Lesotho
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Lesotho
ICAP has worked in Lesotho since 2005, collaborating with national governments, district health management teams, individual health facilities, educational institutions, and local non-governmental organizations to strengthen health systems. Currently, ICAP in Lesotho is supporting the Ministry of Health in strengthening strategic information for health by providing technical assistance and resources to its national health system.
Projects include transforming Health Information Systems (HIS); conducting a Lesotho HIV Impact Assessment Survey (LePHIA2020); Tracking new HIV infections with Recency Assays to Control the Epidemic (TRACE), Expanding Access to Quality Laboratory Service (EQUALS), and supporting the Ministry of Health on the COVID-19 response including Infection Prevention and Control (IPC), Laboratory Assistance, and Data Management.

Projects
Current
Date
Title
Status
All
Completed
Current
Soon to Launch
Program Affiliation
All
Global TA
PHIA
QICIP
CQUIN
GNCBP
OpCon
OPTIMIZE
HPTN
MTCT-Plus
MCAP
UTAP
TRACE
COVID
CTU
Project Location
All
Tajikistan
Brazil
Guatemala
Georgia
Haiti
China
Kazakhstan
Kyrgyzstan
Namibia
Nigeria
Rwanda
Central Asia
Burundi
Liberia
Philippines
Senegal
Panama
Honduras
El Salvador
Harlem
Bronx
Colombia & Peru
Tanzania
Angola
Cameroon
Côte d’Ivoire
Democratic Republic of the Congo
Lesotho
Kenya
Ethiopia
Malawi
Sierra Leone
Zimbabwe
Mozambique
Eswatini
South Sudan
Mali
South Africa
Uganda
Zambia
United States
Ukraine
Myanmar
Project Details
ICAP is providing technical assistance to develop and implement a district health information system (DHIS2)-based COVID-19 registry. With funding from the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) through
Project Details
http://www.covid19.gov.ls/covax
Electronic Register for HIV and TB
Project Details
ICAP is providing technical assistance to develop, establish infrastructure for, pilot, and roll out an open-source electronic health record (eRegister) to capture, manage, and utilize client-level data throughout the HIV,
Project Details
https://hiels.gov.ls/bahmni/home/
Health Information Exchange (HIE)
Project Details
ICAP is providing technical assistance to develop and establish infrastructure for the pilot, and roll out of a web based open-source health information exchange (HIE) platform. With funding from the U.S.
Project Details
https://devbukanals.org/
Project Details
Funded by U.S. Centers for Disease Control and Prevention (CDC) emergency International Task Force (ITF) funds, ICAP is providing technical expertise in infection prevention and control, surveillance, procurement, and clinical
Project Details
Population-based HIV Impact Assessment (PHIA)
Project Details
ICAP is providing technical assistance to the Lesotho Ministry of Health to conduct the Lesotho Population-based HIV Impact Assessment (LePHIA) survey to assess HIV prevalence, incidence, and access to HIV
Project Details
Find out more at phia.icap.columbia.edu
Resolve to Save LivesDistricts (or national)Mafeteng
Project Details
ICAP has launched a multi-country emergency response training initiative to prepare health care workers on the front lines of the COVID-19 response, funded by Resolve to Save Lives, an initiative
Project Details
Strengthening Strategic Information Activities in the Kingdom of Lesotho
Project Details
With a five-year cooperative agreement from PEPFAR through the U.S. Centers for Disease Control (CDC), ICAP provides technical assistance to develop a web-based health management information system (HMIS) with IT
Project Details
View Key Findings Report here
http://hmis.gov.ls/dhis
Tracking with Recency Assays to Control the Epidemic (TRACE)
Project Details
