HIV is the leading cause of death in Lesotho, affecting more than a quarter of the population. TB is the nation’s second leading cause of death and a dangerous opportunistic infection for people living with HIV. Women are disproportionally affected by HIV/AIDS, with prevalence exceeding those of men in almost every age group under 40 years.
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Key Program Accomplishments

Since 2004, EGPAF-Lesotho has supported the Ministry of Health to:

Conduct more than 1,489,000 HIV tests, resulting in the identification of 89,000 HIV-positive individuals

Provide Prevention of mother-to-child HIV transmission (PMTCT) services to more than 278,000 women

Initiation of more than 209,000 individuals on antiretroviral therapy (ART), including more than 10,700 children

Provision of HIV services to more than 22,200 new and relapsed TB cases (since October 2014)

Our Work

The Elizabeth Glaser Pediatric AIDS Foundation (EGPAF), seeking to end pediatric HIV/AIDS through implementation of HIV prevention, care and treatment programs, advocacy, and research, began collaborating with Lesotho’s Ministry of Health in 2004.

Through leadership from the Government of Lesotho and support from the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), Lesotho significantly scaled-up access to comprehensive HIV and TB services across the country. In June 2016, Lesotho adopted World Health Organization guidelines recommending Treatment for All, allowing anyone diagnosed with HIV an opportunity to be immediately initiated on treatment for life. EGPAF has used a national-, district, and site-level approach to deliver HIV services and provide technical assistance to the Ministry of Health. EGPAF-Lesotho currently supports 175 sites in 10 districts to implement a comprehensive package of HIV and TB services, advocates at the national level to inform health policies, and conducts research to inform improved HIV/AIDS programming.