Photo: Jhpiego

Lesotho

Since 2008, we have worked in these technical areas:

HIV/AIDS and Infectious Diseases

Our impact

  • More than 113,000 Basotho have learned their HIV status through Jhpiego-led initiatives, and over 157,000 men have received voluntary medical male circumcision services, thereby benefiting from this procedure’s protective effect against HIV infection.
  • Jhpiego pioneered the first integrated, comprehensive, nurse-led, male clinic, which received over 9,000 patient visits. The clinic, which provides client-centered, male-friendly health services and improves male health-seeking behaviors, has been endorsed by the Ministry of Health and is being replicated at three or more primary health care clinics.
  • Jhpiego supported the Lesotho Nursing Council to introduce task shifting for nurse practitioners to establish and implement a sustainable, nurse-led HIV/AIDS response. This includes nurse-initiated and nurse-managed antiretroviral therapy services for people living with HIV, thereby reducing the burden on doctors so they can focus on more advanced care needs.
  • Jhpiego is supporting the Ministry of Health to provide pre-exposure prophylaxis and other combination prevention services to more than 15,000 members of high-risk populations in priority districts in Lesotho.

Current programs


  • Technical Support to Enhance HIV/AIDS Prevention and Opportunities in Nursing Education Project

    The Technical Support to Enhance HIV/AIDS Prevention and Opportunities in Nursing Education (TSEPO, or “hope” in Sesotho) Project is funded by the U.S. Agency for International Development. Jhpiego is strengthening the Government of Lesotho’s capacity to respond to national priorities in health and HIV/AIDS and to contribute to the national target of reducing the number of new HIV infections. Specifically, Jhpiego is supporting the Ministry of Health to implement voluntary medical male circumcision (VMMC) and early infant male circumcision (EIMC) services for HIV prevention, with a focus on providing services at 17 fixed sites and numerous outreach campaigns. Jhpiego is also strengthening nursing education by expanding the primary health care clinical placement program at all six nursing schools and by working with the Lesotho Nursing Council to strengthen regulatory capacity, including piloting VMMC/EIMC task sharing to nurses. In addition, Jhpiego is supporting the introduction of pre-exposure prophylaxis among high-risk populations. Other partners include the Lesotho Planned Parenthood Association and Lesotho Network of AIDS Services Organizations.

  • Stepping Up Universal Access: A Multi-Sectoral Partnership Response to TB/HIV

    With funding from the Global Fund for AIDS, TB and Malaria, Jhpiego is supporting programs for TB and HIV treatment, support and care in Lesotho. The objectives of the project are to:

    • Improve the quality of TB/HIV care by: 1) revitalizing a clinical mentorship program for HIV care and treatment and TB at 62 health care facilities in five districts, and 2) establishing community-based antiretroviral groups to support improved adherence and retention in care;
    • Conduct community-based TB screening campaigns among school children, the elderly and factory workers to intensify TB case finding;
    • Support improved community involvement in case detection and adherence and retention in care to address programmatic gaps;
    • Train and coordinate volunteer health workers to support community-based TB control activities; and
    • Strengthen the community-to-facility referral system and implement digital health solutions to reduce turnaround times for communicating results.
  • Comprehensive HIV Testing Services, Adherence and Treatment Services for Inmates

    This two-year project, also referred to by the acronym CHATSI (meaning “vigilance” in Sesotho), is funded by the Elton John AIDS Foundation. The project seeks to address the high rate of HIV prevalence among prison inmates (31% compared with 18.6% among men in the rest of the population) by working with the Government of Lesotho in five prisons located in five rural districts (Butha-Buthe, Thaba-Tseka, Quthing, Qacha’s Nek and Mokhotlong). Under CHATSI, Jhpiego is supporting the government to provide the full cascade of HIV and TB diagnosis, care and treatment services by identifying inmates living with HIV and/or TB, initiating treatment and ensuring active linkage to care and adherence support upon their release from prison. Since inmates are such a high-risk population, Jhpiego is also introducing and offering pre-exposure prophylaxis for inmates who test HIV-negative.

  • Scott Male Clinic

    Given the reticence of Basotho men to seek health services, particularly from female providers, Jhpiego has been pilot-testing a stand-alone male clinic since 2016. Among other services, the clinic offers HIV testing, voluntary medical male circumcision, TB screening and diagnosis and management of non-communicable diseases. Services are primarily delivered by male providers to make men feel more comfortable and change their health-seeking behaviors. In its first year, the clinic reached over 8,500 men, treated 4,000 men with HIV and diagnosed over 400 men with TB. With support from Jhpiego, the clinic is continuing for a second year, expanding its sexually transmitted infection and TB services to include contact tracing and to provide services for sexual partners and other household members of male clients. In addition, clinic staff are visiting clients in their homes to screen more people for TB and using geographic information systems to identify TB hot spots for further outreach.

