Map
Prevention & Family Planning
Keeping Mothers Alive
Eliminating New HIV Infections Among Children
Pediatric Overview
Pediatrics HIV Care, Treatment & Support
  • Key Data Points for: Lesotho

    • 3%
      Date shows change since 2009
    • 14%
      Date shows change since 2009
    • 58%
      Date shows change since 2009
    • 51%
      Date shows change since 2009
    • 25%
      Date shows change since 2009
  • Prevention and Family Planning

    • Percent of married women with unmet need for family planning
      23.3%
    • Number of new infections among women ages 15-49
      12,000

    Key Data Points for: Lesotho

    • 3%
      Date shows change since 2009
    • 14%
      Date shows change since 2009
    • 58%
      Date shows change since 2009
    • 51%
      Date shows change since 2009
    • 25%
      Date shows change since 2009
  • Keeping Mothers Alive

    Maternal
    Mortality Rate

    620

    Aids Related
    Deaths

    320

    Pregnant Women
    Attending at Least
    One ANC Visit

    92%

    Pregnant Women
    Attending at Least
    Four ANC Visit

    70%

    Birth Attended by
    Skilled Health
    Personnel

    62%

    Key Data Points for: Lesotho

    • 3%
      Date shows change since 2009
    • 14%
      Date shows change since 2009
    • 58%
      Date shows change since 2009
    • 51%
      Date shows change since 2009
    • 25%
      Date shows change since 2009
  • Eliminating New HIV Infections Among Children

    • Pregnant Women with HIV Delivering
      16,000

    • Pregnant Women Receiving HIV Testing
      48%

    • Pregnant Women Receiving ARVs
      58%

    • Pregnant Women Initiating ART
      51%

    Key Data Points for: Lesotho

    • 3%
      Date shows change since 2009
    • 14%
      Date shows change since 2009
    • 58%
      Date shows change since 2009
    • 51%
      Date shows change since 2009
    • 25%
      Date shows change since 2009
  • Paediatrics

    Immunization Rates

    • Under 5 mortality rate per 100,000:
      100

    • Under 5 deaths due to HIV:
      18%

    • Infant mortality rate per 100,000:
      74

    • Infants <6m exclusively breastfeeding:
      54%

    BCG (BIRTH)

    95Baseline -2012 -2013 -2014 -2015

    DPT2 (12 WK)

    83Baseline -2012 -2013 -2014 -2015

    Measles (9M)

    85Baseline -2012 -2013 -2014 -2015

    Key Data Points for: Lesotho

    • 3%
      Date shows change since 2009
    • 14%
      Date shows change since 2009
    • 58%
      Date shows change since 2009
    • 51%
      Date shows change since 2009
    • 25%
      Date shows change since 2009
  • Paediatric HIV Care, Treatment, & Support

    • 2009 Baseline
    • 2012 Progress
    • 2014 Progress
    • 2015 Target
    Infants born to HIV-positive women receiving EID by 2m of age
    • 29%
    Infants born to HIV-positive women receiving CTX by 6 weeks of age
    • 10,907
    MTCT Rate
    • 28%
    • 23%
    Number of new paediatric infections
    • 4,400
    • 3,700
    ART Coverage among children 0-14 years
    • 25%

    Key Data Points for: Lesotho

    • 3%
      Date shows change since 2009
    • 14%
      Date shows change since 2009
    • 58%
      Date shows change since 2009
    • 51%
      Date shows change since 2009
    • 25%
      Date shows change since 2009

Lesotho

Country Situation

Adult HIV prevalence (ages 15-49) in Lesotho, estimated at 23.6% in 2009, is one of the highest HIV prevalence rates globally[1]. HIV prevalence (ages 15-49) is higher in urban areas (27.2%) than rural areas (21.1%), and females are more likely to be HIV positive than males (27% vs. 18% respectively) as of 2009[8]. HIV prevalence among pregnant women was 23% in 2009. Between 2009 and 2011, Lesotho has seen a 21% decline in the number of new paediatric HIV infections – from 4,700 to 3,700[3].

Lesotho’s commitment to attaining universal access to HIV prevention, treatment, and care services is beginning to show results. HIV testing coverage among pregnant women increased from 9% in 2005 to 57% in 2010[9], and 63% of pregnant women living with HIV received efficacious ARVs for PMTCT in 2011, up from 38% in 2009[3]. Virologic testing of HIV-exposed infants increased from 33% in 2009 to 78% in 2010[9].

Lesotho has adopted WHO Option B+ regimen for prophylaxis and a national EMTCT plan (2011-2015) is in place. Given the progress to date, Lesotho is well placed to achieve Global Plan targets.

Link to the Lesotho_National EMTCT Plan_2011.

Link to the Lesotho Ministry of Health.

Country Milestones

  • In Progress

    Countries have conducted an expenditure analysis, harmonized expenditure categories as needed, identified financing gaps in their action plans and have develped and begun to implement a strategy increasing financial assistance from domestic and international sources to support the national EMTCT plan.

    National EMTCT plans are costed.

    National guidelines on PMTCT and infant feeding in line with WHO 2010 recommended guidelines on ARVs for PMTCT.

    National annual EMTCT progress report includes community (civil society) analysis of progress and feedback from civil society is reflected in revisions to national EMTCT operational plans. Community engagement milestone has been revised and will be reported in June 2013.

    Baselines for essential commodity needs for EMTCT have been established.

    Relevant support and management capacity has been increased (IATT focal points in place).

    Policy review has been conducted to dentralize and task shift essential HIV activities to the primary care and community levels.

    Country has reported on estimated number of new HIV infections among children averted and number of mothers kept alive.

    Estimated number of new pediatric infections reduced by 50% from 2009 levels in at least 10 priority countries.

    Relevant targets met in at least 50% of districts in the country.

    Every district reports regular supplies of drugs and commodities without stock outs.

    Completed
    Behind

References

UNAIDS 2013 Report on the Global AIDS Epidemic, 2013 unpublished estimates.
UNICEF, WHO, UNAIDS Global Update on HIV Treatment Results, Impact and Opportunities 2013
UNAIDS modeling, 2013, based on 2012 country estimates.
Joint United Nations Programme on HIV/AIDS, Global Report: UNAIDS report on the global AIDS epidemic 2013, UNAIDS, Geneva 2013.
UNICEF update to a table published in the Joint United Nations Programme on HIV/AIDS, Global Report: UNAIDS report on the global AIDS epidemic 2013, UNAIDS, Geneva 2013, p. 9
Trends in Maternal Mortality 1990 to 2010.  WHO 2012.