The phone system is poor, government offices and businesses will have phones, but few homes will. Mail from the US takes about one to two weeks. Health Lesotho has no mosquitoes, and thus no malaria. A dry, cool climate makes it a reasonably healthy place. The main health problem is water.
Sanitation is poor and people wind up drinking water downstream that is wastewater from upstream.
Most villages have wells or springs where people congregate to fill buckets, but people still get sick from time to time. Gullies are used for latrines, which washes into the nearest stream, in addition to animal waste. Tuberculosis and veneral disease are also major health problems. AIDS is a serious problem in Lesotho. All the district capitals have hospitals, although they are pretty low key.