Hiv/Aids in Lesotho: Impacts and Implications for Development

Dejo Olowu

doi:10.57239/PJLSS-2025-23.2.004

Author(s)

Dejo Olowu School of Law, Walter Sisulu University,Private Bag X1, Mthatha 5117, Eastern Cape,South Africa

Abstract

Although there is an ample body of written works on HIV/AIDS in the small, landlocked and hilly Kingdom of Lesotho, few have addressed the key importance of the development question confronting Lesotho as a result of the HIV/AIDS epidemic in the country. This article aims to advocate that any cogent national policy, programming or planning aimed at responding to HIV/AIDS should simultaneously engage the development question in tandem. Reliance was placed on the two field trips conducted by the author to selected locations in Lesotho in the last quarter of 2023, as well as periodic resources disseminated by governmental and non-governmental entities, including the Government of Lesotho, supranational organisations, local community-based organisations (CBOs), multilateral development agencies together with the writings of experts and established publicists on the themes covered in this article. The findings of the article indicate that the dire situation has broader implications for programming, policy formulation and planning, affecting the government of Lesotho, its institutions, donor agencies, and other stakeholders. The discussion aids in the comprehension and assessment of political commitment and accountability in the ongoing battle against HIV/AIDS in Lesotho. The discussion presents an unpresumptuous approach in presenting a critical examination of the problems of HIV/AIDS vis-à-vis development in Lesotho from a synoptic viewpoint. The materials and methods are essentially qualitative and rely on the systematic analysis of empirical data from various sources. The study relied on descriptive techniques, derivative information, and statistics in assessing current strategic responses to the developmental challenges arising out of the HIV/AIDS epidemic in Lesotho to underscore their nexus and to pinpoint questions for all-inclusive interventions. The result is that the key to curbing the HIV/AIDS epidemic in Lesotho lies in addressing obstacles to development that prevent people from the basic capabilities of livelihood and the attainment of freedom of choice.

Publication Details

Page(s) 44-55

DOI 10.57239/PJLSS-2025-23.2.004

Published Journal: Pakistan Journal of Life and Social Sciences, Volume: 23, Issue: 2, Year: 2025

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Keywords

Capacity-Building Development Health Hiv/Aids Epidemic Lesotho (Kingdom Of) Policy Interventions.

References

Bansi-Matharu L.,Mudimu E.,Martin-Hughes R.,Hamilton M.,Johnson M.,ten Brink D.,Stover G.,Kelly S.L.,Jamieson L.,Cambiano V.,Jahn A.,Cowan F. M.,Mangenah C.,Mavhu W.,Chidarikire T.,Toledo C.,Revill P.,Sundaram M.,Hatzold K.,Yansaneh A.,Apollo T.,Kalua T.,Mugurungi O.,Kiggundu V.,Zhang S.,Nyirenda R.,Phillips A.,Kripke K.,Bershteyn A. .2023 .Cost-effectiveness of voluntary medical male circumcision for HIV prevention across Sub-Saharan Africa: results from five independent models. Lancet Global Health, 11(22) : 00515-0.

Bekker J. C.,Buchner-Eveleigh. M. J. C. .2017 .The legal character of ancillary customary marriages. De Jure, 50(1) : 2225-7160.

Coburn B. J.,Okano J. T.,Blower S. .2013 .Current drivers and geographic patterns of HIV In Lesotho: implications for treatment and prevention in Sub-Saharan Africa. BMC Medicine, 11 : 1741.

Cohen P. R. .2021 .Tattoo-associated viral infections: a review. Clinical, Cosmetic and Investigational Dermatology, 14 : 1529-1540.

Corno L.,D. L. .2013 .Socioeconomic determinants of stigmatisation and HIV testing In Lesotho. AIDS Care, 25(1) : 108-113.

Frediani A. A. .2010 .Sen's capability approach as a framework for the practice of development. Development in Practice, 20(2) : 173-187.

.2024 .Maseru: Government of Lesotho. pdf (accessed Oct 1, : .

. .-2019. Government of Lesotho. (2020a), : .

.2020 .. Lesotho vision, : .

. .Government of Lesotho. (2020c). Lesotho UNGASS country report: status of the national response to the 2001 declaration of commitment to HIV and AIDS. , : .

