Travel to Lesotho to backpack, study, intern, volunteer, work, or live as a digital nomad, expat or emigrant?

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 Lesotho

Intro

Backpacking or traveling in Lesotho?

  • Many people have never heard of this country, but you have landed on this page! Great, we are going up high because the “Kingdom in Heaven” is not a bad country to visit as a traveler or backpacker. Traveling in Lesotho means spending little money and gaining a lot of experiences. Think of remote mountain villages, beautiful hikes and authentic culture. Oh, and did you know that it is the only place where the entire country is above 1,000 meters? This makes the climate surprisingly cool, even in summer!
  • Activities to spot: trek to Thaba Bosiu, the old fortress of King Moshoeshoe; explore the mountains on the back of a Basotho pony; take a ride over the Sani pass; admire the engineering of the Katse Dam; walk in Sehlabathebe National Park; abseil along the gigantic Maletsunyane waterfalls; explore the capital Maseru with beautiful traditional and modern influences; visit the remote Basotho villages; ski in the Afriski resort - yes really!; take a boat trip on the Orange River.
  • Wildlife spotting: mountain antelope, birds of prey, zebras, leopards, otters, baboons, elands, dassies, klipspringers.
  • Food spotting: pap-pap (I don't think we need to explain that?), motoho (fermented sorghum drink), nyekoe (dried meat), bohobe Basotho bread), moroho (stewed vegetables), sesotho stew (mutton), lekhotloane (mushroom stew), mofokotso (pumpkin or sweet potato fritters), chakalaka (spicy salad or sauce).

Studying in Lesotho?

  • Lesotho has a growing education system, and although the choice of studies is more limited than in neighbouring countries, there are still reasonable and increasing opportunities. Popular studies include cultural studies, medicine, education, agriculture and development studies. You can combine studying with a great outdoor life, especially if you like mountains.
  • Study cities: Maseru, Roma.
  • Language: bilingual (Sesotho and English), but most academic lessons are taught in English.

Internships in Lesotho?

  • There are quite a few internships possible in Lesotho! And the handy thing is that you can get started with knowledge of English. Think for example of internships in the field of engineering (such as water technology), healthcare, at international organizations such as the UN, but also the World Monetary Fund on international aviation organizations, in education, agriculture and at various NGOs. There is quite a lot to be found!
  • Competencies: adaptability, professional English and Sesotho, intercultural communication, teamwork, problem solving skills, leadership.

Volunteering in Lesotho?

  • There are various volunteer projects that you can get started with. For example, you can help in the areas of elderly and childcare, tourism, community development, education, construction and management and women's emancipation. For this, look in particular at local NGOs and international aid organizations.

Working in Lesotho?

  • It is difficult to find paid work in Lesotho. You have the best chance with international (aid) organizations, but unfortunately even most locals have to go abroad to find a job there.

Working as a digital nomad in Lesotho?

  • Lesotho is not a popular country for digital nomads. So little is known about the infrastructure and the internet... A good adventure and a lot to write back to us about!
  • Favorite locations: we think Maseru.

Living in Lesotho?

  • Lesotho is known for its beautiful landscape and the many hiking options, so living there means a lot of adventure with a pleasant temperature. And the fact that English is spoken makes life even easier! The country grew up on agriculture, but climate change has changed that to a GDP based on tourism, the diamond industry and water supply to South Africa. It is a beautiful country to live in, but don't expect a large expat community.
  • Education: Lesotho has one of the highest literacy rates in the world and the country invests heavily in education. There are a few international schools in the capital Maseru.
  • Safety: Beware of muggings in the city and at night. Outside the capital the risk is smaller. There can also be political unrest, so make sure you stay in a safe place.
  • Climate: The climate in Lesotho varies from cool summers to cold winters, with the mountains often covered in snow in the winter. Ideal for skiers. Bringing a jacket is definitely not an unnecessary luxury, even in the summer.
  • Culture & religion: The culture is strongly rooted in Basotho traditions and you will often see people in their characteristic Basotho blankets. Music and dance are important, especially during festivals and village gatherings. The main religion is Christianity.
  • Please note: both Sesotho and English are widely spoken, the country can be somewhat bureaucratic and electricity and internet are not always reliable outside the cities.
  • Health insurance: medical facilities are insufficient and limited and there are still many diseases including HIV. Many expats go to South Africa to get care there. So make sure you have your own good health insurance.
Lesotho Country Bundle: suggestions, stories and tips

Lesotho Country Bundle: suggestions, stories and tips

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Content about Lesotho on WorldSupporter

How does healthcare work in Lesotho, and what travel insurance, health insurance or expat insurance do you need?

