health facility-based TB case finding and diagnosis by scaling up a proven quality improvement approach and building the capacity of health care workers in facilities in 10 districts. Interventions include training of private health facilities on essentials of quality improvement, supportive supervision and mentorship, and support for health facility exchange meetings.

Under this global project, led by FHI360 and funded by the U.S. Agency for International Development (USAID), Jhpiego is leading project implementation in Lesotho. The goal of the MOSAIC project is to ensure that individuals, especially women, can protect themselves from acquiring HIV by accelerating introduction and scale-up of new biomedical prevention products, and by expediting availability, acceptance, uptake and impact of these products.