P a g e | 49 (MCC) and PEPFAR. This has meant that overall infrastructure in health care has drastically improved, as has the provision of drugs. Most clinics now generally have consistent water and electricity. The number and quality of health care facilities has increased and the structuring of them has improved. This is thanks to technical assistance provided by partner organisations. Lesotho has seen significant strengthening of health systems with five nurses now employed in each health centre. The MOH plans to focus on adolescent health in coming years with the addition of adolescent health corners in clinics, staffed by pediatricians and nurses familiar with youth health issues. This is because rates of compliance with HIV medication are relatively low in this population group. Difficulties Maternal mortality rates are still very high despite the relative growth of resources being poured into the area by donors. One in nine children die before the age of five years. With a country-wide shortage of nurses, clinics schedule days for immunisations. If a child attends on a non-immunisation day they are turned away. This is unfortunate given that coverage of immunisations of children in Lesotho is still low at only 64%. This has actually decreased from 80% some years ago. Children on ART medication do not have good compliance often caused by poor parental supervision of dosage. Adolescents in particular choose not to take their medications because of the unpleasant side-effects. Further, surveys suggest that PMTC programs reach only 48% of eligible HIV positive pregnant women. Cultural barriers still exist in the provision of health care. For instance a women married in one District must travel to the District where her family is from to give birth. A lack of education and the difficult topography of Lesotho making it difficult for women to walk to clinics to give birth once in labour, mean many choose to birth at home. This has a much higher risk for the mother and baby. To combat this problem there are Waiting Homes at most government health facilities where women can stay for the weeks leading up to their giving birth. There are also still women who seek treatment from traditional healers known as Sangoma's for themselves and their children, which contradicts or does away with Western Medicine. Lesotho continues to have one of the highest incident rates of HIV and AIDS in the world at 23%. It has stablised, but not decreased in recent years.