Lesotho : Photos

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Over 3000 Metres

Deep in the mountainous heart of Lesotho, taken from the Mafika-Lisiu Pass, 3000 metres.

Rural Dwellings in Lesotho

On the way down from Mafika-Lisiu Pass.

Lesotho at its finest. #drakensberg #southafrica #lesotho #horses #horseriding

Three days spent horse riding through Lesotho. The views are incredible!

Sloggett's Ice Rat

Sani Pass, Lesotho

Rock Kestrel

Sani Pass, Lesotho

Ground Woodpecker

Sani Pass, Lesotho

Two young men in traditional blankets riding horses, the traditional mode of transport in Lesotho’s mountainous terrain.

Image: Graeme Williams/Unitaid

Limpho Taka, a 47-year old patient with HIV and MDR-TB, receives medication from his treatment supporter, Maliensoane Khafo, at the Bobete health clinic in Thaba-Tseka district.

Image: Graeme Williams/Unitaid

Unitaid launched a US$ 60 million project in 2015 to increase access to better, shorter treatments for MDR-TB. The four-year endTB project to expand new drug markets for TB is being implemented by Partners in Health, Médecins Sans Frontières, and Interactive Research & Development.

Lesotho has one of the highest TB incidence and HIV prevalence rates in the world. This translates to 17,000 new TB cases annually out of which less than half (45%) are notified. Among TB patients, 72% are co-infected with HIV. Lesotho’s mountainous terrain makes it difficult to treat patients in rural villages.

Image: Graeme Williams/Unitaid

The Ministry of Health has outsourced MDR-TB management to Partners in Health (PIH), a US-based health care non-profit organization. PIH has seven primary health care clinics across the country and manages Botshabelo MDR-TB Hospital, the only one in the country.
Image: Graeme Williams/Unitaid

Highly resistant TB strains are no longer a death sentence in Lesotho as new medicines improve cure rates. It is estimated that the MDR-TB mortality rate has decreased by 50% since the introduction of the new drugs.
Image: Graeme Williams/UNITAID

PIH’s temporary accommodation houses MDR-TB patients who do not qualify for hospital accommodation, and have problems staying at home due to distance or lack of care. Recovering MDR-TB patient Marethabile Tjeketsi (right) with her treatment supporter (left).

Image: Graeme Williams/Unitaid

Lesotho’s Health Minister, Dr Molotsi Monyamane, confirms that TB, HIV/AIDS and maternal and child health are the top health priorities in Lesotho. Universal health coverage is also a priority, but its geography and limited human and financial resources pose a significant challenge.

Image: Graeme Williams/Unitaid

Tsebo Nuebe, the lab technician, conducts a test to detect MDR-TB with the GeneXpert machine, a new rapid TB test.

Image: Graeme Williams/Unitaid

PIH manages Lesotho’s service delivery for MDR-TB, which features well-trained staff, quality-assured laboratory and medicines, availability of ancillary drugs to manage side-effects and a strong system of treatment supporters (community health workers) responsible for individual patient care. There is also social support to patients (including housing) and each month the patients receive a basic food-package sufficient to cover the needs for a family.
Image: Graeme Williams/UNITAID

Lesotho is one of 15 countries included in the Unitaid-funded endTB observational study and one of six countries planning to also implement the endTB clinical trial.

Image: Graeme Williams/Unitaid

Limpho, who is married with one daughter and two grand-children, lives in Mpokochela village in the Drakenberg mountains of Lesotho. It takes him three hours on his horse to reach the Bobete clinic. He was diagnosed with MDR-TB, started but failed the standard MDR-TB treatment regimen because of its side effects. He was bedridden for one year, which caused severe bed sores and oedema.
Today he is feeling much better thanks to the new MDR-TB drugs he is taking as part of the endTB project.

Image: Graeme Williams/Unitaid

Lesotho’s multidrug-resistant TB (MDR-TB) rates are higher than other African countries (excluding South Africa). The main reason for high MDR-TB rates in Lesotho is the high transmission in neighbouring South African mines where thousands of men from Lesotho work to earn their living.

Image: Graeme Williams/Unitaid

The introduction of bedaquiline and delamanid has been very successful as they are less toxic than many other MDR-TB drugs.

Image: Graeme Williams/Unitaid

National Flag of Lesotho on a Brick Wall

National flag of Lesotho on a brick wall.

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