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  LESOTHO - Country Profile Updated: Feb 2005  

AIDS Programmes

National Strategic Framework
Status

Completed (2001-2004)

National policies
  • National policy on HIV/AIDS.
  • Sectoral HIV/AIDS policies in education, health and workplace.

Ministry of Health and Social Welfare (MOHSW)
Department of Health
Contact person: Nthabiseng Mabitle
P.O. Box 514, Maseru 100, Lesotho
Tel: +266 22 314 404 / +266 22 322 180
Fax: +266 22 310 667
Website: www.lesotho.gov.ls

Lesotho AIDS Programme Coordinating Authority (LAPCA)
Contact person: Mrs Monaheng, Director
P.O. Box 11232, Maseru 100, Lesotho
Tel: +266 22 326 794 / +266 22 322 180
Fax: +266 22 327 210 / +266 22 323 010

  • The national AIDS programme is an integrated approach towards the prevention and control of this devastating disease, with countrywide activities.
  • HIV/AIDS Organisations:

    1. Care Lesotho
      Contact person: Gillian Forest
      P.O. Box 682, Maseru 100, Lesotho
      Tel: +266 22 314 398
      Fax: +266 22 310 195
      Email: /
      Website: www.caresa-lesotho.org.za
      · CARE works with civil society, private sector and government partners to develop strategies for HIV/AIDS mitigation for vulnerable groups.

  • Christian Health Association of Lesotho (CHAL)
    Contact person: Agnes Lephoto
    P.O. Box 1632, Maseru 140
    Tel: +266 22 312 500
    Fax: +266 22 310 314
    Email:
    · Medical care; advice; support; exchange of information; access to resources; policy influence and advocacy; capacity building and providing technical assistance on HIV/AIDS.
  • The Green Crescent Trust
    Contact person: Dr. Abdul Elgoni and Dawood Ponoane
    P.O. Box 0838, Maseru 105, Lesotho
    Tel: +266 22 866 923
    Fax: +266 22 310 322
    Email:
  • Lesotho Network of AIDS Service Organisations (LENASO)
    Contact: Mrs Lois Sebatane
    P. O. Box 553, Ladybrand 9745, South Africa
    Tel: +266 22 322 038 Ext 3971
    Tel: +266 22 340 474 / +266 22 213 005
    Fax: +266 22 340 000
    Email:
    Website: www.sanaso.org.zw
  • Maseru Children’s Village
    Contact person: Mphonyane Mofokeng MCV Manager
    P.O. Box 151, Maseru 100
    Tel: +266 22 322 559
    Email:
    · HIV/AIDS orphanage; networking; care and support; advocacy; capacity building and providing technical assistance.
  • Positive Action - Lesotho
    Contact person: Ingo Seifert
    P.O. Box 1895, Maseru 100
    Tel: +266 22 885 0069
    Email:
    Website: www.positive-action.org
    · Fund-raising and income generation activities; information dissemination; self-help groups; skills building.
  • Population Services International (PSI)
    Contact person: Aaron Maselwane, Programme Manager
    P.O. Box 15863, Maseru, Lesotho
    Tel: +266 22 236 825
    Fax: +266 22 311 200
    Email:
    · Uses social marketing to deliver health products, services and information that enable low-income and other vulnerable people to lead healthier lives.
  • Red Cross Society - Lesotho
    P.O. Box 366, Maseru 100
    Tel: +266 22 313 911
    Fax: +266 22 310 166
    Email:
    · Training; technical assistance; education; information; awareness; support; care; income generation activities; advocacy.
  • Society of Women and AIDS in Africa (SWAA)
    P.O. Box 200, Maseru
    Tel: +266 22 311 906
    Fax: +266 22 323 092
    · Counselling; training; education; information; awareness; support; care; income generation activities; advocacy.
  • Expanded UN Theme Group on HIV/AIDS, Chair
    Ms. Hodan Haji Mohamud
    UNDP Resident Representative/UN Resident Coordinator
    P.O. Box 301
    Maseru 100, Lesotho
    Tel: +266 22 313 790
    Fax: +266 22 310 042
    Email:
    Website: www.undp.org
    · Supports an expanded response and policy advice on preventing transmission of HIV, providing care and support, reducing the vulnerability of individuals and communities to HIV/AIDS.
  • UNAIDS Country Coordinator
    Contact person: Tim Rwabuhemba
    P.O. Box 301, Maseru 100, Lesotho
    Tel: +266 22 313 790
    Fax: +266 22 313 571
    Email:
    Website: www.unaids.org
    · UNAIDS leads, strengthens and supports an expanded response aimed at preventing transmission of HIV, providing care and support, reducing the vulnerability of individuals and communities to HIV/AIDS.
Country Indicators
Demographic data Year Estimate Source
Total population (thousands) 2004 1,800 UN population division database
Female population aged 15-24 (thousands) 2004 224 UN population division database
Population aged 15-49 (thousands) 2004 861 UN population division database
Annual population growth rate (%) 1992-2002 1.1 UN population division database
% of urban population 2003 17.9 UN population division database
Average annual growth rate of urban population 2000-2005 0.87 UN population division database
Crude birth rate (births per 1,000 pop.) 2004 30.6 UN population division database
Crude death rate (deaths per 1,000 pop.) 27.8 UN population division database
Maternal mortality rate (per 100,000 live births) 2000 550 WHO (WHR2004)/UNICEF
Life expectancy at birth (years) 2002 35.7 World Health Report 2004, WHO
Total fertility rate 2002 3.9 World Health Report 2004, WHO
Infant mortality rate (per 1,000 live births) 2000 94 World Health Report 2004, WHO
Under 5 mortality rate (per 1,000 live births) 2000 149 World Health Report 2004, WHO
For consistency reasons the data used in the above table are taken from official UN publications
Socio-economic data Year Estimate Source
Gross national income, ppp, per capita (Int.$) 2002 2710 UN population division database
Gross domestic product, per capita % growth 2001-2002 2.6 World Bank
Per capita total expenditure on health (Int.$) 2001 101 World Health Report 2004, WHO
General government expenditure on health as %of total expenditure on health 2001 78.9 World Health Report 2004, WHO
Total adult illiteracy rate 2000 16.6 UNESCO
Adult male illiteracy rate 2000 27.4 UNESCO
Adult female illiteracy rate 2000 6.4 UNESCO
Gross primary school enrolment ratio, male 2000/2001 112 UNESCO
Gross primary school enrolment ratio, female 1996 118 UNESCO
Gross secondary school enrolment ratio, male 1996 30 UNESCO
Gross secondary school enrolment ratio, female 1996 36 UNESCO
For consistency reasons the data used in the above table are taken from official UN publications

