2009. 121 p.
Lesotho. National AIDS Commission
Lesotho. Ministry of Health and Social Welfare
World Bank Global AIDS Monitoring and Evaluation Team, GAMET
This is an evidence-based review of Lesotho's epidemiological situation (Know your epidemic, KYE) and national HIV prevention response (Know your response, KYR). The purpose of this modes of transmission (MoT) study is to contribute to the ongoing efforts to understand the epidemic and response in Lesotho and thus help the country improve the scope (doing the right kind of activities), relevance (with the right populations) and comprehensiveness (reaching all members of target populations) of HIV prevention efforts. The study examined the hypothesis that multiple longer-term partnerships between single young people as well as between married or cohabiting adults are the major driver of HIV transmission, happening in a context of relaxed social norms regarding multiple partners and low risk perception. The findings confirmed this hypothesis. Sexual concurrency is exceptionally high in Lesotho; multiple sexual relationships before and during marriage, together with low levels of full male circumcision are major risk factors in Lesotho's hyperendemic HIV situation.
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