In Lesotho, the risk of mother-to-child-transmission (MTCT) of HIV is substantial; women of childbearing age have a high HIV prevalence rate (26·4%), low knowledge of HIV status and a total fertility rate of 3·5 births per woman. An effective means of preventing MTCT is to reduce unwanted fertility. This paper examines the unmet need for contraception to limit and space births among HIV-positive women in Lesotho aged 15–49 years, using the 2004 Lesotho Demographic and Health Survey. HIV-positive (...) women have their need for contraception unmet in almost one-third of cases, and multivariate analysis reveals this unmet need is most likely amongst the poor and amongst those not approving of family planning. Urgent action is needed to lower the level of unmet need and reduce MTCT. A constructive strategy is to improve access to family planning for all women in Lesotho, irrespective of HIV status, and, more specifically, integrate family planning with MTCT prevention and voluntary counselling and testing services. Copyright © Cambridge University Press 2008. (shrink)

This article utilises Gadamerian hermeneutics method and Freirean theory of the purpose of Religious Education to explore how Religious Education can contribute to achieving United Nations Sustainable Development Goal (SDG) 4, emphasising education for sustainable development. The study contends that Religious Education in Lesotho occupies a distinctive position in the education system, surpassing other countries in its extensive integration. Due to historical factors, Religious Education is taught in nearly all religiously affiliated schools, comprising about 90% of all educational institutions (...) in Lesotho, and even in certain public schools. The curriculum of Religious Education in Lesotho aligns directly with the educational objectives of SDG 4. Additionally, Lesotho’s Religious Education corresponds to three levels of school education for sustainable development: whole school approach, classroom approach, and community approach. Nevertheless, the study asserts that for Religious Education in Lesotho to better align with education for sustainable development, various enhancements are required. Firstly, inclusivity across all religious traditions is essential, moving beyond a sole focus on Christianity. Secondly, there is a need for wider dissemination and implementation of Religious Education in all schools, irrespective of their affiliation. Lastly, a shift from traditional pedagogies to transformative approaches is recommended to boost the effectiveness of Religious Education in advancing sustainable development.Contribution: This article contributes by analysing Lesotho’s case and its implications for enhancing Religious Education teaching to effectively address SDGs. It broadens existing knowledge on Religious Education’s potential as a platform for sustainable development and provides recommendations for its improved implementation in a specific context. (shrink)

The Basotho of Lesotho and South Africa speak the same language, namely Sesotho. However, the two countries do not use the same orthography when writing Sesotho. This orthographic representation and its variations pose a significant challenge when Bible translators translate it into Sesotho. It also presents difficulties to readers of the Bible in South Africa when they have to read the Bible written in Lesotho orthography for the first time or to Lesotho readers who encounter Sesotho written (...) in South African orthography. The two orthographies are independent but complementary. The Lesotho orthography is older than the South African. It differs in the choice of letters and the marking of initial syllabic nasals and (to a much lesser extent) in written word division and the use of diacritics on vowels to distinguish some ambiguous spellings. Contribution: This article provides a historical examination of the problem beginning with the first efforts by French missionaries to write the language in the 19th century, the separate but interrelated development of the two orthographies in Lesotho and South Africa and the current impasse concerning a unified orthography. The analysis will include an examination of the linguistic issues involved, the sociolinguistic topics (including politics, education and religion) and various possible scenarios for resolving the problem will be considered. (shrink)

One way in which the practice of inclusion can be actualised in classrooms is through the use of consistent, appropriate differentiated instruction. What remains elusive, however, is insight into what teachers in different contexts think and believe about differentiation, how consistently they differentiate instruction and what challenges they experience in doing so. In the study reported on here high school classrooms in a private and a government school in Lesotho were compared in order to determine teachers’ thoughts and beliefs (...) about differentiation, the frequency of differentiated instruction, and the challenges faced by teachers who implement this inclusive practice. Sampled teachers offered their views on what they understood differentiated instruction to be, the frequency of differentiated instruction, and identified challenges via an administered questionnaire. Data analysis was based on frequency counts and bar charts for comparative purposes. Findings indicate that private school teachers have a higher frequency of differentiated teaching practice, with time constraints indicated as the main challenge. Government school teachers had a lower frequency of differentiation, and identified a lack of resources, and the learner-teacher ratio as challenges, among others. In the study we highlighted the critical role that private schools can play in the national call for the implementation of inclusive teaching in Lesotho, in terms of active collaboration with surrounding government schools. Private schools, with their resources and access to professional development opportunities, can become catalysts in the implementation of inclusive teaching practices. (shrink)

