Date of Graduation

Summer 8-7-2024

Document Access

Project/Capstone - Global access

Degree Name

Master of Public Health (MPH)

College/School

School of Nursing and Health Professions

Department/Program

Public Health

First Advisor

Courtney Keeler, PhD

Abstract

Lesotho faces a severe HIV/AIDS epidemic, with one of the highest prevalence rates globally, impacting its public health, economy, and society. Despite numerous efforts, the country continues to struggle with persistently high infection rates, highlighting the need to thoroughly evaluate current interventions. This review examines the effectiveness of various HIV/AIDS interventions in Lesotho, focusing on multi-level strategies within the Social Ecological Model. The paper synthesizes literature from 2013 to 2023, concentrating on antiretroviral therapy (ART) coverage, community initiatives, and efforts targeting high-risk groups. Key strategies involve expanding ART coverage, strengthening community-based healthcare through community health workers (CHWs), and enhancing initiatives like the Determined, Resilient, Empowered, AIDS-free, Mentored, and Safe (DREAMS) program and Prevention of Mother-to-Child Transmission (PMTCT) programs. This review employs the Social Ecological Model to emphasize the importance of multi-level interventions that address sociocultural, economic, and healthcare system challenges. Policymakers and healthcare authorities must implement these recommendations to advance public health and effectively combat the HIV/AIDS epidemic in Lesotho.

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