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Paballong The Place of Care

Paballong The Place of Care. The Kingdom of Lesotho. Independent but completely surrounded by South Africa 30,355 km 2 – about the size of Belgium Mostly mountainous, up to 3,482m (11,425 ft ) Highest lowest point of any country Snow in the winter Unreliable rain for farming.

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Paballong The Place of Care

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  1. PaballongThe Place of Care

  2. The Kingdom of Lesotho • Independent but completely surrounded by South Africa • 30,355 km2 – about the size of Belgium • Mostly mountainous, up to 3,482m (11,425 ft) • Highest lowest point of any country • Snow in the winter • Unreliable rain for farming

  3. Lesotho’s history • Formed as kingdom by Moshoeshoe I in early 19th century • Lesotho lost land to South Africa as settlers moved in • Given protection by Queen Victoria 1868 • Migrant labour to South African diamond and gold mines • Independence from Britain 1966 • Constitutional monarchy under King Letsie III

  4. Lesotho’s people • Population about 2 million • About 200,000 in capital, Maseru • 27% urban now, but most still live in rural villages • Relatively good literacy rate (98% of females, 86% of males aged 15-24) • Many households headed by women • 39% of population aged under 15

  5. Lesotho’s economy • Used to depend on migrant labour to South African mines – now much reduced • Low wage employment for women in Chinese-owned textile factories • Most people try to subsist with farming and livestock (some wool, mohair exports) • Diamond mining expanding • Highlands Water Project sells water to South Africa

  6. Poverty in Lesotho • Widespread hardship • 43% live on less than 77p per day • 56% live below national poverty line • People must combine multiple livelihood strategies • 20% of children under 5 are moderately or severely under weight • 79 per 1,000 children die before 5th birthday

  7. HIV/AIDS in Lesotho • At 23.7%, Lesotho has the third highest adult HIV prevalence in the world. • There are an estimated 62 new HIV infections and 50 deaths due to AIDS each day. • An estimated 270,000 people are living with HIV in Lesotho. Of these, 11,801 are children and 258,472 are adults. • Women continue to bear a heavier burden; with an estimated 153,581 infected compared to 116,692 men. • With an estimated 55,000 pregnancies annually, 15,235 infants are born to HIV-infected women each year which means 6,094 new infections annually. • (Government of Lesotho, 2010)

  8. The impacts of HIV/AIDS • Personal anguish • Caring for the sick • Family tragedies • Caring for orphans • Loss to household livelihoods • Loss to national economy

  9. Responding to HIV/AIDS • Promoting behaviour change • Encouraging people to know their status • Providing counselling • Providing drugs • Promoting healthy living • Supporting carers • Helping people to die with dignity

  10. The Paballong Centre • ‘The place of care’ • Paballong Trust founded 2001 • Centre built on Berea Plateau near Maseru • Centre opened 2007 • Modest medical facilities • Voluntary counselling and testing centre • Chapel • Garden, livestock • 24 staff

  11. Services at Paballong • Care • Prevention • Mitigation

  12. Numbers helped at Paballong • Since January 2007, total 4,439 clients have made 30,955 visits to Centre • 596 on ART • Average 495 visits per month in 2012 • 1,518 people treated for opportunistic diseases in 2010 • Tested the HIV status of 2,153 people • Provided 10,422 treatments for opportunistic diseases. • To date (end 2012) free lunches have been provided to 22,413 people, both patients and care-givers.

  13. Paballong budget • Total budget for 2013 was M1,943,527 (£109,420) • Many sponsors in Lesotho, Europe, North America • All services to patients, including ART, are free

  14. Plans at Paballong • Try to strengthen government support (nurses’ salaries) • Continue core activities • Provide emergency maternity services • Expand outreach to villages • Expand agricultural activities • Operate day care centre for orphans and vulnerable children aged 2 - 6

  15. The Paballong UK Trust • Charity established in 2010 • Object is ‘the relief of poverty in Lesotho, specifically among those who are severely disadvantaged and infected or affected by HIV/AIDS’ • Focus is on support to Paballong Centre • Raising money in the UK for Paballong • 5 Trustees – Stephen Turner is chairman • Registered with Charities Commission

  16. For more information • www.paballong.org.uk • www.paballong.org.ls • sdturner@iafrica.com • 0771 311 3934

  17. Thank you!

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