How does healthcare work in Lesotho, and what travel insurance, health insurance or expat insurance do you need?

How does the healthcare system work in Lesotho?

What is the quality of healthcare in Lesotho?

  • Lesotho has a largely public system with additional private care. NGOs also play a major role in the country and often work in partnership with government institutions.
  • Since independence, the government has been working to establish a healthcare system, but challenges remain.
  • Limited financial resources, poor infrastructure, and a shortage of healthcare workers make access to healthcare difficult.
  • Most foreigners choose to travel to Bloemfontein (South Africa) for healthcare.
  • The government provides basic care through Health Service Areas and a network of health centers.
  • Access and quality of care vary by region due to geographical barriers (mountains), staff shortages, and limited resources.
  • Locals also rely heavily on alternative care, such as traditional herbal medicine.

How does the public healthcare system work in Lesotho?

  • Public care is provided through Health Service Areas and consists of different levels:
    • Local clinics and health posts across the country for primary care, vaccinations, and pregnancy support.
    • District hospitals for more extensive care.
    • Referrals to larger centers (in Maseru) for specialized treatment.
  • Community/village health workers play a big role in remote areas.
  • Travel times for people in rural mountain areas are often long.
  • There are frequent shortages of essential medicines and equipment.

How does the private healthcare system work in Lesotho?

  • Private clinics and a few private hospitals are located mainly in Maseru, offering faster and often better service, though quality varies.
  • These clinics are important in Lesotho because they can provide broader care compared to public facilities.
  • Foreigners and locals who can afford it usually choose private care or go to South Africa. For complex or specialized care, referral to South Africa is common.
  • Some private clinics also focus on alternative medicine, such as traditional herbal treatments.

How is the general practitioner arranged in Lesotho?

  • There is no real GP system. Primary care goes through clinics and health centers.
  • For routine consultations, local clinic or private GP in the city are the best options.
  • Many expats and frequent visitors probably have a regular private doctor in Maseru as their “go-to.”

How is the dentist arranged in Lesotho?

  • Dental care is mainly found in Maseru. There are regular dentists and clinics, but specialist dental care is limited.
  • For general and complex dental treatments, most foreigners go to South Africa.

How is pregnancy care arranged in Lesotho?

  • Prenatal care is available, and many women attend antenatal consultations.
  • However, maternal mortality and serious complications remain a major issue.
  • Challenges include long travel times from mountain villages, poorly equipped facilities for emergencies, and a lack of qualified staff.
  • There are programs and projects (such as m-mama) that focus on faster support for mothers in need.
  • In short: pregnancy care in Lesotho is limited, and better options are usually found abroad.

How safe or unsafe is a trip or stay in Lesotho?

What should you pay attention to in terms of safety in Lesotho?

  • In cities, petty crime occurs.
  • Unfortunately, violence against women is relatively common, often within domestic settings.
  • Going hiking? Mobile coverage is patchy. Cultural tip: wearing a Basotho hat and good hiking boots is instant respect.

What should you look out for in terms of diseases in Lesotho?

  • HIV and Tuberculosis are major problems in Lesotho. The country has one of the highest HIV/AIDS rates in the world.
  • Malaria is not widespread but does occur, along with other infectious and seasonal diseases.

What should you pay attention to when it comes to traffic in Lesotho?

  • Roads in the mountain areas are often unpaved, full of potholes, and very narrow, aka a true adventure. Best to hire a local driver and a 4x4.
  • Traffic in Maseru is busier, but still manageable compared to larger African cities.
  • Driving at night is strongly discouraged, especially in remote areas.

What work and travel insurance policies are suitable for short and long stays in Lesotho?

  • Is the trip to Lesotho and your return sufficiently covered? Are you sufficiently covered before, during and after your activities? Which insurance best suits your trip and your activity? Read more about insurances for abroad on JoHoinsurances.org.

What emigration and expat insurance can you take out for Lesotho if you are going to live there for a while?

