In the small, landlocked nation of Lesotho, in Southern Africa, the challenges to providing high-quality health care can be as tall as the mountains. Many of Lesotho’s 2.2 million people live in remote villages that are hours away from the nearest health facility. They take long treks or costly taxi rides to access care, often traveling over steep slopes, across rough terrain and through harsh weather, even snow, in the only country in the world with an elevation entirely above 1,000 meters. Nonetheless, a sweeping health reform is bringing transformative change across Lesotho. Partners In Health, known locally as Bo-mphato Litsebeletsong Tsa Bophelo, is working with the government to strengthen the country’s health system, combat some of the world’s highest rates of HIV and tuberculosis, vastly improve maternal and child health, and reshape how care is delivered. Dr. Lawrence Oyewusi, MDR-TB program manager and nurse Tlotlisang Thai with Patient Thoriso Daniel Limo, 35 y/o male. Arrived at Botsabelo on Sept. 30, unconscious on arrival (came in an ambulance from a health facility), newly diagnosed with HIV after arriving at Botsabelo. Works as a bricklayer in Mohale’s Hoek District, said there’s a lot of dust, etc, at his job. “I had lost hope of living again – treatment has done wonders for me. Takes medications 5 times a day, orally. Botsabelo TB Hospital Maseru, Lesotho