The purpose of this situation analysis, conducted for AIDSTAR-One, was to understand what supports and hinders effective care for children who have experience sexual violence and exploitation in Lesotho. The study examined the services being implemented, facilitated, or provided by community- and facility-based partners for children who have experienced sexual violence and exploitation; what is working well; and where there are gaps. The situation analysis looked in particular for currently existing mechanisms that link health facilities and facility-based support to the community, and vice versa. It also focused on developing recommendations for PEPFAR/Lesotho regarding strengthening existing services and linkages between facilities and communities.