Lesotho

A snapshot of PrEP scale-up, registration and resources for Lesotho.

  • 700-900
    Estimated Number of Current PrEP Users

    Aggregates numbers reported from demonstration projects, PEPFAR dashboard and program/country reports where available. This is presented as a range due to difficulty in tracking precise numbers and possible double reporting.

  • 23,500-24,000
    Aggregate Target Number of PrEP Users from All Projects (Planned & Ongoing)

    Sum of the targets available at the quarterly data review. National targets put forward by governments may be aspirational and/or indicative of estimated need; or they may be low or non-existent if PrEP is solely available via demonstration projects. For this reason, a calculation of current PrEP users as a percentage of aggregate target will not accurately reflect progress. Additionally, some programs set targets on an annual basis while targets from other programs may extend over multiple years.

  • 23,993
    PEPFAR PrEP Target in COP 2018

    Targets are set by PEPFAR country teams on an annual basis. Targets do not indicate funding is available for PrEP.

Data Updated: August 9, 2018

Drug Registration Status

  • Gilead's Truvada (TDF/FTC) registration
    Approved
  • Generic versions of TDF/FTC for prevention
    Not submitted

Types of Projects

  • Large-scale implementation initiative — funded/implementer involvement and investment in some or all steps related to comprehensive introduction that may or may not use government clinics as the primary service delivery point – e.g., Kenya’s Jilinde program.

Research, Demonstration and Implementation Projects

Policy Framework

Funding

  • The Bill & Melinda Gates Foundation, PEPFAR, Nike Foundation

Eligibility Criteria

Oral PrEP is recommended for HIV-negative individuals at ‘significant risk’ of becoming infected with HIV. ‘Significant risk’ is defined as a three percent risk of being infected with HIV in one year. An individualized risk assessment should be performed for HIV-negative individuals in order to determine if PrEP is an appropriate HIV prevention strategy. The risk assessment should inquire about known high risk behaviors for acquiring HIV. Although it is important to conduct a risk assessment for each HIV-negative person before offering PrEP, the following groups of people are suggested for targeting of PrEP services based on high risk behaviors:

  • Exchanged sex for money
  • Paid for sex
  • Men who have sex with men and transgender people
  • People who inject drugs
  • In serodiscordant relationship and HIV-positive partner is not on ART
  • In serodiscordant relationship and HIV-positive partner has been on ART for < 12 months
  • In serodiscordant relationship and HIV-positive partner’s viral load is 1000 copies/ml or recent viral load is not known but partner’s ART adherence is documented to be poor
  • Multiple concurrent sexual partners
  • Incarcerated individuals

Resources for Lesotho

Lesotho Demand Creation Materials