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Our HIV programme in Lesotho

Background

At the end of 2005 Lesotho had an estimated 270,000 people living with HIV, more than half of whom are women. The country has the second highest HIV prevalence rates in sub-Saharan Africa and life expectancy has dropped to 34 years.Children of the rural community in Mapholaneng, Lesotho, where the Red Cross works 1 © BRC
Around 97,000 children have been orphaned because of AIDS and 18,000 children are living with HIV.

Lesotho Red Cross Society has significantly scaled up community-based HIV interventions since 2002. They have developed a five-year strategic plan to guide their activities from 2006-2010.

The focus of the programme is:

  • preventing further HIV infections
  • expanding and improving the quality of care, treatment and support
  • significantly reducing stigma and discrimination
  • increasing the capacity of the Lesotho Red Cross.

The programme aims to reach one million people with HIV prevention interventions, and provide care and support to 7,200 people living with HIV and 9,700 orphans and vulnerable children by 2010.

The British Red Cross response

Red Cross staff wear HIV T-shirts to address stigma in Lesotho 2 © BRCSince July 2005, the British Red Cross has been supporting three of the Lesotho Red Cross’ home-based care projects in Sebapala (Quthing district), Mapholaneng (Mokhotlong district) and Kena (Maseru rural district).
Specially trained volunteers in those areas are working to reach 2,000 people living with HIV, providing care and support to them and their households. Lesotho Red Cross also provides care and support to 5,402 orphans and vulnerable children.

The British Red Cross is committed to supporting the Lesotho programme for four years (2005-2009).  From 2008 the programme will be further extended to include more work on increasing access to food. 

Awareness campaigns
Teams of specialist facilitators and volunteers deliver structured health education workshops on HIV and AIDS, TB, prevention of mother-to-child transmission, sexual and reproductive health and rights, gender-based violence issues, and other related health issues in community settings and clients’ homes.

Youth peer education
Peer educators (aged 18-25) are recruited and trained to promote life skills and positive living to other young people in their communities and schools, including sexual and reproductive health and rights, sexually transmitted infections (STIs), HIV and AIDS.

Condom distribution
Condoms – including female condoms – are distributed and people are trained on their use.

Care and support for people living with HIV
There are 90 volunteer caregivers who visit 2,000 chronically ill clients (i.e. home-bound or bed-ridden clients) each week. They provide a wide range of assistance, including bringing food parcels, providing basic nursing care, giving advice on access to anti-retroviral treatment, nutrition and establishing food gardens, and referring clients to auxiliary social workers for psychosocial counselling. During these visits families and primary caregivers are empowered to manage the work themselves so each volunteer caregiver is able to visit three or four clients a day.

Support to caregivers
Primary caregivers are given training focusing on the provision of effective care and support for family members with HIV and AIDS.

Support groups
Support groups are established for people living with HIV and caregivers as an important way of receiving psychosocial support from other community members, as well as for knowledge sharing and encouraging the creation of community food gardens.

Income generation
New initiatives have been started in communities to provide jobs and income for people living with HIV.

Work with orphans and vulnerable children
Orphans and other vulnerable children receive a wide range of practical assistance, including food, home visits, education support (e.g. uniforms and school materials) and support groups.

Support access to testing and treatment
We are increasing promotion of and support in accessing anti-retroviral treatment and HIV testing, as well as promoting mother-to-child transmission prevention programmes.

Anti-stigma and discrimination
We advocate and champion the rights of people living with HIV, orphans and other vulnerable children, helping them to access the support they need.

Read about people living with HIV

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Video: Our world, together against HIVOpens in a new window
International Federation of Red Cross and Red Crescent Societies HIV workOpens in a new window
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The British Red Cross Society, incorporated by Royal Charter 1908, is a charity registered in England and Wales (220949) and Scotland (SC037738).