Lesotho is classified by WHO as a high burden HIV country – 72% of TB patients were HIV positive in 2014. While uptake of CPT among TB/HIV co-infected patients was high (100%), only 74% of HIV-positive TB patients were on ART. The Ministry of Health and Social Welfare in Lesotho is working to reduce TB/HIV related morbidity and mortality through the provision of integrated, comprehensive TB/HIV services and strengthening roll-out of rapid molecular testing (GeneXpert) TB diagnostics.
PMDT Fellowship Program
A higher morbidity and mortality, long duration of treatment, and general complexities associated with MDR-TB cases, combined with a lack of clinical and programmatic experience among TB practitioners poses significant MDR-TB management challenges. To assist in addressing these critical MDR-TB challenges, TB CARE II offers TB practitioners an opportunity to participate in a yearly PMDT fellowship training in Russia, Lesotho, and Peru.
The MDR-TB epidemic is far from uniform within regions, and each region faces a variety of challenges. The PMDT fellowships are tailored to the context in which they are hosted to address the specific needs of the fellows working in these areas.
TB in Mines
Guidelines to integrate community-based TB activities into partner organizations who work in mining communities were developed and created a manual. In 2016, the manual was approved by the Lesotho Ministry of Health and disseminated. TB CARE II also worked with Occupational health clinics to procure medical equipment to help diagnosis TB. Occupational doctors were trained on spirometer so they could better diagnosis and treat TB in miners.