THE KINGDOM OF LESOTHO COMBINED SECOND TO EIGHTH PERIODIC REPORT UNDER THE AFRICAN CHARTER ON HUMAN AND PEOPLES’ RIGHTS AND INITIAL REPORT UNDER THE PROTOCOL TO THE AFRICAN CHARTER ON THE RIGHTS OF WOMEN IN AFRICA  Revised Action Plan for Women and Girls and HIV and AIDS 2012-2016. The Plan addresses issues of access to health care services, particularly in the area of HIV/AIDS and ARVs.  Sexual and Reproductive Health Strategic Plan 2015-2020 which covers sexual and reproductive rights of women and girls.  National Strategic Development Plan (NSDP) 2012/13-2016/17. The plan seeks to deploy skilled health/birth attendants to all Government health centres, provide maternal health education to communities and develop skills specific to youth, scale up reproductive health education, including promotion of family planning and improvement of health services as well as scaling up essential nutrition package for pregnant and lactating mothers.  UNFPA has also supported the development of (RMNCHA&N) strategy which will guide the delivery of integrated RMNCHA&N through the continuum of care. The strategy focuses on early ante-natal care (ANC) which will increase the uptake of timely maternal health services and contact opportunities between health care workers and pregnant women.  Sanitary Services & Waste Removal Regulations 1972 which regulate erection of closets, removal of night soil and other refuse to ensure that such do not pose danger to the health of inhabitants as well as people who work in affected areas. Challenges and efforts to mitigate the challenges 174. As shown by statistics below, maintaining the best attainable standard of health in Lesotho is mainly challenged by high infant and maternal mortality rates, HIV as well as access to contraceptives. 175. As far as Child health is concerned, neonatal, infant and under-5 mortality remain high. According to the Lesotho Demographic Health Survey (LDHS) 2014, neonatal mortality rate is 34 per 1,000 live births; infant and under-5 mortality rate is 59 and 85 per 1,000 75

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