  • A good international health insurance is essential in Lesotho because the likelihood of medical evacuation or even repatriation is high, and most people travel to South Africa for quality care.
  • If you have private insurance, you can choose your own doctor in Lesotho.
  • Read more about insurances for abroad on Expatinsurances.org.
Lesotho: Updates & Travel

Lesotho: Updates & Travel

Travel in Lesotho

  • Lesotho is also called the roof of Africa where the lowlands are about 1,000 meters above sea level. The country, the size of Belgium, thus has the highest low point in the world. Lesotho is cheap, easily travelable and has a rich culture. The Basotho people with Bantu culture dress in beautifully woven rugs that give them cultural identity and status. Hiking and trekking on a traditional Basotho pony let you experience breathtaking mountain ranges of Lesotho. You can also search for ancient Dinosaur prints in Quthing. 

Updates Lesotho

  • More about Lesotho, updates and contributions, see the link below.

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Why get specific insurance when going abroad: per activity abroad
Why should you take out specialized travel insurance for a long trip abroad?

Why should you take out specialized travel insurance for a long trip abroad?

What is round the world travel insurance or long-term travel insurance?

  • Round the world travel insurance means that you take out insurance that continues to provide coverage during all your activities abroad, and which is specifically intended for those who travel for long periods of time, such as world travelers, globetrotters, and nomads.

Why should you take out specialized travel insurance for a long trip abroad?

  • Round the world travel insurance provides coverage for a much longer trip than regular travel insurance.
  • World travel insurance is specifically intended for longer trips, whereas regular travel insurance may offer coverage on paper, but in practice handles it differently.
  • World travel insurance is suitable for many types of activities, ranging from high-altitude trekking to more risky sports.
  • World travel insurance continues to provide coverage if you start working during your trip, whether planned or unplanned. If you did not take out insurance before departure that allows you to work, there is no guarantee that you will be able to take out insurance that provides coverage while abroad.
  • Long-term travel insurance continues to provide coverage when your home country's health insurance no longer does.
  • Worldwide travel insurance also covers your medical expenses up to the actual cost, and not just for the standard costs. The costs per medical treatment vary greatly between countries.
  • Worldwide travel insurance can also continue to provide coverage if negative travel advice is issued.

What is important to insure when you are going to travel around the world?

  • That you have insurance that is valid in the countries where you are going to travel and posibly work.
  • That you are adequately insured for the sports and activities you are going to participate in during your full period abroad
  • That you are insured for emergency assistance and early return if something happens to you or your immediate family.
  • That your medical expenses are insured up to the actual cost and not just for the standard costs. The costs per medical treatment vary greatly between countries.
  • That you insure your luggage and take sufficient precautions against theft or damage.
  • That you are well insured against personal liability.
  • That you are well insured in case of accidents.
  • That you only insure yourself for legal assistance if there is an immediate reason to do so, unless coverage is already automatically included in the insurance.
  • That you pay close attention to choosing the right coverage when performing work or voluntary work during your world trip.

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Why should you take out specific insurance when you go on a trip or vacation?

Why should you take out specific insurance when you go on a trip or vacation?

What is insurance for traveling abroad?

  • Travel insurance is insurance that provides coverage for risks during a trip or vacation abroad. This mainly concerns loss of or damage to your luggage, medical assistance, or repatriation costs if you need to be transported back home urgently. In some cases, travel insurance coverage also applies on domestic trips.
  • With annual travel insurance or multi-trip travel insurance, you are insured for all your trips throughout the year.
  • With temporary travel insurance or single-trip travel insurance, you take out insurance for each trip for the duration of the trip.
  • Cancellation insurance reimburses (all or part of) the travel sum, cancellation or accommodation costs if you have to cancel or interrupt your vacation.

Why should you take out travel insurance for a short trip, vacation, or long-distance trip?

  • Travel insurance can provide coverage in the event of an accident or emergency while you are abroad.
  • Travel insurance can provide coverage for damage and accidents during the adventurous or sporting activities you plan to do.
  • Travel insurance can continue to provide coverage if your health insurance no longer provides coverage, or if the damage is only reimbursed at cost price of your home country.
  • Travel insurance can provide coverage in the event of damage, loss, or theft of your luggage.
  • Travel insurance can provide coverage if you are held liable for damage you cause to other people or their property.
  • Travel insurance can provide coverage if you have to return home early because something has happened to you or your immediate family.

What is important to insure when you are going to travel abroad?

