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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.

Current Projects

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.

HIV Impact Assessment Survey (PHIA)

ICAP is providing technical assistance and support to Lesotho’s MOH to conduct a population-based HIV impact assessment (PHIA) survey to assess HIV prevalence, incidence, and access to prevention, care, and treatment services. Survey findings will be used to evaluate the impact of Lesotho’s HIV response at a national level and to help guide and target future investment and programs. (funded by PEPFAR through the CDC)

Accelerating Children’s HIV/AIDS Treatment (ACT) Initiative

ICAP is partnering with the MOH and local organizations in Lesotho to strengthen monitoring and evaluation systems with the aim of improving linkage to pediatric patients to HIV care and treatment services. (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)

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)

Recently Completed Projects

Strengthening TB/HIV Integration under PEPFAR

ICAP provided technical leadership to support health systems strengthening for TB and HIV to mitigate the impact of the dual epidemics. The scope of work included:

Enhancing MOH stewardship and capacity to develop, manage, evaluate, and expand access to HIV and TB prevention, diagnosis, and care and treatment programs and support integration of TB/HIV services.

Supporting comprehensive HIV care and treatment services in the four districts of Berea, Leribe, Quthing, and Qacha’s Nek, including PMTCT and Option B+ roll-out, provider-initiated testing and counseling, and adult and pediatric treatment, care, and support, including retention in care and community linkages.

Capacity building to establish an effective and sustainable network of laboratories offering appropriate, high-quality HIV and TB diagnostic services in four districts.

Supporting the development, dissemination, and implementation of TB/HIV, adult and pediatric HIV care and treatment, PMTCT and related policy, guidelines, registers, and tools.

To read more about the achievements of this project, read the project brief here.

The EPIC Study

EPIC is a feasibility study that will inform future research on HIV prevention among serodiscordant couples. (funded by the NIH)

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)

To read more about the achievements of this project, read the project brief here.