In the end, despite high-level support within the Ministry of
Finance for the reform, few government bureaucrats in Lesotho
really understood the substance of the reforms or could provide
technical guidance in adapting them to local circumstances. In
a setting like Lesotho, where 23% of adults are HIV positive and
there is a crisis-level shortage of human resources for health,
adopting ‘best practices’ without modification was doomed to
failure