.2024 .The impact of HIV/AIDS on the development of children. Human Sciences Research Council, (Oct 1) : .

Klaasen J. S. .2014 .Towards an approach to development as mission: the category of personhood as addressed by Amartya Sen. , 42(1-2) : 72-87.

.2021 .. 2019 Education statistics report. Maseru: Bureau of Statistics., : .

.2024 .Lesotho demographic and health survey. , : .

.2020 .Take control, know the facts, commit to action in response to HIV and AIDS: a manual for the public service in Lesotho on HIV and AIDS. Maseru: LIPAM and UNDP. , : .

.2024 .The people living with HIV stigma index Lesotho report 2.0 final report. , 2(accessed Oct 1) : 0.

Loewenberg S. .2007 .HIV/AIDS conference highlights Lesotho's progress. Lancet, 369 : 358-359.

Medagangoda-Labe A. .2024 .-development-about-expanding-humanchoices (accessed Oct 1,. , : .

.2020 .Know your status communication strategy. Maseru: Government of Lesotho., : .

Moazzami M.,Ketende S.,Lyons C.,Rao A.,Taruberekera N.,Nkonyana J.,Mothopeng T.,Schwartz S.,Baral S. .2020 .Characterizing multi-level determinants of HIV prevalence among female sex workers in Maseru and Maputsoe, Lesotho. AIDS and Behaviour, 24(3) : 714-723.

Molefi B. .2020 .The need for domestic violence legislation in Lesotho in a quest to curb genderbased violence. LLB dissertation, : .

Morojele R. .2021 .Concerns about starting antiretroviral treatment among pregnant women in Lesotho. Global Public Health, 17(8) : 1675-1688.

.2024 .-2020-roadmap_en. Lesotho HIV prevention roadmap 2020, (accessed Oct 1) : .

.2024 .Statistics: progress on key indicators. National AIDS Commission [NAC]. (2020b), (accessed Oct 1) : .

National AIDS Commission .2024 .Lesotho civil society organizations' HIV and TB priority charter for children and adolescents. -v4.pdf (accessed Oct 1, : .

Odugbesan J. A.,Rjoub H. .2020 .Evaluating HIV/AIDS prevalence and sustainable development in Sub-Saharan Africa: the role of health expenditure. African Health Sciences, 20(2) : 4-578.

Olowu D. .2011 .Gender vulnerabilities, spousal abuse and the incidence of HIV/AIDS in Lesotho: a case for an integrative rights-based approach. African Journal of AIDS Research, 10(3) : 235-246.

Olowu D. .2013 .Gendered aspects of food security in Lesotho: implications for an integrative rightsbased approach. Gender and Behaviour, 11(2) : 5378-5392.

Olowu D. .2014 .Poverty, migration and the incidence of HIV/AIDS among rural women in Lesotho: a rights-based approach to public health strategies. Gender and Behaviour, 12(2) : 6317-6328.

Olowu D. .2015 .Responses to the global HIV and AIDS pandemic: a study of the role of faith-based organisations in Lesotho. Journal of Social Aspects of HIV/AIDS, 12(1) : 76-86.

Peck M. E.,Ong K. S.,Lucas T.,Harvey P.,Lekone P.,Letebele M.,Thomas V. T.,Maziya V.,Mkhontfo M.,Gultie T.,Mulatu D.,Shimelis M.,Zegeye T.,Juma A. W.,Odoyo-June A. W.,Musingila P. K.,Njenga J.,Auld A.,Kapito M.,Maida A.,Msungama W.,Canda M.,Come J.,Malimane I.,Aupokolo M.,Zemburuka B.,Kankindi I.,Malamba S.,Remera E.,Tubane E.,Machava R.,Maphothi N.,Vranken P.,Amuri M.,Kazaura K. J.,Simbeye D.,Alamo S.,Kabuye G.,Chituwo O.,Kamboyi R.,Masiye J.,Mandisarisa J.,Xaba S.,Toledo C.,Africa C. .2017 .Voluntary medical male circumcisions for HIV prevention - 13 countries in eastern and southern. Morbidity and Mortality Weekly Report, 72 : 256-260.

