Mamorena Phansi grew up in a rural area in Lesotho. She came to Maseru to find a job in 2005. She was already 29 years old and a friend paid 40 Maloti (about five US dollars) for her to do a sewing course. "I wanted to find work because it makes it possible to have a more comfortable life," she says. "At home I was working in the fields. There is nowhere else to work except in the factories."

She found out she is HIV positive in 2006. "I decided to test at the factory as people were encouraging us to know our status," she says. "I think I am lucky that I found out about my status while I was still healthy. It was a relief that I was still strong and could do something."

The risks of falling pregnant when you are HIV positive are explained at awareness sessions and support groups. But Mamorena decided that she still wanted to try to have a child. "I attended the factory support group and saw that it might be possible to have a child," she says.

Mamorena later gave birth to the first twins born on the prevention of mother-to-child transmission (PMTCT) programme. She named her sons Thabo (happiness) and Thabiso (the one who makes others happy. Both boys are HIV negative. After they were born Mamorena went home and called the village toether to introduce the boys and thank ALAFA. "My children are standing up today becaue of the support from ALAFA," she says.

For personal reasons, Mamorena subsequently decided not to return to work. When workers registered on the ALAFA programme leave the industry, the case managers arrange for them to be transferred into the state system so their treatment can continue. Mamorena is going for follow-up at a clinic near her home.