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(The following commentary was published on July 28th by GlobalPost. A longer version was earlier published by The Lesotho Times and The Mantle in New York.)

Basotho women await immunizations for their infants outside a sunny, rural clinic. (Photo: mjj)

Basotho women await immunizations for their infants outside a sunny, rural health clinic. (Photo: mjj)

MASERU, Lesotho – Some rankings instill pride. Others instill shame, and should inspire every effort to get off that list.

Two years ago, in a report for GlobalPost, I described how tiny Lesotho, a landlocked country high in the mountains of southern Africa, achieved a first for the entire region: a peaceful handover of power from ruler to opposition.

Two years later, the Basotho people of Lesotho have quietly climbed the wrong list. UNAIDS, reporting the “hope that ending AIDS is possible,” now ranks Lesotho as suffering the world’s second-highest rate of HIV infection; at 23 percent, the tragedy has touched nearly every Basotho family.

The rate of Lesotho’s HIV affliction hasn’t changed in a decade. The country, under a fragile coalition government, has become a case study for the limits of international development assistance, and a cautionary tale for what happens when a country is reluctant to tackle the real issues that plague ordinary people.

The Basotho resist the need to confront the broader health crisis that makes their country, by nearly every health indicator, one of the world’s sickliest.

(more…)

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