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Lesotho Research Paper

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Words 780
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Janella Kang
G H 101 AK
13 February 2015
Xiaochen Dia
1. Country: Lesotho 2. Using two or three scholarly sources, describe the political climate in your chosen country. Does your country’s leadership demonstrate a credible commitment to health services? If yes, how? If no, why not? (150-200 words)

Lesotho takes a framework of democratic constitutional monarchy, which the Prime Minister of Lesotho is the head of the government. This constitution came into force in 1993, shortly after returning to the multiparty democracy, which was again amended in 2001 to introduce the Monarchy. The legislature, Parliament of Lesotho, has two chambers: the National Assembly and the non-elected Senate. Lesotho’s current president is Letsie III, and the …show more content…
Lesotho is known to have the 3rd highest HIV prevalence, due to restrictions within health services – critically affected by the low work force and misdistribution within the country. Since 2005 there has been no significant change in the national adult HIV prevalence. Some are due to the low aid disbursement that Lesotho is receiving, but additionally by behavioral and structural factors: multiple and concurrent sexual partnerships, inadequate levels of HIV-testing, low frequency of condom use and high rates of alcohol. MOH (Ministry of Health) has taken steps address them; it has developed several Sector policies and strategies. Paying attention to pre-service training and decentralized workforce. The main challenge of Lesotho is low availability and unreliable supply of medicines and drugs. However, the government has spending less attention within health expenditures and aid disbursements; the government has been losing the amount of health commitment/aid — it decreased by $26.70 million

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First, the multi-sectoral National Strategic Plan (NSP) for HIV and AIDS was developed and launched in 2006, which covers a five-year period. Additionally, PEPFAR (President’s Emergency Plan for AIDS Relief) has contributed specifically to Lesotho’s HIV/AIDS epidemic. Since August of 2009, the Governments of Lesotho and The US signed a Partnership Framework on HIV/AIDS, which is also a 5 year joint plan to achieve a more sustainable response. They estimated the number of people needing antiretroviral therapy, especially directed to women and children. The plan has shown increase in the PEPFAR Bilateral Funding, but the mortality rate as well as the life expectancy has decreased throughout the last couple years. Also, the funding towards fighting HIV is not enough to cover the high prevalence of HIV – the plans are more concentrated on giving aid but not a sustainable aid (similar to the ‘Scramble of Africa’ issue). Furthermore, due to Lesotho’s poor work force, even with the treatments given, the scarce population of doctor and nurse critically affects the health service. Most plans concentrate on treatments, while the issue in Lesotho is having not enough work force or trained professional medical

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