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Lesotho Flying Doctors Soar Higher After Aid Cuts
15 Feb
Summary
- Aid cuts forced the Lesotho Flying Doctor Service to rebuild and innovate.
- Doctors fly by helicopter and plane to reach isolated communities.
- The service now plans to build two new airstrips in 2026.

The Lesotho Flying Doctor Service (LFDS) is actively rebuilding after U.S. aid cuts in January 2025 severely impacted its operations. Dental therapist Senate Makhoali exemplifies the service's commitment, undertaking perilous flights via helicopter and small aircraft to reach isolated villages in Lesotho, the 'Kingdom in the Sky,' where road access is often impossible.
These essential medical services, previously a lifeline for approximately 300,000 people, were drastically reduced when funding evaporated. The LFDS, a branch of Lesotho's national health service, faced severe transport limitations, leading to clinic closures and staff reductions. The crisis exposed existing inefficiencies, prompting a strategic revitalization.
Under new leadership, the LFDS has implemented reforms like mixed-use flights and improved drug distribution systems. The service has successfully resumed most operations and is planning to build two new airstrips in 2026, aiming for greater self-sufficiency and efficiency.
The emergency evacuation program, unaffected by the cuts, continues to operate, airlifting patients like Tlotliso Lebeta to hospitals in the capital, Maseru, saving critical time compared to arduous ground travel.