TRACE aims to establish epidemiological data surveillance systems to monitor the HIV epidemic in real-time—allowing countries to prevent new HIV infections through precise prevention efforts, as well as targeted interventions
Project Details
Learn more on the TRACE project page
Completed
Date
Title
Status
All
Completed
Current
Soon to Launch
Program Affiliation
All
Global TA
PHIA
QICIP
CQUIN
GNCBP
OpCon
OPTIMIZE
HPTN
MTCT-Plus
MCAP
UTAP
TRACE
COVID
CTU
Project Location
All
Tajikistan
Brazil
Guatemala
Georgia
Haiti
China
Kazakhstan
Kyrgyzstan
Namibia
Nigeria
Rwanda
Central Asia
Burundi
Liberia
Philippines
Senegal
Panama
Honduras
El Salvador
Harlem
Bronx
Colombia & Peru
Tanzania
Angola
Cameroon
Côte d’Ivoire
Democratic Republic of the Congo
Lesotho
Kenya
Ethiopia
Malawi
Sierra Leone
Zimbabwe
Mozambique
Eswatini
South Sudan
Mali
South Africa
Uganda
Zambia
United States
Ukraine
Myanmar
Accelerating Children on Treatment (ACT) Initiative
Project Details
With funding from the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) through the Centers for Disease Control and Prevention (CDC), ICAP collaborated with the Lesotho Ministry of Health to
Project Details
Enhanced HIV Prevention in Couples Study (EPIC) (2009 - 2015)
Project Details
The EPIC study focused on feasibility/acceptability research and modeling work to inform the design of a future multi-component study for the prevention of HIV transmission in discordant couples in Lesotho.
Project Details
Global Nurse Capacity Building Program (GNCBP), Nursing Education Partnership Initiative (NEPI)
Project Details
The Global Nurse Capacity Building Program (GNCBP) was a multi-year program (2009-2018) to increase the quantity and quality of the nursing and midwifery workforce by addressing seven domains of health
Project Details
Find the GNCBP final report here
Find out more about NEPI and General Nursing
Project Details
ICAP provided support and technical expertise to the national public health system in the following areas: Supported a national HIV drug resistance survey to assess prevalence and patterns of acquired
Project Details
- Supported a national HIV drug resistance survey to assess prevalence and patterns of acquired drug resistance and pre-treatment drug resistance.
- Supported the enhancement and expansion of a national District Health Information System (DHIS2) data warehouse to support HIV surveillance.
- Helped develop a customized electronic HIV patient register and supported capacity building.
- Assisted in estimating the national prevalence of physical, emotional, and sexual violence perpetrated against boys and girls in Lesotho with the Violence Against Children Survey.
- Supported the evaluation of the HIV treatment cascade among pediatric populations and systems strengthening for tracking children living with HIV.
- Supported the evaluation of integrated Tuberculosis (TB)/HIV services in health facilities in Lesotho including support for improved TB infection control.
- Helped establish a public-private partnership between the Lesotho Ministry of Health and mining companies to provide treatment for workers and strengthen Lesotho’s National TB Program.
Find out more on the Global Technical Assistance Project Page
Project Details
ICAP collaborated with the Ministry of Health and U.S. Centers for Disease Control (CDC) to assess the frequency and pattern of HIV drug resistance among people living with HIV. A
Project Details
Access end of project report here.
Project Details
The MTCT-Plus Initiative, the world’s first multi-country HIV treatment program, aimed to demonstrate to a disbelieving world that it was possible to provide care and antiretroviral (ARV) treatment in resource-limited
Project Details
Find the MTCT-Plus and MTCT-Plus Expansion reports here.
Project Details
ICAP conducted a study to assess the acceptability and feasibility of providing PrEP to the wives of migrant miners prior to their husbands’ annual visit.