  • That you have insurance that is valid in the country or countries that you are going to visit.
  • That you are adequately insured for the sports and activities you are going to participate in during your period abroad.
  • That you are insured for emergency assistance and early return if something happens to you or your immediate family.
  • That your medical expenses are insured up to the actual cost and not just for the standard costs. The costs per medical treatment vary greatly between countries.
  • That you insure your luggage and take sufficient precautions against theft or damage.
  • That you are well insured against personal liability.
  • That you are well insured in case of accidents.
  • That you only insure yourself for legal assistance if there is an immediate reason to do so, unless coverage is already automatically included in the insurance.
  • That you pay close attention to choosing the right coverage when performing work alongside your travels.

Check out more about international insurances

Why should you take out specialized travel insurance for working abroad?

Why should you take out specialized travel insurance for working abroad?

Why should you take out specialized travel insurance for paid work, voluntary work or an internship abroad?

  • There may be several reasons why you need separate insurance when working abroad.
  • During work, internships, or volunteer work abroad where you receive financial compensation (or, for example, food or housing), your national health insurance coverage may expire. You will then need special insurance to remain insured for illness and accidents.
  • During specific work abroad, additional requirements may apply if your work involves additional risks. Only specific insurance policies offer coverage during this type of work.
  • During your work, the risk of accidents is sometimes greater, for example because you are doing work with which you have little experience or because of the nature of the work.
  • During your work, local employers generally offer no or limited insurance that provides insufficient coverage.

What is important to insure when you are going to work abroad?

  • That you have insurance that is valid in the country or countries where you are going to travel and work.
  • That you are adequately insured for the sports and activities you are going to participate in during your period abroad
  • That you are insured for emergency assistance and early return if something happens to you or your immediate family.
  • That your medical expenses are insured up to the actual cost and not just for the standard costs. The costs per medical treatment vary greatly between countries.
  • That you insure your luggage and take sufficient precautions against theft or damage.
  • That you are well insured against personal liability.
  • That you are well insured in case of accidents.
  • That you only insure yourself for legal assistance if there is an immediate reason to do so, unless coverage is already automatically included in the insurance.
  • That you pay close attention to choosing the right coverage when performing work.

Check out more about international insurances

Why should you take out specialized travel insurance for volunteering abroad?

Why should you take out specialized travel insurance for volunteering abroad?

What is insurance for volunteering abroad?

  • Insuring volunteer work abroad means taking out insurance that continues to provide coverage while you are working as a volunteer abroad

Why should you take out specialized travel insurance for voluntary work abroad?

  • There may be several reasons why you need separate insurance when volunteering abroad.
  • During specific activities abroad, additional requirements may apply if your work involves extra risks. Only specific insurance policies offer coverage during these activities.
  • The risk of accidents is sometimes higher during your work, for example because you are doing work you have little experience with or because of the nature of the work.
  • Local projects or employers generally offer no or limited insurance that provides insufficient coverage during your work.
  • When volunteering abroad and receiving minor financial compensation (or, for example, food or housing), your home country's health insurance coverage will potentially lapse. You will then need special insurance to remain insured for illness and accidents.
  • Regular travel insurance policies generally provide coverage for trips of a limited number of days. If your trip or stay abroad exceeds the maximum number of days, this generally means that for the entire travel period, you will not be covered.
  • Regular travel insurance policies generally only provide coverage for recreational travel without voluntary work activities. If you engage in activities other than recreational activities (such as volunteer work), this generally means that for the entire travel period, you will not be covered.

What is important to insure when you are going to work as a volunteer abroad?

  • That you have insurance that is valid in the country or countries where you are going to travel and volunteer.
  • That you are adequately insured for the sports and activities you are going to participate in during your period abroad
  • That you are insured for emergency assistance and early return if something happens to you or your immediate family.
  • That your medical expenses are insured up to the actual cost and not just for the standard costs. The costs per medical treatment vary greatly between countries.
  • That you insure your luggage and take sufficient precautions against theft or damage.
  • That you are well insured against personal liability.
  • That you are well insured in case of accidents.
  • That you only insure yourself for legal assistance if there is an immediate reason to do so, unless coverage is already automatically included in the insurance.
  • That when performing work in healthcare, with wild animals, and with dangerous (agricultural) machinery, you take care to choose the right coverage.

Check out more about international insurances

Why should you take out specialized travel insurance for an internship abroad?

Why should you take out specialized travel insurance for an internship abroad?

What is insurance for an internship abroad?

  • Insuring an internship abroad means taking out insurance that continues to provide coverage during your internship abroad
  • Insurance for internships abroad are also referred to as internship insurance. This internship insurance is specifically for when you go abroad for a long period of time to work as an intern, take courses, or conduct research abroad.

