The Family Medicine Specialty Training Program was created to strengthen district level health
services in Lesotho. Lesotho faces many health challenges, including epidemic incidence of
HIV/AIDS and tuberculosis, high maternal and under 5 mortality rates, and excess violent deaths
due to RTA’s, suicide and domestic abuse.
Clinical training takes place primarily on district hospital level. Presently Leribe, Mokhotlong,
Butha Buthe, Qacha’s Nek, Berea and Mafeteng districts have FMSTP registrars. The program is
also partnering with Maluti Adventist Hospital (Mapoteng). Some specialist rotations take place
at Queen Mamohato Memorial Hospital in Maseru, which is the main referral hospital for the
districts. Other sites are the Mohlomi Psychiatric Hospital and the Baylor International Pediatric
Registrars benefit from a multi-year contract with a 25% bonus upon completion of their
contract. Registrars are on Grade I or J employee status under contract of the Government of
Lesotho. Housing is part of the contract. Other benefits include membership in the Lesotho
Medical Association, Internet access, online access to the Boston University library system, as
well as monthly teleconferences with Boston-based family medicine faculty.
Any Lesotho national (and now international physicians) who has completed medical school and
an internship of two years inside or outside Lesotho can apply for admission.
Accreditation and Credentials
The program was accredited initially by the Lesotho Council of Higher Education in 2013. Upon
successful completion the graduates qualify as Specialists/Masters in Family Medicine. The
credentials are awarded by Boston University School of Medicine.
We wish to thank the Lesotho Ministry of Health and the Global Fund Coordinating Unit for the
financial support. The MoH pays the salaries of the faculty members and present registrars as
well as providing housing, as are all civil servants, while the administrative and teaching costs
are covered by the Global Fund Coordinating Unit.