My knowledge of Lesotho Healthcare is old but a Google suggests not a lot has changed.
In remote areas, which is most of the country, a lot of health care is provided by missionaries. I had to get to the village by plane, also run by missionaries.
We did vaccinations by going out to villages by pony.
Our doctor could do some surgery but anaesthetic was ketamine only.
Anything more complex, all we could do was tell them to walk (many days walk) to Maseru or RSA. I diagnosed a child with a highly treatable cancer- all we could do was stress to the parents that they needed to take her to RSA immediately.
I met some very impressive Basotho nurses. But the number of people who once trained want to stay in a village on the edge of nowhere is small, hence depending on missionaries.
Being Basotho is also incredibly important. There is huge respect for other Basotho - I had to make sure I went with a Basotho to get my visa renewed or it wouldn't be done. Dr C is a black African woman but I suspect this would not give her the same status as a Basotho woman.
In fact the main thing that gave you status as a woman was having given birth to a son. It forms part of your name as an adult woman. We had nurses who were single parents by choice as having had a son was so important but no way did they want relationships with the father.