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Lesotho

Southern Africa's TB challenge migrates with miners

Patrick Osewe's picture

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A while ago, I was part of a mission to visit a new hospital in Lesotho. Warned in advance that this facility was intended to treat people with multi-drug resistant tuberculosis (TB)– and knowing the huge burden of HIV-TB co-infection in the country—I was expecting the patients’ demographic to match the profile of HIV: largely young and increasingly female.

What I wasn’t prepared for was the sight of two entire families—young and old, men, women and children—all confined together for the foreseeable future, to be monitored by health workers as they take their daily drugs.

Taking the pulse: The evolving health public-private partnership in Lesotho

Patricio V. Marquez's picture

Jean J. De St Antoine and Kanako Yamashita-Allen are co-authors of this post.

During a recent visit to Maseru, we met with staff at the 425-bed Queen ’Mamohato Memorial Hospital which opened in October 2011 and at one of three primary care clinics that have been running since 2010 as part of a Ministry of Health (MOH)--led public private partnership (PPP).  The PPP aims to facilitate access to quality health services in a poor country.   

New ways to deliver water

Louise Croneborg's picture

Mamtoai puts her blue token key into the slot of the standpost and out flows water.

Mamtoai, Lower Ha Thetsane, Maseru, LesothoIt is an early spring morning in October and the sun shines brightly in Lower Ha Thetsane, an area of Maseru, Lesotho, where Mamtoai lives. Other women and young kids are busy chatting as they wait for their turn to collect water. Mamtoai fills up her 20-liter plastic container, snaps the lid tight and raises it up in the air to carry the heavy load on the crown of her head.
 
The installation of pre-paid water standposts that provide piped and treated water in Ha Thetsane is recent. The distance to a communal tap, installed long ago when the area was a rural settlement, used to be far longer. If pipes or taps were broken, water would be lost and turn the earth floor into mud. The cost of water tanked by local entrepreneurs to these peripheral areas could vary hugely - invariably much higher than the formal regulated water system. To expand water distribution, Lesotho’s largest utility the Water and Sewerage Company WASCO has installed water standposts into areas like Ha Thetsane. 
 

A small country bringing about big change

Ritva Reinikka's picture

Thousands of Basotho joined HM King Letsie III last Friday at the inauguration of a state-of-the-art hospital in Maseru, Lesotho. The new hospital, together with its three filter clinics, is bringing modern, high-quality health care to about half a million people—or a quarter of Lesotho’s population—living in Maseru district, and also serving the country as a revamped national referral and teaching hospital. 

Prime Minister Mosisili reminded the audience of Lesotho’s history as a British protectorate. “The protectors gave the country its first national hospital in 1957 and named it Queen Elizabeth II after their Queen,” the PM said. “The new hospital is ours and we named it after our Queen, ’Mamohato.”

Why is this hospital so important? It symbolizes a fundamental change in publicly-funded health services in Lesotho.  The transformation in the country's health sector is supported by a unique partnership between the government and the private sector that is truly exciting as Africa looks for ways to reach the 2015 Millennium Development Goals, especially those related to saving mothers and children and fighting HIV/AIDS.


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