Project Details
Preventing Childhood Tuberculosis in Lesotho (PREVENT) Study
Project Details
ICAP conducted an innovative, mixed-methods, cluster-randomized implementation science study that aimed to evaluate the effectiveness and acceptability of a combination community-based intervention versus the standard of care to identify and
Project Details
Provide Miner-Friendly Services for Integrated TB/HIV Care (PROMISE) Study
Project Details
ICAP conducted implementation science research to evaluate the effectiveness, feasibility, and acceptability of family-focused, integrated TB and HIV services among migrant miners and their families. Specifically, the study sought to
Project Details
Southern Africa Tuberculosis and Health Systems Support (SATBHSS) Project
Project Details
ICAP, in partnership with the Lesotho Ministry of Health, and support from the World Bank, supported the strengthening of the health sector’s response to TB and occupational lung diseases. ICAP
Project Details
Strategic Timing of Antiretroviral Treatment (START Study) (2012 - 2016)
Project Details
The START study was a cluster site-randomized trial that evaluated a combination intervention package versus the current standard of care with the goal of improving early ART initiation and retention
Project Details
View the End-of-Project brief here
Strengthening TB/HIV Integration under PEPFAR (2009 – 2015)
Project Details
ICAP collaborated with Lesotho’s Ministry of Health to integrate TB and HIV services at every level of the health system, enabling a more coordinated response to the nation’s dual TB/HIV
Project Details
View the End-of-Project brief here
Supporting Point of Care TB/HIV Centers for Migrant Miners
Project Details
ICAP collaborated with the Ministry of Health to increase access to TB and HIV services for miners and ex-miners in Lesotho, aiming to improve coverage and quality of TB control
Project Details
TB Care and Treatment for Miners (2009 – 2015)
Project Details
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
Project Details
View the End-of-Project brief here
Violence Against Children and Youth Survey (VACS)
Project Details
ICAP supported the CDC to lead this nationally representative household survey to measure the prevalence, 12-month incidence, and circumstances surrounding sexual, physical, and emotional violence in childhood, adolescence, and young
Project Details
View the report
ICAP in Lesotho
Program Start
- 2005
Key Technical Areas
- Comprehensive HIV Care and Treatment Programs
- Tuberculosis
- Maternal and Child Health/Prevention of Mother to Child HIV Transmission (PMTCT)
- Health Systems Strengthening/Health Information Systems
- Human Resources for Health: Capacity building of Nursing and Midwifery Educational Institutions
- Nursing Education Partnership Initiative (NEPI)
- Global Nurse Capacity Building Program (GNCBP)
- Quality Improvement
- COVID-19 Response
- SARS-CoV-2 Testing
- Infection Prevention and Control (IPC)
- Lesotho Cellphone Influenza-like Illness Participatory Surveillance
- Monitoring and evaluation
- Population-based surveys
- Operational and implementation science Research
- Surveillance
- Accelerating Children on Treatment (ACT) Initiative
- HIV Laboratory Support
Current Funders
- PEPFAR / Centers for Disease Control and Prevention (CDC)
- CDC ITF
Country Director
Felix Ndagije, MD, MSc
Dr. Felix Ndagije is a global health professional with over 20 years of experience in the design, implementation, evaluation, and scale-up of HIV prevention, care, and treatment programs with ministries of health, implementing partners, United Nations agencies, and CDC/PEPFAR. He has technical expertise in health systems strengthening, maternal and child health programs, TB/HIV, and non-communicable diseases.
Dr. Ndagije first joined ICAP as an Evaluation and Research Advisor in Rwanda in 2005. He re-joined ICAP in Lesotho in May 2016, where he pivoted to serve as a Senior Regional Technical Advisor for Clinical and Training supporting a number of projects in multiple ICAP countries. From January 2019, he served as Country Director for ICAP in Lesotho, managing a number of key technical and representational requirements in the country.
Dr. Ndagije earned his medical degree from the National University of Rwanda and he possesses a Master’s degree in Global Health; and a Master’s degree in Tropical Pediatrics and Child Health from the Liverpool School of Tropical Medicine, University of Liverpool.
Jobs in Lesotho
For international ICAP job listings see careers at ICAPACITY