The number of people in immediate need of anti‐retroviral treatment (ART) in the southern African region continues to significantly exceed the capacity of health systems there to provide it. Approaches to this complex rationing dilemma have evolved in different directions. The ethical concepts of fairness and equity have been suggested as a basis to guide the development of approaches to select patients for ART. This article reports the results of a case study on patient selection at a rural ART clinic (...) in Lesotho. The purpose of the study was to examine whether or not such concepts had relevance or operative value for a treatment team providing ART in rural Lesotho. The study found that while concepts of fairness and equity were relevant to the work of the treatment team, patient selection practices did not necessarily reflect what these concepts entail. The idea of fairness as a structured, formalized selection process did not figure in the approach to ART provision at the site. A less formal, ‘first‐come‐first‐served’ approach was adopted. While there was knowledge among some team members that social, economic or geographic conditions inhibit individuals and groups from gaining access to ART and that this was inequitable, it was felt that there was little they could do to try to mediate the impact of these conditions. The study's findings pose importance questions about the approach to ART programming in resource constrained settings. The findings also question the relevance of trying to achieve fairness and equity when the gap between need for care and capacity to provide it remains so large. (shrink)

Workers in the garment manufacturing industry are often subjected to violations of their rights and are exposed to low wages and difficult working conditions. In response to the exposure of these violations in the media, major fashion brands and retailers subject their suppliers to labour codes of conduct. Despite these codes of conduct being largely ineffective, this comparative case study of garment manufacturers operating from Lesotho and Eswatini illustrates that such codes provide workers and trade unions with access to (...) bargaining leverage that they would otherwise not have. A framework with a synthesis of potential sources of workers’ power is developed and related to global production networks, collective mobilisation, the nature of the state, as well as national and transnational scales of organising. Based on historical case studies of the two countries, this paper illustrates how unions in the two countries followed different approaches to using this source of power in relation to other sources of power. These approaches were shaped by their contexts and strategic choices. Theoretically, it is argued that sources of workers’ power are analytically distinct, but are relational and operate best when seen as mutually reinforcing. The term ‘power resource nexus’ is used to frame this potential mutual reinforcement of sources of power. (shrink)

Amidst growing global endorsements of new biomedical HIV prevention strategies, ARV-based pre-exposure prophylaxis (ARV PrEP) has garnered considerable attention as a potentially promising prevention strategy. Though it may offer more effective protection for certain at-risk groups than conventional prevention strategies (such as sexual partner reduction, condom use, and prevention of mother-to-child transmission), PrEP is more costly. PrEP requires more ongoing contact between individuals and providers, and a level of surveillance from the health system that is not necessary with other preventive (...) measures. In this sense, it represents a new bio-technology for HIV prevention that poses particular challenges for worldwide implementation, given developing countries’ struggling health systems and incomplete HIV treatment programs. Since the emergence of PrEP has stimulated ethical discussions premised on incomplete knowledge of efficacy and implementation, this paper explores the ethical parameters of a likely scenario for PrEP usage in a single, resource-poor country. We first develop a plausible model for PrEP deployment and utilization based on current PrEP research, while carefully considering the reigning institutional values of feasibility and effectiveness in global health approaches. Drawing on ethnographic research of HIV treatment and prevention approaches in Lesotho, we address ethical questions arising from this scenario of PrEP delivery. Lesotho presents a compelling and emblematic case study of PrEP's potential successes and pitfalls in a developing country, given the country's high HIV prevalence, struggles to achieve universal access to HIV treatment regimes, continued existence of stigma around the epidemic, and difficulties in addressing persistent social inequalities that fuel infections. (shrink)