Why should you take out specialized travel insurance for an internship abroad?

  • There may be several reasons why you need separate insurance for an internship abroad.
  • During internship activities abroad, additional requirements may apply as soon as you start performing work that involves additional risks. Only specific insurance policies offer coverage during these activities.
  • During your internship, the risk of accidents is sometimes greater, for example because you are doing work with which you have little experience or because of the nature of the work.
  • During your internship, local employers generally do not offer insurance, or offer limited insurance that does not provide sufficient coverage.
  • During an internship abroad where you receive financial compensation (or, for example, food or accommodation), your home country's health insurance coverage will potentially lapse. You will then need special insurance to remain insured for illness and accidents.
  • Regular travel insurance policies generally provide coverage for trips of a limited number of days. If your trip or stay abroad exceeds the maximum number of days, this generally means that for the entire travel period, you will not be covered.
  • Regular travel insurance policies generally only provide coverage for recreational trips without work activities.

What is important to insure when you are going to be an intern abroad?

  • That you have insurance that is valid in the area where you will be traveling and doing your internship.
  • That you are adequately insured for the sports and activities you will be participating in.
  • That you are insured for emergency assistance and early return in case something happens to you or your immediate family.
  • That your medical expenses are insured up to the actual cost (what it actually costs), and not just for the standard costs. The costs per medical treatment vary greatly between countries.
  • That you insure your luggage and take sufficient precautions against theft or damage.
  • That you are well insured against personal liability and, preferably, also for liability during your internship.
  • That you are well insured in case of accidents.
  • That you insure yourself for legal assistance if there is an immediate reason to do so, unless the coverage is already automatically included in the insurance.
  • Make sure you choose the right coverage for internship work in healthcare, with wild animals, or with dangerous machinery!

Check out more about international insurances

Why should you take out specialized travel insurance for studying abroad?

Why should you take out specialized travel insurance for studying abroad?

What is insurance for studying abroad?

  • Insurance for studying abroad means that you take out insurance that continues to provide coverage during your studies, your education, and your related activities abroad.
  • Insurance for studying abroad is also referred to as study insurance. This study insurance is specifically for when you go abroad for a long period of time to take courses, study, or conduct research abroad.

Why should you take out specialized travel insurance for a study abroad?

  • Study insurance is specifically designed for studying abroad, whereas regular travel insurance policies may offer coverage on paper but handle this situation differently in practice.
  • Study insurance offers coverage for longer stays than regular (vacation) travel insurance.
  • Study insurance is also suitable for many types of activities, ranging from various sports to hiking at high altitudes.
  • Study insurance continues to provide coverage if you start working during your trip, whether planned or unplanned. If you have not taken out insurance before departure that allows you to work, there is no guarantee that you will be able to take out insurance abroad that provides coverage.
  • Study insurance continues to provide coverage if your own country's health insurance no longer provides coverage.
  • Student insurance also covers your healthcare costs above the rates in your own country; with regular insurance, you have to pay the extra costs yourself.
  • Student insurance can also continue to provide coverage if (study) visa issuers impose additional requirements on how you insure yourself, for example if you are going to the US and applying for a J-1 visa.
  • Student insurance continues to provide coverage if you are staying abroad for a longer period of time and want to visit your own country in between.

What is important to insure when you are going to study abroad?

  • That you have insurance that is valid in the country or countries where you are going to travel and work.
  • That you are adequately insured for the sports and activities you are going to participate in during your period abroad
  • That you are insured for emergency assistance and early return if something happens to you or your immediate family.
  • That your medical expenses are insured up to the actual cost and not just for the standard costs. The costs per medical treatment vary greatly between countries.
  • That you insure your luggage and take sufficient precautions against theft or damage.
  • That you are well insured against personal liability.
  • That you are well insured in case of accidents.
  • That you only insure yourself for legal assistance if there is an immediate reason to do so, unless coverage is already automatically included in the insurance.
  • That you pay close attention to choosing the right coverage when performing work alongside your studies.

Check out more about international insurances

Why should you take out specialized insurance for moving abroad as an emigrant or an expat?

Why should you take out specialized insurance for moving abroad as an emigrant or an expat?

What is an emigration insurance and what is an expat insurance?

