CDC Strengthening Laboratory Diagnosis and Monitoring to Scale up and Improve HIV/AIDS Care and Treatment Services in the Kingdom of Lesotho under PEPFAR


This project is expected to cover all laboratories at the national, regional, district, and health center levels. Support will focus on increasing access to diagnosis and monitoring services through decentralization and scale up of cost-effective technologies and on overall quality improvement of services, which will contribute to the scale up of national HIV/AIDS care and treatment services. 

The purpose of this project is to drive laboratory services to attain the set targets of the National Laboratory Strategic Plan (NLSP 2013-18), in coordination with MOH and its partners.


  1. Expand and improve laboratory diagnosis and monitoring services that are integrated and coordinated with HIV services
  2. Put an effective laboratory referral network and sample referral system in place and improve early entry and retention in HIV care and treatment
  3. Decentralize services and ongoing supportive and conduct QMS assessments at point-of-care testing (POCT) facilities
  4. Strengthen QMS in all laboratories and testing facilities; strengthen testing capacity at all levels, such that laboratory licensing is achieved on a national basis and a mechanism for international accreditation established
  5. Ensure that equipment in all laboratories is functional and reliable; establish equipment maintenance contracts, and eliminate delays in laboratory testing due to reagent stock-outs
  6. Improve service training to meet laboratory needs at all levels and define and implement in-service training at all levels

Key Activities

  • Strengthening of referral testing and networking of laboratories
  • POCT
  • Laboratory quality improvement initiatives
  • Laboratory equipment and supply chain management
  • Laboratory information and data management system


2015 to 2020
US Centers for Disease Control and Prevention (CDC)
Network of Excellence in People-Centered Testing and Treatment (NEXT)
Riders for Health
Regions/ Countries 
Geographic Scope 
Maseru, Berea, Leribe, Mafeteng, Mohale’s Hoek