Source: WHO/UNAIDS epidemiological fact sheets on HIV/AIDS and Sexually Transmitted Infections, 2004 Update.
Email:
Epidemiological Fact Sheet
Estimated number of adults and children living with HIV/AIDS, end of 2003
These estimates include all people with HIV infection, whether or not they have developed symptoms of AIDS, alive at the end of 2003:
Adults and children 320,000  
Adults (15-49) 300,000 Adult rate(%) 28.9
Women (15-49) 170,000  
Children (0-15) 22,000  
Estimated number of deaths due to AIDS
Estimated number of adults and children who died of AIDS during 2003:
Deaths in 2003 29,000  
Estimated number of orphans
Estimated number of children who have lost their mother or father or both parents to AIDS and who were alive and under age 17 at the end of 2003:
Current living orphans 100,000  

Assessment of the epidemiological situation (2004)

HIV information among antenatal clinic attendees is available from sentinel surveillance studies beginning in 1991. The sentinel surveillance sites selected are from the lowlands and do also include women from the mountain areas such as Quthing and Mokhotlong. In Maseru and Mafeteng, the major urban areas, 5 percent of antenatal clinic women tested HIV positive in early 1990s. However, in 1994, HIV prevalence among antenatal clinic attendees rose dramatically to over 20 percent. By 2003, the median prevalence of antenatal clinic women tested in all six sentinel sites, was 30 percent. HIV prevalence among women tested in Leribe, Maluti, and Quthing increased from 2 percent in 1991 to over 20 percent in 1996. The median syphilis prevalence among antenatal women was 2.7 percent in 2003.

There is no information available on HIV prevalence among sex workers.

HIV sentinel surveillance information is available for STD clinic patients since the early 1990s. In Maseru, HIV prevalence among STD clinic patients tested increased from 6 percent in 1989 to 11 percent in 1993. In 2000, 65 percent of STD patients tested were HIV positive. Outside of Maseru, HIV prevalence among STD clinic patients increased from 6 percent in 1991 to 59 percent in 1996. In 2000, 51 percent of patients tested were HIV positive. However, this figure may well be biased as testing took place at various hospitals and there is no standardized protocol for testing in hospitals.



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