  • Emigration insurance is an insurance that continues to provide coverage if you move abroad permanently or for an indefinite period of time.
  • Emigration insurance is not only intended for emigrants, but for anyone who leaves their home country for an extended period of time and does not intend to return in the foreseeable future.
  • Expat insurance is insurance that continues to provide coverage if you go to work abroad for a local or international employer for an extended period of time.
  • Expat insurance is not only intended for expats, but for anyone who has a more permanent job abroad.

Why should you take out specialized insurance for emigration or working as an expat abroad?

  • Emigration or expat insurance not only provides coverage for acute assistance in the event of illness or accident abroad, such as travel insurance, but can also provide coverage for existing conditions and ailments or non-urgent care.
  • Emigration or expat insurance does not require you to maintain valid health insurance in your home country.
  • Emigration or expat insurance provides coverage for preventive care or costs related to pregnancy and childbirth.
  • Emigration or expat insurance also provides coverage for long-term treatments and chronic conditions without you having to return to your home country.
  • Emigration or expat insurance often has no restrictions on the duration of the insurance, unlike travel insurance.
  • Emigration or expat insurance usually maintains coverage in cases such as negative travel advice or acts of war.
  • Emigration or expat insurance offers various solutions in the areas of disability, home and household insurance, goods transport, and liability.

What is important to insure when you are going to move abroad?

  • That you have insurance that is valid in the country or countries where you are going to live and/or work.
  • That you are adequately insured for the sports and activities you are going to participate in during your period abroad
  • That you are insured for emergency assistance and early return if something happens to you or your immediate family.
  • That your medical expenses are insured up to the actual cost and not just for the standard costs. The costs per medical treatment vary greatly between countries.
  • That you are well insured against personal liability.
  • That you are well insured in case of accidents.
  • That you pay close attention to choosing the right coverage when performing work with additional health risks

Check out more about international insurances

Why should you take out travel insurance and why through the JoHo Foundation?

Why should you take out travel insurance and why through the JoHo Foundation?

Why Insurances through JoHo

  • Specialized: in emigration, work, internships, study and travel abroad.

  • Service: JoHo offers multiple travel insurances by multiple companies. Thanks to JoHo's extensive experience, it can offer support in case of problems with insurers, as well as advice and fast and personal handling.

  • Safe: JoHo is recognized as a trustworthy intermediary for insurances.

  • Social: by purchasing an insurance through JoHo you provide a talented student in The Philippines with health insurance

Why Should You Take Out A Travel Insurance?

  • The chance of getting injured or ill is generally higher than when you would have stayed at home. The medical care you will need can be very expensive, even more so if you are treated in a private clinic.

  • If you have to fly back because of family circumstances, the flights might be more expensive than your original flight because you have to fly on short notice.

  • You might have to deal with the damage, loss or theft of your luggage.

  • In case of emergency it can be difficult to figure out what to do. A good travel insurance will have an assistance team on standby for you 24/7 and will be able to tell you what steps to take.

Why Should You Specifically Take Out A Travel Insurance For A Long Trip Abroad?

  • Often regular travel or health insurances only cover trips for a maximum number of days (for example 60, 90 or 180 days).

  • Depending on your home country, your health insurance might not offer any coverage for treatment abroad.

  • During a long trip you might consider specific activities, like paid work or volunteering. Regular travel insurances often don’t cover these kind of activities. The same goes for adventurous/ hazardous sports like skydiving, scuba-diving and bungee jumping.

More on why to use JoHo

  • JoHo is one of the few organizations where you can directly purchase a comprehensive range of foreign insurances from a variety of insurers. As with our other products and services, we believe that you should be able to choose between the best, the most cost effective and the most specialized insurance.

  • JoHo offers various possibilities from combining insurances to assisting in transferring from one insurer to another.

  • When you purchase an insurance policy through JoHo, you will not pay more than if you had purchased it directly from the insurer. Sometimes (through special collective agreements) you will even pay less.

  • JoHo offers support with problems that may arise with the insurer. Sometimes disagreement with claims, cancellation notice or insurance premiums can occur. In this situation it helps if you have the assistance of an organization who has an established relationship with the insurer.

 

Read more about JoHo and JoHo Insurances

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Safety, insurances and packinglist for Lesotho

How does healthcare work in Lesotho, and what travel insurance, health insurance or expat insurance do you need?

How does healthcare work in Lesotho, and what travel insurance, health insurance or expat insurance do you need?

How does the healthcare system work in Lesotho?

