Key Projects of Lesotho


Lesotho new referral hospital

A new US$100 million hospital has been built in Lesotho’s capital Maseru under a public–private partnership, which sees the private sector partners build and manage the facility under an 18-year deal.

The contract was won by Tsepong (a consortium of South African hospital group Netcare and local private sector partners in Lesotho) and involved providing a health care service consisting of a 425-bed hospital and three satellite referring clinics. The clinics began operations in May 2010, with the main hospital, Queen Mamohato Memorial Hospital, opening in late 2011.

Finance for the project came from the Development Bank of Southern Africa, the Lesotho Government and Tsepong. The project also received technical assistance funds from the governments of the Netherlands and Sweden, as well as the Global Partnership for Output Based Aid.

Tsepong will recoup its investment via a series of payments spread over the life of the contract.


Public-Private Partnerships


Lesotho has embraced the idea of PPPs over the last decade as a means of improving public services. Maseru City Council has led the way, working with the UN Development Programme to identify projects that would benefit from private sector involvement. PPP arrangements have been put in place in the capital for waste facilities management, outdoor advertising and road maintenance.

The Maseru City Council has established a PPP Management Unit and has been working with the national government to look for nationwide opportunities for PPP projects – particularly waste facilities management – with ongoing support from the UN Development Programme and UN-HABITAT.