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In Lesotho, ICAP works to strengthen the health system and develop high-quality programs that address the dual epidemics of HIV and TB.
ICAP has partnered with the Government of Lesotho since 2005, providing technical leadership to accelerate and expand access to HIV and TB prevention, care, and treatment.
We work at the national level with the Ministry of Health and with district health teams and health facilities in Berea, Leribe, Quthing, and Qacha’s Nek. Additional partners include: the Global Fund for AIDS, TB and Malaria, WHO, UNICEF, universities and educational institutions providing nurse and midwife training, and corporate partners addressing HIV and TB through the private sector.
ICAP’s portfolio is focused on implementation support for HIV programs, improving health information systems, training and education for health care workers, and research on HIV and TB.
Accelerating Access to HIV Care and Treatment
ICAP works at the national level to strengthen health systems for HIV and in the four districts of Berea, Leribe, Quthing, and Qacha’s Nek to support comprehensive HIV care and treatment programs. The scope of work includes expanding access to HIV testing and diagnosis, prevention of mother-to-child transmission (PMTCT), adult and pediatric treatment, care and support, and TB/HIV integration. (Funded by PEPFAR through the CDC)
Strengthening Strategic Information for Health
ICAP provides technical assistance to strengthen national health information systems and support data use and data management to inform health programs and policy. (Funded by PEPFAR through the CDC)
TB Care and Treatment for Miners
To address high rates of TB among Lesotho’s migrant workers, ICAP forged a public-private partnership with TEBA, the country’s largest mining recruitment company. The project established clinics at TEBA offices in Maseru, Mafeteng, and Leribe as non-traditional points of care providing TB rapid testing, same-day diagnosis, and treatment. ICAP-trained TEBA care providers conduct TB contact tracing and support retention in care among miners and their families. (Funded by TB Reach/WHO)
Nursing Education Partnership Initiative
Expanding the role of nurses and midwives is critical to meet Lesotho’s national healthcare needs. ICAP is partnering with all six nurse training institutions in Lesotho to enhance teaching and learning in the classroom and clinical settings and ensure an adequate number of well-trained and qualified nurses and midwives. Online at nepinetwork.org. (Funded by PEPFAR through HRSA)
The START Study
START is an implementation science research initiative to enhance antiretroviral treatment and retention during TB treatment. (Funded by PEPFAR through USAID)
The EPIC Study
EPIC is a feasibility study that will inform future research on HIV prevention among serodiscordant couples. (Funded by the NIH)