# From disease specific to universal health coverage in Lesotho: successes and challenges encountered in Lesotho’s digital health journey

## TL;DR

Lesotho is expanding its digital health systems from HIV-specific tools to cover all diseases, aiming for universal health coverage.

## Contribution

The paper outlines a strategy to scale digital health interventions from disease-specific to universal coverage in Lesotho.

## Key findings

- Digital health systems for HIV can be expanded to cover all diseases with proper governance and infrastructure.
- Investments in system architecture and human resources are critical for successful digital health expansion.
- Interoperability between systems is essential for comprehensive health coverage.

## Abstract

In Lesotho, the Ministry of Health and key donors have made significant advancements to develop digital health solutions specific to HIV services including an eRegister which is interoperable with the health management information system, pharmacy services and the laboratory information system. New investments from the Millennium Challenge Corporation will expand digital health services to all reported communicable and non-communicable disease areas at health facilities throughout the country. This paper explores how digital health interventions designed to support comprehensive HIV care can be leveraged to provide universal digital health coverage. Specifically, three priority areas will be addressed: (i) governance, security, and system architecture (ii) power, connectivity, and equipment (iii) human resources and change management.