This article debated how coloniality created religious illiteracy in Lesotho. Three parameters were suggested in this regard. Firstly, it is assumed that the prevalence of religious illiteracy started during missionary involvement in Lesotho. Secondly, it is argued that three strategies were applied in this exertion: the missionaries categorised Basotho as being without religion and, therefore, are liable for conversion into religion, which is Christianity. This predisposition ended up in the creation of religion synonymic to Christianity whilst all others (...) disqualified, Basotho were enticed into the binary of religious secularism and privatisation disassociated from spiritualism whilst connected to materialism and private affairs and Basotho were indoctrinated into accepting the existence of one universal religion which is Christianity through Western formal education. Thirdly and finally, decoloniality turn is recommended to curtail illiteracy in religion through the ontology of pluriversality, the hegemony of diversality and the epistemology of pluriversality.CONTRIBUTION: The article identified the pervasiveness of religious illiteracy in Africa with special reference to Lesotho. It highlighted its repercussions if left unchecked. Consequently, it examined and put forward the possible causes. As a result of the discoveries, the article suggested procedures to counter the causes in order to promote literacy in religion. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:A NECESSARY CONDITION FOR THE TRUTH OF MORAL AND OTHER JUDGMENTS STEPHEN THERON Na,tional University of Lesotho Lesotho, Africa, SIMPSON'S RECENT review of Morals as Founded on Natural Law 1 so misrepresents its main point, one so vital to civilization's continuance, that I feel obliged to try to restate that point. It was of course disconcerting that he misunderstood the main point of the hook (whetlrer he (...) agrees with it or not), thoogh it may,weN. be, as he says, that the book oouM have been mOire readably written. He summarizes the book's aim as being" to establish morality on an external authoritative law "-a summary which does indeed seem close, even :identicaJ., to what is said in the book's first paragraph. However, there is ra potential equivocation in the w;ay he uses " externail.'' One should ask, external to what? What.the book speaks of in this opening paragraph is of justifying morality on ra principle " external to states of mind." I use "external" in the sense of that principle's being "independent of them," 'i.e., of meuba1l srtates. So :llar, this is a very open statement. Brut how do I go on to amplify it? Not the way Simpson does. He takes me as equating this principle with " the authoritative law of God," in the sense of "a divine legislative aiuthority " which, he reports me as arguing, " is just somehow an inemdicwblegiven." This " somehow " not only refoses to consider the meta1 Stephen Theron, Mora,ls M Founded on Na,tural Lww, European University Studies (New York: Peter Lang, 1987; 2nd ed. 1988). Reviewed by Peter Simpson in The ThomiBt 53 (1989): 341-342. ~93 294 STEPHEN THERON physical reasoning at the heart of the book's position but even seems to suggest that such reasoning was not evien offered. In fact it is precisely at this point that Simpson goes right off the raiJs as far as representing my view is concerned. H~ claims that this foundation upon divine authority would make morals "dependent on ·divine 1a.w, not, as his title dedares, on natural law." However, my use of " naturrul law " is rthe Thomistic use, which is sufficiently wen known in the debate so as not to be misleading. In the view of St. Thomas (and a whole established school of thought), natural law is indeed, in Simpson's words, "deriviative and secondary," or, in St. Thomas's words, "a reflected divine light.'' 2 Brut in the famous Artiicle 2 of Question 94 of the Prima secundae of the Summa theologica, so exh81ustively discussed in.the rooent literaturie, natural law is declared to be derived from the eternal law and not from divine law in the "external " or positivist •sense clearly intended by Simpson. (A different distinction is used in the Contra gentiles, but throughout my book the above text was referred to, often explicitly). "Divine law," the fourth type of law (eternal law and natural law being the first two types), does indeed refer, in this text, to some kind of positiv;e legisfation on the part of God in the 01d and New Testaments. (But evien here St. Thomas is oarefoil to point out that the law of the New Testament is only analogous to positive law, since it is not written on stone but poured into men's hearts by the Holy Spirit.) If I had been referring to this divine law (in such phrases as " reaISOn is divine and.therefore law ") and not thait eternal law which is one with the divine being, Simpson might have been able to brooket me with those nominalist theologians for whom.2" quasi lumen r.ationis naturalis... nihil aliud sit quam impressio luminis divini in nobis. Unde patet quod lex naturalis nihil aliud est quam participatio legis aeternae in rationali creatura." St. Thomas Aquinas, Summa theologica I-II, 91. 2. THE TRUTH OF MORAL JUDGMENTS 295 God might hav:e decreed an opposite morality if he so chose. (Though this, too, would be contrary to St. Thomas's view of such positive divine law, ev;en for the Old Testament; indeed for him even 011dinary "human" positivie law loses the sense... (shrink)

