Lesotho - FY 2009 Approved Funding by Program Area, Agency and Funding Source

Lesotho - FY 2009 Approved Funding by Program Area, Agency and Funding Source

*Only appropriations from the GHCS (State) fund account are notified by the Global AIDS Coordinator.

The following narrative describes activities supported by the GHCS-State fund account, notified by the Office of the Global AIDS Coordinator.

In a country with one of the highest HIV prevalence in Africa (23% prevalence), USG PEPFAR investments in Lesotho play a critical role in supporting the Government of Lesotho's National HIV/AIDS strategy to improve both HIV services and behavior change efforts that will impact the country's epidemic. A key focus of PEPFAR efforts is to link high-quality prevention, care and treatment services, including PMTCT, provision of equipment and supplies for TB/HIV care, ART, and CT to a population where access to health services poses significant challenges.

With strong cultural norms of multiple concurrent partnerships, the USG PEPFAR is increasing its prevention efforts with focused behavior change activities that target drivers of the epidemic. Additionally, with nascent civil society organizations, PEPFAR programming is playing an important role in increasing the number and capacity of local indigenous organizations that can provide these services. Given the critical deficit of trained human resources for health, the program also places an important focus on capacity building and retention of health workers through support to the Ministry of Health in policy and planning. The USG provides technical assistance to further develop health management information systems, train laboratory personnel, and expand strategic information systems.

Finally, given the important investments of Lesotho's Millennium Challenge Compact, PEPFAR programming is designed to leverage the comparative strengths of PEPFAR in relation to Lesotho's Millennium Challenge Compact supporting health infrastructure. A key component of this collaboration is capacity building of health workers to support new clinics and laboratory infrastructure.

Recently, a Partnership Framework between the Governments of Lesotho and the United States was signed and the document is now available at http://www.pepfar.gov/frameworks/lesotho/index.htm. This document outlines four ambitious goals that will be attained by 2014 through cooperation between the two signing governments. They include: reducing HIV incidence in Lesotho by 35%; reducing morbidity and mortality and providing essential support to Basotho people living with or affected by HIV/AIDS; improving the human resource capacity for HIV service delivery, and strengthening health systems in four key areas (health management information systems, laboratory capacity, organizational capacity, and supply chain management). This five-year joint strategic agenda will be supplemented with a Partnership Framework Implementation Plan that provides additional detail.

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