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.


Expanding Access to Quality Laboratory Services (EQUALS)

  • current
Funded by the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) through the Centers for Disease Control (CDC), the Expanding Access to Quality Laboratory Service (EQUALS) project will increase access to and improve the quality of laboratory diagnostic and monitoring services in Lesotho. Under the EQUALS project, ICAP is partnering with Lesotho’s National Reference Laboratory, ...

HIV Recent Infection Surveillance

  • Multi-Country,
  • current:
  • Lesotho
Disease surveillance to stop HIV transmission in its tracks. Remarkable progress has been made toward HIV epidemic control in some high-burden countries, but many gaps remain. Identifying people with undiagnosed HIV infection, especially those who have been recently infected, is essential to realize the individual benefit of rapid treatment initiation and to prevent HIV transmission to others. ...

Population-based HIV Impact Assessment (PHIA)

  • Multi-Country,
  • current:
  • Cameroon
  • ,
  • Cote d’ Ivoire
  • ,
  • Democratic Republic of the Congo
  • ,
  • Eswatini
  • ,
  • Lesotho
  • ,
  • Malawi
  • ,
  • Tanzania
  • ,
  • Uganda
PHIA is a multi-country initiative led by ICAP, the U.S. Centers for Disease Control and Prevention (CDC), and ministries of health in PEPFAR-supported countries. Each survey offers household-based HIV counseling and testing conducted by trained survey staff, with return of results. The surveys also ask questions about access to preventive care and treatment services for adults and children. The results measure national and regional progress toward UNAIDS’ 90-90-90 goals and guide policy ...

Promoting HIV Testing and Linkage to Care in Cross-Border Migrants in Lesotho (LeMiST)

  • current
This study will explore the use of community or home-based testing, including self-testing (HIVST) and preferences for linkage to confirmatory testing and treatment in cross-border migrants in Lesotho, a country with very high HIV prevalence as well as high rates of mobility. Through our research done as part of the Lesotho Population-based HIV Impact Assessment ...

PSA Lesotho

  • current
To plan and keep track of Determined, Resilient, Empowered, AIDS-free, Mentored, and Safe (DREAMS) programs, Lesotho and its CDC-funded country programs need to understand program saturation across all age bands in currently targeted DREAMS districts. In addition, country teams need to understand how many adolescent girls and young women (AGYW) who are at risk for ...

Strengthening Strategic Information Activities in the Kingdom of Lesotho

  • current
ICAP is providing technical assistance to develop a web-based health management information system (HMIS) with IT and infrastructure support to roll out the system nationwide. This system will support facility- and district-level data entry, management, and use to strengthen evidence-based planning and monitoring of health programs and policies. The project is also supporting the Lesotho ...

The CQUIN Project for Differentiated Service Delivery

  • Multi-Country,
  • current
CQUIN is a multi-country learning network dedicated to improving differentiated service delivery (DSD) for people living with HIV. Launched in 2017 with support from the Bill & Melinda Gates Foundation, the network convenes health system leaders from countries in sub-Saharan Africa to participate in joint learning and information exchange, with the goal of fostering scale-up ...

ICAP in Lesotho

Active Years
  • 2005 to present
Key Technical Areas
  • HIV  
  • Tuberculosis  
  • Maternal and Child Health 
  • COVID-19 
  • Health Systems Strengthening  
  • Human Resources for Health  
  • Infection Prevention and Control  
  • Laboratory Strengthening 
  • Quality Improvement 
  • Surveys 
  • Technical Assistance
  • Training and Education
Current Funders
  • PEPFAR / Centers for Disease Control and Prevention (CDC)

Country Director

Felix Ndagije, MD, MTroPed, MScGH

Dr. Felix Ndagije is a global health professional with over 20 years of experience in designing, implementing, evaluating, and scaling 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 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 several projects in multiple ICAP countries. In 2019, he became ICAP’s country director in Lesotho, managing several key technical and representational requirements in the country.

Dr. Ndagije earned his medical degree from the National University of Rwanda. He also holds a Master’s in Tropical Pediatrics and Child Health from the Liverpool School of Tropical Medicine, University of Liverpool.

Jobs in Lesotho

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