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HIV Profile for Lesotho

Lesotho National HIV and AIDS Policy

Lesotho has one of the highest HIV and AIDS infection and prevalence rates in the world. HIV and AIDS poses one of the greatest challenges for national development, and threatens the very survival of the nation and its attainment of the Millennium Development Goals (MDGs). This realisation caused His Majesty King Letsie III to declare HIV and AIDS a national disaster in the year 2000. The declaration was followed by the adoption of the first National Policy framework for the prevention of HIV and AIDS, as well as a National Strategic Plan for 2000/01-2003/04 in the same year. Based on the Joint Review of the national response and current developments, Government adopted this updated National HIV and AIDS Policy document.

Lesotho National HIV and AIDS Strategic Plan 2006 - 2011

The HIV and AIDS epidemic in Lesotho is of a mature pattern, with a high case-fatality ratio, large numbers of orphans and vulnerable children, increasing mother-to-child transmission, decreasing life expectancy, declining productivity, affecting the national economy and very high demands on the health care system. The prevalence of HIV in Lesotho is estimated at 23.2% of adult Basotho aged 15 to 49 years by 2005, translating to approximately 266, 000 adult men and women living with HIV infection. The prevalence is particularly high in urban areas at levels of 28.8% compared to 21.8% in the rural areas with a considerable variation in prevalence rates by district. The HIV prevalence is highest among the 15 to 49 years age-bracket and skewed towards women with 55% of diagnosed cases of HIV, and more among young women than young men of similar age with a ratio percentage of more than 60% to less than about 30% for young males.

Lesotho National Monitoring and Evaluation Plan, 2006 - 2011

To effectively fulfil its mandate to co-ordinate the national response under the national strategic plan on AIDS 2006-2011, the National AIDS Commission (NAC) needs to understand the scope and effect of HIV and AIDS interventions in Lesotho. In order do this, a functional and robust M & E system needs to be in place. This document is the implementation plan of the national M & E framework to which all stakeholders have committed to using as part of the ‘three ones' principles

Lesotho Directory of Development Organisations

Guide to International Organisations, Governments, Private Sector, Development Agencies, Civil Society, Universities, Banks,, Microfinance Institutions and Development Consulting Firms

National HIV Prevention Strategy For A Multi-Sectoral Response to the HIV Epidemic in Lesotho (2011/12-2015/16)

The National Multi-Sectoral HIV Prevention Strategy, 2011 – 2015, describes how the national HIV prevention response will reduce levels of HIV incidence by directly addressing the drivers of Lesotho’s epidemic. The 2009 Lesotho Demographic and Health Survey (LDHS) data indicate a rapid rise in HIV prevalence among young people, particularly young women. The total number of HIV-infected females aged 15-49 is 27%, but significantly lower at 18% for men the same age. By age 20-24, approximately 24% of women are infected; prevalence increases to 35% for the age cohort 25-29 and peaks at 42% for women throughout their thirties. Male prevalence lags behind female prevalence by about five years, but similarly reaches about 40% among men aged 30-45. With such high average levels of prevalence nationally, the pool of at-risk individuals is likely at or near saturation among adult men and women aged 25-44.

SAfAIDS Policy Brief: Lesotho Violence against Women and HIV: Upholding the Zero Agenda by moving towards a Protective Legal and Social environment for Women

As in other parts of southern Africa, the existence of a patriarchal society in Lesotho furthers gender inequality and normalises gender-based violence. This creates an unsafe environment for women that compromises HIV programming and is in fact, a direct departure from the zero agenda goal of ensuring zero new infections, zero AIDS-related deaths and zero discrimination by 2015. As this brief discusses, a protective legal and social environment is not just a possibility; it is a necessity. Without it, women will continue to be victimised and violated, with correspondingly dire implications for the HIV response. Without it, we risk undoing the gains made against HIV in Lesotho.


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