Success Story

Changing health care in Lesotho

Mahlape receives anti-retroviral drugs from her local community health clinic. The clinic was built because of MCC’s compact with Lesotho and supports the Government of Lesotho’s countrywide efforts to battle HIV.

The services Mahlape receives at her community health clinic have drastically improved her health—and possibly even saved her life, she said. She receives regular checkups and antiretroviral treatments to battle her HIV. The treatments and immunizations have provided her infant son with a better chance at a more productive future.

And with the recent opening of a new clinic—whose construction was funded by the Millennium Challenge Corporation—Mahlape is hopeful even more people from her eastern Lesotho community will benefit.

“It’s not cold like the old clinic,” she said in mid-May, the first time the 19-year-old visited the new clinic in Samaria. “The roof doesn’t leak. It’s much more comfortable. And it can hold more people. I think more people will come here.”

Linking more people with health care is a cornerstone of MCC’s five-year, $363 million compact with Lesotho. The Health Sector Project aims to mitigate the negative economic impacts of poor maternal health, HIV/AIDS, tuberculosis, and other diseases by substantially strengthening Lesotho’s health care infrastructure and building the capacity of those who work in the field.

Mahlape’s community clinic in Samaria is one of 138 health centers rehabilitated or built under the project. MCC is also funding the staff housing at each clinic along with the construction of 14 hospital outpatient departments, a blood transfusion center, a central laboratory, and residences to accommodate students and staff at the National Health Training College, the country’s largest health training school.

The new community health clinic in Samaria, Lesotho, is one of 138 health centers rehabilitated or built under the project.

Health care is a major concern to all Basotho. Almost a quarter of adults age 15-49 are infected with HIV/AIDS, the third-highest prevalence rate in the world. HIV/AIDS and other diseases have dragged down the country’s economy and stifled its attempts to reduce poverty.

MCC’s health investments support the Government of Lesotho’s efforts to provide HIV-battling anti-retroviral therapy by reinforcing a sustainable platform to deliver this and other essential health services throughout the country.

The goal is to extend the productive years for Basotho citizens living with HIV/AIDS, tuberculosis and other debilitating diseases so they can contribute to the economy.

Mahlape and her son rely on the clinics to stay alive. She receives anti-retroviral treatment free of charge each month from the clinic. Her son’s father previously died of complications due to AIDS, and her son received treatment during childbirth to prevent the HIV transmission. Her son has also received his regular immunizations from the clinic.

Several hundred yards from where Mahlape and her son sat in the new clinic’s waiting room stands the dilapidated building that previously served the community. The plaster on the walls is discolored and cracking. Glass is missing from some of the windowpanes. It lacks running water inside the building, meaning doctors and nurses needed to head outside to wash their hands at a standpipe between procedures. During the brutal mountain winter, the temperature inside the clinic would plunge below freezing.

One patient, 38-year-old Mathabiso Matsoele, just assumed this was how a rural health clinic operated—until the Health Sector Project.

“I used the old clinic often and I used to think it was OK,” she said. “But now I know better.”

Partnering to provide a healthier future

MCC is working alongside other U.S. Government partners to improve Lesotho’s health sector.

The U.S. Agency for International Development and the Centers for Disease Control and Prevention, working through the President’s Emergency Plan for AIDS Relief, are supporting complementary public health policies, expanding HIV/AIDS prevention and care, strengthening the country’s health management information systems, and coordinating ongoing training for nurses.

These partners are also funding comprehensive HIV/AIDS prevention, treatment and care programs. This includes training nurses in preventing mother-to-child transmission of HIV/AIDS, which will be made easier and more effective through new maternity services offered in MCC-funded health centers.

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