What is the quality of healthcare in Lesotho?

  • Lesotho has a largely public system with additional private care. NGOs also play a major role in the country and often work in partnership with government institutions.
  • Since independence, the government has been working to establish a healthcare system, but challenges remain.
  • Limited financial resources, poor infrastructure, and a shortage of healthcare workers make access to healthcare difficult.
  • Most foreigners choose to travel to Bloemfontein (South Africa) for healthcare.
  • The government provides basic care through Health Service Areas and a network of health centers.
  • Access and quality of care vary by region due to geographical barriers (mountains), staff shortages, and limited resources.
  • Locals also rely heavily on alternative care, such as traditional herbal medicine.

How does the public healthcare system work in Lesotho?

  • Public care is provided through Health Service Areas and consists of different levels:
    • Local clinics and health posts across the country for primary care, vaccinations, and pregnancy support.
    • District hospitals for more extensive care.
    • Referrals to larger centers (in Maseru) for specialized treatment.
  • Community/village health workers play a big role in remote areas.
  • Travel times for people in rural mountain areas are often long.
  • There are frequent shortages of essential medicines and equipment.

How does the private healthcare system work in Lesotho?

  • Private clinics and a few private hospitals are located mainly in Maseru, offering faster and often better service, though quality varies.
  • These clinics are important in Lesotho because they can provide broader care compared to public facilities.
  • Foreigners and locals who can afford it usually choose private care or go to South Africa. For complex or specialized care, referral to South Africa is common.
  • Some private clinics also focus on alternative medicine, such as traditional herbal treatments.

How is the general practitioner arranged in Lesotho?

  • There is no real GP system. Primary care goes through clinics and health centers.
  • For routine consultations, local clinic or private GP in the city are the best options.
  • Many expats and frequent visitors probably have a regular private doctor in Maseru as their “go-to.”

How is the dentist arranged in Lesotho?

  • Dental care is mainly found in Maseru. There are regular dentists and clinics, but specialist dental care is limited.
  • For general and complex dental treatments, most foreigners go to South Africa.

How is pregnancy care arranged in Lesotho?

  • Prenatal care is available, and many women attend antenatal consultations.
  • However, maternal mortality and serious complications remain a major issue.
  • Challenges include long travel times from mountain villages, poorly equipped facilities for emergencies, and a lack of qualified staff.
  • There are programs and projects (such as m-mama) that focus on faster support for mothers in need.
  • In short: pregnancy care in Lesotho is limited, and better options are usually found abroad.

How safe or unsafe is a trip or stay in Lesotho?

What should you pay attention to in terms of safety in Lesotho?

  • In cities, petty crime occurs.
  • Unfortunately, violence against women is relatively common, often within domestic settings.
  • Going hiking? Mobile coverage is patchy. Cultural tip: wearing a Basotho hat and good hiking boots is instant respect.

What should you look out for in terms of diseases in Lesotho?

  • HIV and Tuberculosis are major problems in Lesotho. The country has one of the highest HIV/AIDS rates in the world.
  • Malaria is not widespread but does occur, along with other infectious and seasonal diseases.

What should you pay attention to when it comes to traffic in Lesotho?

  • Roads in the mountain areas are often unpaved, full of potholes, and very narrow, aka a true adventure. Best to hire a local driver and a 4x4.
  • Traffic in Maseru is busier, but still manageable compared to larger African cities.
  • Driving at night is strongly discouraged, especially in remote areas.

What work and travel insurance policies are suitable for short and long stays in Lesotho?

  • Is the trip to Lesotho and your return sufficiently covered? Are you sufficiently covered before, during and after your activities? Which insurance best suits your trip and your activity? Read more about insurances for abroad on JoHoinsurances.org.

What emigration and expat insurance can you take out for Lesotho if you are going to live there for a while?

  • A good international health insurance is essential in Lesotho because the likelihood of medical evacuation or even repatriation is high, and most people travel to South Africa for quality care.
  • If you have private insurance, you can choose your own doctor in Lesotho.
  • Read more about insurances for abroad on Expatinsurances.org.

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My world recipe: South African Samp & Beans
Image Maak een actieve en avontuurlijke ecotoerisme rondreis door Lesotho
Maak een actieve en avontuurlijke ecotoerisme rondreis door Lesotho en ontdek wandelend, via homestays en met een gids dit mooie land.
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From language courses to gap year abroad, from work experience to volunteering abroad, from paid work to internship abroad, from mountaineering to diving and from backpacking to travel around the world

    What social activities can you do abroad?

