For many Basotho, as Lesotho inhabitants are called, especially those living with HIV or working on the frontlines of prevention and treatment, these words felt like a sentence not just of neglect, but of abandonment. HIV/AIDS is one of the country’s most serious public health challenges, threatening not only the health of Basotho but also the country’s overall development. According to UNAIDS, by 2016 Lesotho had the second-highest HIV prevalence rate in the world, with approximately 25 percent of adults living with the virus. Over 240,000 Basotho rely on antiretroviral therapy (ART), and HIV and tuberculosis (TB) remain the leading causes of death. According to a 2022 UNAIDS report, more than one in five people aged 15 to 49 are HIV positive.