Acquired Immune Deficiency Syndrome (AIDS) is an emotive subject, particularly in southern Africa. Among those who have been directly affected by the disease, or who perceive themselves to be personally at risk, talking about AIDS inevitably arouses strong emotions - amongst them fear, distress, loss and anger. Conventionally, human geography research has avoided engagement with such emotions. Although the ideal of the detached observer has been roundly critiqued, the emphasis in methodological literature on 'doing no harm' has led even qualitative (...) researchers to avoid difficult emotional encounters. Nonetheless, research is inevitably shaped by emotions, not least those of the researchers themselves. In this paper, we examine the role of emotions in the research process through our experiences of researching the lives of young AIDS migrants in Malawi and Lesotho. We explore how the context of the research gave rise to the production of particular emotions, and how, in response, we shaped the research, presenting a research agenda focused more on migration than AIDS. This example reveals a tension between universalised ethics expressed through ethical research guidelines that demand informed consent, and ethics of care, sensitive to emotional context. It also demonstrates how dualistic distinctions between reason and emotion, justice and care, global and local are unhelpful in interpreting the ethics of research practice. (shrink)

The situation and human rights of people living with HIV and AIDS were explored through focus groups in five African countries (Lesotho, Malawi, South Africa, Swaziland and Tanzania). A descriptive qualitative research design was used. The 251 informants were people living with HIV and AIDS, and nurse managers and nurse clinicians from urban and rural settings. NVivo™ software was used to identify specific incidents related to human rights, which were compared with the Universal Declaration of Human Rights. The findings (...) revealed that the human rights of people living with HIV and AIDS were violated in a variety of ways, including denial of access to adequate or no health care/services, and denial of home care, termination or refusal of employment, and denial of the right to earn an income, produce food or obtain loans. The informants living with HIV and AIDS were also abused verbally and physically. Country governments and health professionals need to address these issues to ensure the human rights of all people. (shrink)

