Sexual &
Reproductive Health Education

- Know it. Use it.
Stay healthy. -

Creating demand for Sexual and Reproductive Health (SRH) services is critical to the wellbeing of adolescents and young people in Lesotho.

Despite the availability of SRH services through public health facilities, utilization remains low - particularly among adolescents and young women - due to social, cultural, and systemic barriers. This aspect of our work focuses on increasing awareness, acceptability, and demand for SRH services, enabling young people to make informed decisions about their health and futures.

Sometimes, the most important step is having access to clear, reliable information.

The Challenge

Lesotho continues to face high rates of adolescent pregnancy, HIV infection, and sexually transmitted infections (STIs), particularly among young women and girls. Key challenges include:

  • Limited knowledge and misinformation about SRH among adolescents and communities.
  • Stigma, fear of judgement, and lack of confidentiality when accessing services.
  • Cultural norms that discourage open discussion of sexuality.
  • Weak linkages between communities, schools, and health facilities.

As a result, many young people delay or avoid accessing SRH services, increasing their vulnerability to poor health outcomes.

 

"I came to truly understand that protecting myself from early and unintended pregnancy and early marriage is my own responsibility. The sessions helped me learn about my body, my rights and how to make informed decisions about my sexual and reproductive health. This program has given me the confidence to prioritize my health, stay in school and work towards a better future."

- Refiloe

Our Approach

Through schools, youth clubs, and community forums, we equip young people with the knowledge, confidence and community support to seek help, access SRH services, and make informed sexual and reproductive health decisions. This approach ensures that demand creation is paired with trust, community ownership, and access to quality services.

Examples of Sexual and Reproductive Health Education Programming

  • Meeting Young People Where They Are
    For many young people, the hardest step is the first one. By bringing nurses and local health teams directly into Help Lesotho training sessions, participants can access private, confidential SRH services - HIV and STI testing, cervical cancer screening, contraception - in a setting that already feels safe and familiar. Once that first barrier is removed, visiting a clinic independently becomes far less daunting.
  • Peer Educators: Trusted Voices, Real Impact
    Young people listen to young people. Help Lesotho trains and supports peer educators to deliver sexual and reproductive health information in ways that actually land - honest, accessible, and youth-led. The results speak for themselves: this approach has proven effective in reducing teenage pregnancy rates and giving young people the confidence to seek out services on their own terms, before a crisis, not after.
  • Rights, Responsibility, and the Power to Choose
    In participatory workshops, young people don't just receive information - they work through it together. Participants explore their rights and responsibilities around sexual and reproductive health, dismantle the stigma that keeps too many from seeking care, and leave with something more durable than facts: the clarity and confidence to protect their own futures.

Key Outcomes

  • Increased knowledge and positive attitudes toward SRH among adolescents and young people.

  • Increased uptake of SRH services, including HIV testing, family planning, and STI screening.

  • Improved community support for adolescent access to SRH services.

  • Stronger collaboration between communities, schools, and health facilities.

leadership camp participants laughing
Basotho mother in blue scarf carrying a toddler

What Changes

Young people become more informed, confident, and empowered to access SRH services without fear or stigma. Communities shift toward more open, supportive attitudes around SRH, while health facilities experience increased and earlier engagement from adolescents and youth.

Why this Matters

Creating demand for SRH services is essential for reducing unintended pregnancies, HIV and STI transmission, school dropouts, and gender-based vulnerabilities.

By enabling young people in Lesotho to access SRH services early and consistently, this component contributes to healthier individuals, stronger communities, and improved long-term development outcomes.

How SRH Strengthens Our Impact Pillars

Physical health and reproductive autonomy are the foundations of a secure future. By ensuring young people have the knowledge and services they need to protect their health, we create the stability required for success across all our impact areas:

Mental Health & Resilience

Reducing the anxiety and social stigma associated with health challenges, allowing youth to focus on their emotional wellbeing and self-esteem.

Education & Leadership

Preventing unplanned pregnancies and health-related school dropouts, ensuring that young people stay on the pathway to graduation and economic independence.

Gender Equity & Safety

Empowering young women with the agency and decision-making power to manage their own bodies and navigate relationships with dignity.

By integrating health into our holistic model, we ensure that informed choices lead to healthier outcomes and more resilient communities.

Hope in Action

Access to accurate information can change how young people understand and care for their health.
These stories reflect how access to information builds confidence and supports informed decisions.

Be Part of the Impact

Access to accurate information and supportive environments makes a meaningful difference.

Your support helps expand access to accurate information and supportive environments.

Frequently Asked Questions

Why does sexual and reproductive health matter for youth?

Access to accurate information helps young people make informed decisions about their wellbeing and supports healthier outcomes over time.

Who benefits from this work?

This work engages youth, educators, community leaders and health providers across communities in Lesotho.

How does Help Lesotho support this area?

Programs may include youth health education, community awareness initiatives, partnerships with local health providers and engagement with educators and community leaders.

How can I support this work?

Supporters can help expand health education and awareness initiatives through donations and sponsorship.

Where can I learn more about impact?

Learn more about Help Lesotho’s impact and accountability reporting.