Population Reference Bureau. .2024 .. World population data sheet, (Oct 1) : .

Phoofolo P. .2007 .Marital litigation in early colonial Lesotho 1870-1900. études africaines 187, -188 : 671-709.

Rello J.,Tejada S.,Campogiani L.,Adebanjo A. G.,Tammaro A. .2021 .Systemic infections associated with tattoos or permanent makeup: a systematic review. Medicina Clínica (English Edition), 01(4) : 159-166.

Strand C. .2010 .Factors associated with high media coverage of the HIV epidemic in Lesotho. African Journal of AIDS Research, 9(3) : 225-233.

Tampa M.,Mitran M. I.,Mitran C.I.,Matei C.,Amuzescu A.,Buzatu A. A.,Georgescu S. R. .2022 .Viral infections confined to tattoos - a narrative review. Medicina (Kaunas, Lithuania), 58(3) : .

.2024 .Operational plans. , (accessed Oct 1) : .

PEPFAR-LatestGlobal-Results_ .2024 .Latest global program results. , (accessed Oct 1) : .

Trickey A. J. W.,Johnson L.,Bonifacio R.,Kiragga A.,Howard G.,Biraro S.,Wagener T.,Low A. J.,Vickerman P. T. .2024 .Investigating the associations between drought, poverty, high-risk sexual behaviours, and HIV Incidence in Sub-Saharan Africa: a cross-sectional study. AIDS and Behaviour, 28(5) : 1752-1765.

United Nations AIDS Programme .2024 .. Country fact sheets: Lesotho, (accessed Oct 1) : .

United Nations AIDS Programme .2024 .-global-aidsupdate_en. (2023b). Report on the global AIDS, (accessed Oct 1) : .

United Nations AIDS Programme .2024 .. Global HIV statistics - fact sheet 2024, (accessed Oct 1) : .

Nations Children's Fund United .2024 .. Last updated 2 March, 77(accessed Oct 1) : .

Nations United .2024 .Violence against women: facts and figures. March, (accessed Oct 1) : .

Nations Development Programme United .2024 .UNDP 2020 Millennium Development Goals in Lesotho. (2020a), (accessed Oct 1) : .

Nations Development Programme United . .. Human development report 2020, : .

Nations Development Programme United .2022 .HDI indicators by country 2022. , : .

Nations United .2024 .. , : .

.2024 ._impact_male_circumcision (accessed Oct 1,. United States Agency for International Development [USAID]. (2020a), : .

.2024 .. Health profile: Lesotho, (accessed Oct 1) : .

Uwishema O.,Taylor O.,Lawal L.,Hamiidah N.,Robert I.,Nasir A.,Chalhoub E.,Sun J.,Akin B. T.,Adanur I.,Mwazighe R. M,Onyeaka H. .2022 .The syndemic burden of HIV/AIDS in Africa amidst the COVID-19 pandemic. Inflammation and Disease, 10 : 26-32.

Velardez M. G. .2024 .Evaluating the effectiveness of HIV/AIDS interventions in Lesotho. Master's projects and capstones. , (Oct 1) : .

World Bank. ,Projectid = .2024 .P104403 (accessed Oct 1,. Last updated: 8 July, 64312881 : 40941.

World Bank. ,- .2024 .Poverty and equity brief Lesotho Africa eastern and southern. , (accessed Oct 1) : .

.2021 .Global HIV/AIDS response: epidemic update and health sector progress towards universal access: progress report 2020-2021. World Health Organisation [WHO], : .

.2024 .HIV and AIDS. , (accessed Oct 1) : .

.2024 .Lesotho: country overview. World Health Organisation [WHO], (Oct 1) : .

Xavier L. N.,Mokgatle M. M.,Oguntibeju O. O. .2023 .Prevalence of sexually transmitted infections and related sexual behaviour among pregnant women 18-49 years old attending antenatal clinic at a primary health care in Maseru, Lesotho. The Open Public Health Journal, 16 : .

Zinyemba T. P.,Groot W.,Pavlova M. .2023 .Effects of parental HIV on children's education: a qualitative study at Mashambanzou Zimbabwe. Review of Social Economy, : 1-26.