ABSTRACTThe problem addressed in this paper is the need for fresh resources for enhanced ethical leadership in South Africa and elsewhere in Africa. To respond to that problem the paper uses two valuable but insufficiently known sources from the culture of the Sesotho-speaking people of southern Africa, now found in Lesotho and much of South Africa's Free State province. The first one is a set of concepts that pertain to sound human relationships. The second one is Basotho history in (...) the persons of the founding monarch of the Basotho nation, King Moshoeshoe I and to a lesser extent his remarkable mentor, Chief Mohlomi. A final section of this paper draws these sources together into a set of contentions about successful leadership in which ethical quality is seen as paramount. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:MEANING IN A '.REALIST PERSPECTivE STEPHEN THERON National University of Lesotho Lesotho I DISCUSSION OF meaning and ref,erring in the terms laid down in a classic article of Frege's has generated a stereotyped attitude to the question in the minds of many. It is simply assumed that meaning is, as it were, the contrary of reference. In logic this is 11eflected by the assumed pamdigm of there (...) being formal systems which al'e.called purely formal to the extent that they are ' uninterpreted ', i.e. ·divol'ced from all questions of reference.1 If as a matter of history we accept that modern logic has grown basically out of Kantian soil, then it should not surprise that it is generally linked with a form of apriorism. The violence of the movement against ' psychologism ' shows how strong the danger is of linking the necessities of logic with those supposed epistemic necessities the non-Kantian realist can only regard as spurious. Anyhow this paper will be less·directly about logic than about those supposed necessities. I mean such constraints as Jonathan Bennett calls in general the " veil of perception " 2, ·as if perceiving, which should be an un- :veiling or bringing to lighrt, at the same time obscures what is seen or thought. The same idea recurs in the recent theory of 1 Of. Henry Veateh, Intentional Logic (Yale, 1952): In trying to subsume ordinary intentional relations like that of subject. predicate under the more abstract forms of a completely uninterpreted relational pattern... treated simply as a one-term relation on a par with all the... n-term real relations •. • mathematical logicians have in effect changed the character of such intentional relations completely.... (pp. 7778 ) :i See J. L. Mackie's Problems from Locke. ~9 30 STEPHEN THERON 'internal realism', just a more confusing name for transcendental idealism so far as I can see. There is of course no sense to the idea of checking what we claim to know against what we do not yet know. Yet he:re we should not be discussing precisely truth but the quite separate ontological question whether " THE WORLD is independent of any particular representrution we have of it" (Putnam's notion of the 'metaphysical realism' he rejects), whether "reality is altogether independent of experience," as Michael Devitt argues.3 This is a question of the being of the world, which existed before I d1d. Even as concerns the present moment, the wor1d is such that I or you might not exist, and this contingency of cognitive beings, severally or generally, to the actual world, as a possibility inherent in it, may not without more ado be identified with the quite different possibility of another world, like to this e.x:cept for the absence of me or you. For the former is a real if passive possibility in a thing, viz., the world, the latter is merely an alternative conception or idea of a different and merely possible thing. The concept of my dog with a broken leg is a different concept from that of my dog as healthy, but it is of the same dog, and that is why I don't want him to break his 1eg. The world without me was and would be the same world, though differently conceived. This is the basic requirement of realism, which philosophers have often violated, confusing the metaphysical with the epistemological, the real with the certain. For example Descartes reasoned fallaciously from his being certain, as he thought, of the soul's but not of the body's existence to the ontological separateness of these two. Kant, again, seemed to reason from duty as a pure concept or epistemic entity to the real separwteness, as a positivie value, of the motive of duty from any motive of pleasure or aspiration to happiness. Yet it is possible, indeed probable, that in reality soul and body, a M. Devitt," Realism and the Renegade Putnam," Nous 1983, p. 297. MEANING IN A REALIST PERSPECTIVE 31 though distinguishable, do not have separate acts of existence,,and, in any human existence, that the motive of duty both cannot and ought not to be separated from the distinguishable... (shrink)

This article recognises that any attempt to theorise the first wave globally must specify the use of the term ‘global’, so as not to elide the specificity of local differences, and must critically account for how feminist struggles among postcolonial, indigenous women are intertwined with a resistance to a history of colonialism and racial domination. While more than a demand for equal access to the symbolic order on the basis of gender alone, Western feminists must study carefully the cultural and (...) gender implications of work by indigenous women in postcolonial contexts which do not easily fit into familiar theoretical paradigms that mimic the development of Western feminism, given the heterosexist biases of Western feminism historically. To what extent does the very form of historicisation of feminist struggles in the West repeat the colonising gesture when attempting to historicise the struggles of women in postcolonial contexts where the three waves of feminism as an organising framework, however loosely constructed, are transplanted to locations where they did not emerge historically? Through an examination of feminist work coming out of southern Africa, the article argues how attention to affective and erotic bonds between women in Lesotho provides a critical response to the heterosexist biases of African cultural nationalism, as well as to the colonising tendencies of feminist and queer enquiry in the West that do not account for the primacy of the performativity of sexual expression rather than its discursive naming as a precise sexual identity. The article concludes by asking for a reconceptualisation of the temporality of feminism not limited to its periodisation in the West, but informed by the specificities of feminist struggles locally and globally, including erotic autonomy as a viable praxis of decolonisation and a heightened self-reflexivity about the imperialist gestures guiding the production of (feminist) history and scholarship. (shrink)