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 and men (26%) compared to urban women (46%) and men (42%). According to the LDHS (2014), 7% of women and 27% of men had two or more sexual partners, and among these, only 54% of women and 65% of men reported using a condom during their most recent sexual encounter. 459. More women (84%) than men (66%) had been tested at least once for HIV and had received their results. Currently, 56% of all people living with HIV are on antiretroviral therapy (ART) (adults 56% and children 5%), but far below the 80% global coverage target for 2015. Equally the PMCT coverage is still relatively low at 65%. Mother-to-child transmission rates increase from 6% at six-weeks of life to 14% at the end of the breastfeeding period. This is due to socioeconomic, workplace and cultural constraining factors to antiretroviral treatment especially in the breastfeeding period. In summary the root causes of poor health system in Lesotho and limited access to health services include the following: • Limited Accountability – supervision; limited documentation & data; limited implementation of policies • Inadequate skills & capacities – limited human resources; • Weak supply chain management; • Socio-cultural factors - Limited community empowerment and limited access to services. 460. In order to mitigate the challenges presented by the HIV/AIDS prevalence in Lesotho, the following administrative measures have been adopted:  Since 2016, Lesotho adopted, and is implementing, the WHO guidelines on treating every person testing positive for HIV (Test & Treat). The strategy provides that every person who tests HIV positive will be offered ART regardless of their CD4 count. This Strategy is in line with WHO guidelines released in September 2015 which seeks to 159

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