    • Opportunities are found in the areas of helping, learning or studying. You can get involved to volunteer in a social project at a school in Africa, Asia or Latin America. You can get involved in nature, in a project with animals or cleaning the sea or beaches. Those who want to learn more can choose for example a language course in Latin America, Spain or South Africa.

    What work related activities can you do abroad?

    • If you want to gain work experience, and/or also earn money, go and work abroad. You can combine backpacking in Australia with temporary work. You can work on campsites in Europe or bush camps in Africa. You can pretty much go all over the world to work in the hospitality industry, hotels and hostels, in the healthcare sector or for example at a diving school.

    What sports activities to do abroad?

    • Have you ever thought of mountain biking, rafting (going down a wild river on a raft or rubber dinghy, climbing or canoeing), survival (which involves building rafts, climbing or canoeing), abseiling (descending a rock face while secured to ropes), zip-lining (whizzing down a cable), canyoning (starting at the top of a river and then climbing, swimming, diving down the bed) or caving (scrambling, wriggling and crawling through caves and crevices)?
    • Maybe you feel more comfortable on a bodyboard (on a half-wave surfboard, you surf the high waves lying down-with flippers), on a hang glider or while paragliding (with a parachute you float down a mountain or dune), hydrospeeding (on a bodyboard with flippers and a wetsuit on you go down a wild river via rapids) or Tiefschneeskiing (racing down through powder snow)?

    Check the pages below for more activities and inspiration and where to go and how to arrange it

      Activities abroad: for gap year, sports, travel and outdoor abroad

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      Image How does healthcare work in Lesotho, and what travel insurance, health insurance or expat insurance do you need?
      How does the healthcare system work in Lesotho? What is the quality of healthcare in Lesotho? How does the public healthcare system work in Lesotho? How does the private...
      Image Lesotho: Updates & Travel
      Travel in Lesotho Updates Lesotho Back to top Travel in Lesotho Lesotho is also called the roof of Africa where the lowlands are about 1,000 meters above sea level. The...
      Image Welk visum regelen voor een reis, werk, vrijwilligerswerk of studie naar Zuid-Afrika (Lesotho & Swaziland)?
      Toeristenvisum Voor een verblijf van maximaal 90 dagen heb je geen toeristenvisum nodig voor Zuid-Afrika Het Nederlandse paspoort moet wel minstens drie maanden na...
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      Image Let's Go Africa: Stages en Vrijwilligerswerk
      Let's Go Africa is een Nederlandse bemiddelingsorganisatie voor stages en vrijwilligerswerk in Afrika. Het doel van de organisatie is om studenten, vrijwilligers en...
      Image Let's Go Africa: Internships and Volunteering
      Let’s Go Africa is a small scale, personal and innovative mediation agency with a unique placement programme for everyone that wants to experience a meaningful...
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      Organizations: for administrative, tax and legal work and consulting
      Organizations: for agriculture, grape picking, farming and vineyards
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      Organizations: for gap year activities abroad and sabbaticals
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      Organizations: for IT, engineering and construction
      Organizations: for language travel and language teaching abroad
      Organizations: for marketing, communication and PR
      Organizations: for mediation in au pairs, childcare and elderly care in the Netherlands
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      Organizations: for nonprofit projects, development work and international cooperation
      Organizations: for online work as digital nomad, freelancer, or independent entrepreneur from abroad
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      Organizations: for providing accommodation and hospitality work in hotels, guesthouses, ecolodges and hostels abroad
      Organizations: for providing healthcare and working in medical care abroad
      Organizations: for psychological assistance and mental health care abroad
      Organizations: for real estate, brokerage abroad and property rental abroad
      Organizations: for research and scientific work abroad
      Organizations: for student support and student associations
      Organizations: for tour guidance and adventure tours abroad
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      Samp & beans is a delicious meal that was cooked for us in Durban and in Lesotho. I personally adored it, even though it doesn't look really good. The taste, however, is fantastic!   

      1. 1 Mix and wash the samp and beans together.
      2. 2 Put them in a large pot with 5-6 cu...

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      Let’s Go Africa is a small scale, personal and innovative mediation agency with a unique placement programme for everyone that wants to experience a meaningful internship, minor or volunteer work in Africa. Noor and Roel van Hout have extensive work and life experience in Africa since 2006 and...

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