Country Information


Lesotho

 
HIV prevalence 15-49, 2007/2008 23.2%
Tuberculosis death rate 99/100,000 population
Malaria death rate (children under 5) 549/100,000 population
 
   
             
     
  Lesotho is a hilly country that is completely surrounded by South Africa. Like other nations in southern Africa, it has been caught up in the HIV/AIDS epidemic; more than 3 in 10 adult Basotho (citizens of Lesotho) are HIV-positive. The extremely high prevalence rates for HIV/AIDS are likely to continue into the foreseeable future, as a 1998 study showed that mean age at first sex was 14 for girls, and no older for boys. Tuberculosis and malaria also present considerable disease burdens in Lesotho.

Over the last several years Lesotho has experienced very poor harvests and severe food shortages. In 2004 the World Food Program expects more than 600,000 people in Lesotho to need emergency food assistance. A key finding of the UNAIDS mission to Lesotho in January 2003 was that the country's HIV/AIDS response must be coordinated with programs to improve Lesotho's agricultural sector and reduce the problem of food insecurity.

Sources: BBC country profile, WHO HIV report, IRIN, UNAIDS Mission Report, January 2003

 
           
             
  According to a November 2003, Human Sciences Research Council (HSRC) report, the government of Lesotho spends around 7.4% of its revenues on the health sector. This is about half of the 15% goal agreed to at the 2001 Abuja conference. In terms of dollars per capita, this comes out to about $28 per person per year.

Lesotho uses DOTS in its fight against TB, and 69 percent of TB cases are detected and treated under the DOTS program.

Sources: HSRC report, United Nations Statistics Division

 
           
             
 
Total population. mid-2009 2.1 (millions)
HIV prevalence 15-49, 2007/2008 23.2%
Tuberculosis death rate 99/100,000 population
Prevalence of tuberculosis per 100,000 population, 2000 442
Prevalence of tuberculosis per 100,000 population, 2004 544
% Tuberculosis detection rate under DOTS, 2004 87
% Tuberculosis treatment success rate under DOTS, 2003 70
Malaria death rate (children under 5) 549/100,000 population
GNI PPP Per Capita, 2008 2,000 (US$)
Life expectancy at birth 40 years
Infant mortality rate 83/1,000 live births
Total fertility rate 3.4 per woman
Crude birth rate 25/1,000 population
Crude death rate 23/1,000 population
Adult male literacy level 83% (pct. 15+ literate)
Adult female literacy level 99% (pct. 15+ literate)
Contraceptive prevalence rate, modern methods 35% of women in union
Estimated number of people living with HIV: Adults and Children, 2005 270,000
Estimated number of people living with HIV: Adults and children, end 2003 320,000
Estimated number of people living with HIV: Adults and children, end 2001 320,000
Estimated number of people living with HIV: Adults (15+), 2005 250,000
Estimated number of people living with HIV: Adults (15-49), end 2003 300,000
Estimated number of people living with HIV: Adults (15-49), end 2001 300,000
Estimated number of people living with HIV: Adults (15-49) rate (%), 2005 28.9%
Estimated number of people living with HIV: Adults (15-49) rate (%), 2003 29.6%
Estimated number of people living with HIV: Women (15+), 2005 150,000
Estimated number of people living with HIV: Women 15-49, end 2003 170,000
Estimated number of people living with HIV: Women 15-49, end 2001 170,000
Estimated number of people living with HIV: Children (0-14), 2005 18,000
Estimated number of people living with HIV: Children (0-14), end 2003 22,000
Estimated number of people living with HIV: Children (0-14), end 2001 20,000
Estimated number of AIDS deaths: Adults and children, 2005 23,000
AIDS deaths in adults and children, end 2003 29,000
AIDS deaths in adults and children, end 2001 24,000
Estimated number of orphans due to AIDS: Children (0-17), 2005 97,000
Orphans due to AIDS (0-17), living 2003 100,000
Orphans due to AIDS (0-17), living 2001 68,000

Demographic data contained in this section was obtained from the following sources: The Population Reference Bureau’s 2009 World Population Data Sheet was used for total population, life expectancy at birth, infant mortality, fertility, birth rate, death rate, % of married women 15-49 using modern methods of contraception, % of population 15-49 with HIV/AIDS in 2007/2008, and the GNI PPP per capita (2008). Literacy rates were found in the Population Reference Bureau’s publication 2005 Women of Our World. HIV prevalence data for 2001 and 2003 was obtained from the UNAIDS Barcelona 2002 report; HIV prevalence and orphan data for 2005 was obtained from the UNAIDS Report on the Global AIDS Epidemic 2006. Data on the % women who have discussed AIDS prevention with their husband or partner can be found in ORC Macro and USAID’s Women’s Lives and Experiences: Changes in the Past Ten Years (Research Findings from the Demographic and Health Surveys). Childhood malaria mortality data was accessed in 2003 from the United Nations Statistics Divisions’ Millennium Indicators. Tuberculosis data was obtained from the United Nations Statistics Division’s Millennium Indicators: MDGInfo 2006. In some cases information was unavailable.

 
           
             
  Lesotho's health infrastructure is divided into 18 Health Service Areas (HSAs), each served by a hospital. Nine of the 18 HSA hospitals are run by faith-based organizations that are part of the Christian Health Association of Lesotho (CHAL).

Lesotho's premier hospitals are Queen Elizabeth II Hospital, which is the national referral hospital, and Maseru Private Hospital in Thetsane. About 80 percent of the patients admitted to Queen Elizabeth Hospital are HIV positive.

According to the WHO's most recent statistics (for 1995), Lesotho has approximately 5.4 physicians per 100,000 population (about 100 total), and 60.1 nurses per 100,000 population (about 1,100).

Sources: Ministry of Health, UNAIDS Mission Report, January 2003, WHO

 
           
             
 

Lesotho National Malaria Program

Contact Person: Dr. R. Tshabalala

Lesotho National TB Program

Contact Person: Dr. Pearl Ntsekhe

 
           
             
 

Entity

Project Title

Diseases

Primary Category

Secondary Category

NIH Perceived AIDS Stigma: A Multinational African Study HIV/AIDS Capacity  
  (PI: William Holzemer. 2003-2008.) This is a collaborative project to develop ways to reduce the stigma of AIDS in southern Africa. Partners include...

International Health Sector Reform Project (World Bank) HIV/AIDS,Tuberculosis General  
  The World Bank has provided funds for a $6.5 million Health Sector Reform Project in Lesotho.

International Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM) HIV/AIDS,Tuberculosis General  
  In Round 2 of funding the Global Fund to Fight AIDS, Tuberculosis and Malaria approved grants totaling about $12.6 million in first-year funding to...

NGO Bristol Myers Squibb: Secure the Future Programs HIV/AIDS General  
  Lesotho was included in Bristol-Myers Squibb's five-nation Secure the Future anti-HIV/AIDS campaign launched in 2000. Other nations included in the...

 
           
             
  No information available  
           



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