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USAID Freeze Forces Lesotho’s HIV Patients to Turn to Traditional Healers for Care

By
Karabo Makodi
Published: 10 April 2025,
8 Min Read
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USAID Freeze Forces Lesotho’s HIV Patients to Turn to Traditional Healers for Care
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Lesotho is a small country in Southern Africa that has been the epicenter of a growing crisis. Due to the freeze in USAID funding, thousands of HIV patients who were once dependent on U.S. Aid for treatment are now forced to seek other forms of care. Patients are now unable to access critical HIV medications and are seeking traditional healers out of desperation. 

Contents
  • Lesotho HIV Treatment Impacted by USAID’s Freeze
  • Lesotho HIV Patients Turn to Traditional Healers
  • HIV: The Risk of Relying on Traditional Remedies
  • The Impact of USAID’s Freeze on the Region
  • Need for a Sustainable Solution
  • Lesotho HIV Patients: A Call to Action
  • Lesotho’s Future without HIV-related Disruptions

Lesotho HIV Treatment Impacted by USAID’s Freeze

The US government has provided a lifeline to Lesotho for years through the USAID PEPFAR program. These funds have been crucial in providing antiretroviral treatment (ART), a vital tool for HIV management. Lesotho is heavily dependent on international funding to maintain its healthcare system, as it has one of the world’s highest HIV prevalence rates.

Recent political decisions, however, have resulted in a freezing of USAID funding. This has left a huge gap in Lesotho’s HIV treatment program. Health officials are deeply concerned about the effects of this disruption. Many HIV patients find themselves without the ARVs they need to live as ARVs are becoming increasingly scarce.

Selibe Mochoboroane, the Health Minister, acknowledged the struggle of the country, saying: “We face a difficult task in filling the gaps left by the freezing.” We are stretched to the limit and can’t afford USAID support.

Lesotho HIV Patients Turn to Traditional Healers

Many Lesotho HIV patients who do not have access to life-saving ARTs turn to traditional healers in a desperate attempt to find relief. Lesotho has always valued traditional healing, and herbal remedies and spiritual practices have provided comfort and relief for the people. As healthcare services have become less reliable, more people are turning to healers for help with HIV related health issues.

Lieketseng Lucia Tjatji is a traditional healer from Lesotho who has seen first-hand how many HIV positive individuals are coming to her in need of help. She says, “I’ve seen more people coming to me looking for help.” They are desperate because they can’t get the medication they need at hospitals anymore.

It is important to remember that while traditional medicine is important in many African cultures, herbal treatments do not replace ART. ART has been proven to be effective at managing HIV. Health experts warn patients that using only traditional remedies can have serious consequences, including the rapid progression of HIV.

HIV: The Risk of Relying on Traditional Remedies

Traditional healers such as Tjatji may provide valuable services in rural areas and other underserved regions, but they are not equipped for HIV treatment. ART is the sole scientifically proven way to control the virus and prevent it from progressing into AIDS. HIV patients’ health can quickly deteriorate without ART.

Dr. Jessica Justman is a senior technical Director at ICAP. A global health centre located at Columbia University. She has warned against relying solely on traditional remedies when ART is not available. She warns that using traditional medicine to treat HIV alone is ineffective. She warns that “the virus will continue to spread without proper treatment leading to serious health problems and possibly death.”

Traditional remedies only treat the symptoms, not the cause. Relying on them instead of ART increases the risk of spreading the virus and developing serious illnesses.

ALSO READ: The Harsh Reality of Trump’s USAID Funding Cuts: Lives at Risk as HIV Programmes Shut Down

The Impact of USAID’s Freeze on the Region

Lesotho’s not the only country that is feeling the effects of USAID’s freeze. The USAID funding freeze has a significant impact on the region of Southern Africa as well as the country. Lesotho forms part of a broader regional HIV-fighting effort, and disruptions can have a ripple effect across borders.

South Africa, Swaziland and other Southern African countries are worried that the funding freeze will undermine regional HIV treatment and prevention efforts. WHO’s Lesotho representative, Dr. Ernest Nsubuga, has warned that if the funding freeze continues, we may see a rise in HIV transmission in the region. The effects of the freeze will be felt beyond Lesotho.

Interconnectedness in the healthcare system of the region can lead to a domino effect, causing increased infections that put even more pressure on the healthcare systems that are already under strain to deal with the outbreak.

Need for a Sustainable Solution

Lesotho’s situation has shown that international aid is not the only answer to the HIV epidemic. USAID played an important role in providing ART, but it is urgently needed to create more sustainable healthcare systems for Lesotho as well as other affected countries. To ensure that the country is prepared for future crises in health, local production of ARVs and greater regional collaboration, as well as increased investment in healthcare infrastructure, are necessary.

The USAID HIV treatment freeze in Lesotho has had a long-term effect on international donors. This includes the U.S. The freeze not only threatens the health of thousands but also risks undoing years’ worth of progress made in the fight against HIV. To ensure that future generations receive the treatment and care they need, a more sustainable and locally-driven healthcare approach is required.

Lesotho HIV Patients: A Call to Action

The international community needs to act quickly in order to combat the health crisis that is currently occurring in Lesotho. Global health organizations, local government, and nongovernmental organizations (NGOs) must work together to ensure patients receive the ART they need.

Traditional healers are an important part of Lesotho’s healthcare system, but they cannot replace modern medicine. This is especially true when it comes to managing HIV. Health experts call on the government and international donors for immediate action to fill in the gaps left by the freezing and to ensure that HIV-positive patients receive lifesaving treatment.

Lesotho’s Future without HIV-related Disruptions

Lesotho HIV patients face a crisis due to funding cuts and unreliable health services. The risks to public safety are increasing as more people turn to traditional healers out of desperation. To avoid further HIV setbacks, the international community and especially the U.S. Government must restore funding for essential HIV treatment.

The healthcare crisis in Lesotho should be a wake-up call for the global health community. In order to maintain progress in controlling the HIV outbreak, sustainable solutions and long-term assistance for countries such as Lesotho are essential. We can only achieve a future in which HIV patients will no longer be unable to access the care they require for a healthy life through renewed commitment, innovation, and collaboration.

ALSO READ: Five Fascinating Facts About Lesotho – The Country Trump Claims ‘Nobody Has Heard Of’

TAGGED:Antiretroviral TherapyHIV Care
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