  • Strengthening Pre-Service Education in Maternal, Newborn and Child Health

    With funding from the United Nations Population Fund, Jhpiego is working to strengthen pre-service education in maternal, newborn and child health at midwifery education institutions in Lesotho. Over the duration of this two-year project, Jhpiego is providing technical assistance to: 1) build the capacity of faculty/clinical instructors on midwifery with a focus on management of obstetric complications; 2) strengthen the ability of midwifery education institutions in Lesotho to provide state-of-the-art educational opportunities; and 3) expand the use of skills laboratories and equipment availability.

Current programs

Technical Support to Enhance HIV/AIDS Prevention and Opportunities in Nursing Education Project

The Technical Support to Enhance HIV/AIDS Prevention and Opportunities in Nursing Education (TSEPO, or “hope” in Sesotho) Project is funded by the U.S. Agency for International Development. Jhpiego is strengthening the Government of Lesotho’s capacity to respond to national priorities in health and HIV/AIDS and to contribute to the national target of reducing the number of new HIV infections. Specifically, Jhpiego is supporting the Ministry of Health to implement voluntary medical male circumcision (VMMC) and early infant male circumcision (EIMC) services for HIV prevention, with a focus on providing services at 17 fixed sites and numerous outreach campaigns. Jhpiego is also strengthening nursing education by expanding the primary health care clinical placement program at all six nursing schools and by working with the Lesotho Nursing Council to strengthen regulatory capacity, including piloting VMMC/EIMC task sharing to nurses. In addition, Jhpiego is supporting the introduction of pre-exposure prophylaxis among high-risk populations. Other partners include the Lesotho Planned Parenthood Association and Lesotho Network of AIDS Services Organizations.

Stepping Up Universal Access: A Multi-Sectoral Partnership Response to TB/HIV

With funding from the Global Fund for AIDS, TB and Malaria, Jhpiego is supporting programs for TB and HIV treatment, support and care in Lesotho. The objectives of the project are to:

  • Improve the quality of TB/HIV care by: 1) revitalizing a clinical mentorship program for HIV care and treatment and TB at 62 health care facilities in five districts, and 2) establishing community-based antiretroviral groups to support improved adherence and retention in care;
  • Conduct community-based TB screening campaigns among school children, the elderly and factory workers to intensify TB case finding;
  • Support improved community involvement in case detection and adherence and retention in care to address programmatic gaps;
  • Train and coordinate volunteer health workers to support community-based TB control activities; and
  • Strengthen the community-to-facility referral system and implement digital health solutions to reduce turnaround times for communicating results.

Comprehensive HIV Testing Services, Adherence and Treatment Services for Inmates

This two-year project, also referred to by the acronym CHATSI (meaning “vigilance” in Sesotho), is funded by the Elton John AIDS Foundation. The project seeks to address the high rate of HIV prevalence among prison inmates (31% compared with 18.6% among men in the rest of the population) by working with the Government of Lesotho in five prisons located in five rural districts (Butha-Buthe, Thaba-Tseka, Quthing, Qacha’s Nek and Mokhotlong). Under CHATSI, Jhpiego is supporting the government to provide the full cascade of HIV and TB diagnosis, care and treatment services by identifying inmates living with HIV and/or TB, initiating treatment and ensuring active linkage to care and adherence support upon their release from prison. Since inmates are such a high-risk population, Jhpiego is also introducing and offering pre-exposure prophylaxis for inmates who test HIV-negative.

Scott Male Clinic

Given the reticence of Basotho men to seek health services, particularly from female providers, Jhpiego has been pilot-testing a stand-alone male clinic since 2016. Among other services, the clinic offers HIV testing, voluntary medical male circumcision, TB screening and diagnosis and management of non-communicable diseases. Services are primarily delivered by male providers to make men feel more comfortable and change their health-seeking behaviors. In its first year, the clinic reached over 8,500 men, treated 4,000 men with HIV and diagnosed over 400 men with TB. With support from Jhpiego, the clinic is continuing for a second year, expanding its sexually transmitted infection and TB services to include contact tracing and to provide services for sexual partners and other household members of male clients. In addition, clinic staff are visiting clients in their homes to screen more people for TB and using geographic information systems to identify TB hot spots for further outreach.

Strengthening Pre-Service Education in Maternal, Newborn and Child Health

With funding from the United Nations Population Fund, Jhpiego is working to strengthen pre-service education in maternal, newborn and child health at midwifery education institutions in Lesotho. Over the duration of this two-year project, Jhpiego is providing technical assistance to: 1) build the capacity of faculty/clinical instructors on midwifery with a focus on management of obstetric complications; 2) strengthen the ability of midwifery education institutions in Lesotho to provide state-of-the-art educational opportunities; and 3) expand the use of skills laboratories and equipment availability.

Current and recent donors


AIDS Vaccine Advocacy Coalition
Aquity Innovations
Elton John AIDS Foundation
UNFPA
UNICEF
USAID

Lesotho-related technical and programmatic resources

Our resources

Country contact

Aleisha Rozario, Country Director
Tel. 266 5250 5400
First Floor Dolphin House
23 Motsoene Road
Industrial Area
Maseru – 100, Lesotho