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Lesotho

Date Started:

2007

Locations (incl. clinics and nearby communities):

111

New Clients Enrolled (2018):

65,087

 

Mentor Mothers (2018):

322

Our work in Lesotho

Lesotho may be one of the smallest countries in Africa, yet large distances between communities and health centres and lack of transport can deter women and their families from accessing essential medical care. To help overcome this, mothers2mothers (m2m) provides integrated services in both health centres and communities in five districts of Lesotho with high burdens of HIV/ AIDS—Maseru, Mafeteng, Leribe, Mohale’s Hoek, and Berea. m2m Mentor Mothers conduct door-to-door visits to help identify women and families who have not received medical services or dropped out of care. They link them to Mentor Mothers at health centres, who support them to access care and stay on treatment. Furthermore,

 

Mentor Mothers work closely with health facility staff on monthly outreach programmes that bring medical services to people living in remote areas.

m2m Lesotho is the first country programme to be digital at all of our locations. Our mHealth client management tools have not only streamlined client tracking at both the health facility and in the community, but have also made it easier for community- based Mentor Mothers to access important health information on every household they visit.

Matsitso Mohoanyane, Paediatric HIV and AIDS Manager, Ministry of Health Lesotho

Our Impact in Lesotho

Virtual elimination of mother-to-child transmission of HIV among m2m’s enrolled clients, according to UNAIDS guidelines:

99%

of HIV-positive women enrolled at m2m were initiated on antiretroviral therapy (ART) for life.

89%

of HIV-exposed infants of enrolled m2m clients were given ART to protect them from infection.

91%

of these HIV-exposed infants were tested for HIV at 6-8 weeks.

6 – Our MTCT rate is comparable to the UNAIDS MTCT Indicator, as outlined in their guidelines available here: https://www.unaids.org/sites/default/files/media_asset/2017-Global-AIDS-Monitoring_en.pdf. National benchmark is based on the latest available UNAIDS data, published here: https://www.unaids.org/sites/default/files/media_asset/20190722_UNAIDS_SFSFAF_2019_en.pdf

Success Story

m2m Lesotho’s Regional Manager, Limpho Nteko, was just 21 years old when she found out that she was HIV-positive. Pregnant with her first child, this news changed her life forever.

Accepting my status was not easy. I felt ashamed visiting the clinic and it seemed like the entire country knew I was living with HIV. While my parents accepted my news and provided support, my husband— who was seven years older than me—refused to share my status with his family. I was forced to hide my medication and sadly my baby died when she was just three weeks old. I met mothers2mothers in 2013 during my second pregnancy. The Mentor Mothers made me believe in myself again. They helped me accept my condition and the lifelong commitment of taking medication regularly. My child was born HIV-free thanks to their support. m2m saved my life. Every morning I wake up motivated because I’m living a purposeful life, helping women living with HIV to make informed choices. I support and supervise 84 Mentor Mothers and 16 health facilities. I’m most proud of the fact that I am healthy and I am able to build a comfortable life for my children.

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