Partnering to Achieve Epidemic Control in Lesotho

PEPFAR Lesotho Factsheet (PDF 401 KB)

The United States is proud to support Lesotho’s leadership in the global HIV/AIDS response. PEPFAR provides direct service delivery and technical assistance support in Lesotho to maximize the quality, coverage, and impact of the national HIV/AIDS response.

Working together with the Government of Lesotho, the Global Fund to Fight AIDS, Tuberculosis and Malaria, and other development partners, PEPFAR is aligning investments to scale up evidence-based interventions in the geographic areas and populations with the highest burden of HIV/AIDS–in line with PEPFAR 3.0 (PDF 1.15 MB). Lesotho is participating in the Accelerating Children’s HIV/AIDS Treatment (ACT) Initiative (PDF 504 KB), a two-year effort to enable 300,000 more children living with HIV/AIDS to receive life-saving antiretroviral treatment across priority countries in sub-Saharan Africa. Specific priorities include the following:

  • Saturating priority districts with HIV combination prevention activities with a focus on treatment retention and tuberculosis (TB)/HIV co-infection
  • Scaling up HIV testing and counseling, voluntary medical male circumcision, and prevention of mother-to-child HIV transmission (PMTCT) by supporting Option B+
  • Implementing activities to strengthen health information systems, supply chain management, HIV/AIDS-related surveillance, and laboratory systems
  • Fostering partnerships with all stakeholders through collaborative program planning, implementation, and monitoring

HIV/AIDS in Lesotho1

  • Deaths due to AIDS (all ages), 2015: 9,900
  • Number of people living with HIV (all ages), 2015: 310,000
  • Number of orphans due to AIDS (0-17), 2015: 73,000
  • Estimated antiretroviral treatment coverage (adults ages 15+), 2015: 41%
  • Estimated percentage of pregnant women living with HIV who receive antiretroviral medications for PMTCT, 2015: 70%

Saving Lives

In 2016, PEPFAR supported the following achievements in Lesotho:

  • Life-saving antiretroviral treatment for 127,706 people
  • Testing and counseling for 623,180 people
  • Care and support for 37,407 orphans and vulnerable children affected by HIV/AIDS
  • Antiretroviral medications for 6,233 pregnant women living with HIV to reduce the risk of mother-to-child transmission

Get the most up-to-date data on program results, expenditures, and planned funding at

PEPFAR Planned Funding in Lesotho2

FY 2016: $41 million

For complete fiscal year trends, please see the PEPFAR Dashboards.

  1. UNAIDS. (2015). Lesotho: 2015 Country factsheets. Retrieved from
  2. Data reflect information available on the PEPFAR Dashboards and, which represents planned new bilateral funding initially approved in the PEPFAR Country Operational Plans/Regional Operational Plans (COPs/ROPs) each fiscal year. As additional funding may be approved and made available after the initial COPs/ROPs submission, or to PEPFAR-supported countries that are not required to submit an annual COP/ROP, data on the Dashboards may not represent the final PEPFAR programmatic funding level in countries each fiscal year.

Country Operational Plans

This collection consists of the proposed U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) Country/Regional Operational Plans (COPs/ROPs) for fiscal years 2007-2016. They are the proposed COPs/ROPs for bilateral resources submitted by the U.S. embassies in each country, excluding funding information for To Be Determined Partners.

View Country Operational Plans for fiscal years 2004, 2005 and 2006 as redacted and released under the Freedom of Information Act (FOIA).