Upon finishing her training in general nursing and midwifery, she joined the operating room staff at Maluti. Maluti Hospital, a 160-bed facility located in Mapoteng, a village nestled in the foothills of the Maluti Mountains, opened in 1951 and quickly established a reputation of excellence in surgery, eye care, and for its School of Nursing. Situated in Lesotho, an enclave of South Africa about the size of the state of Maryland with a population of about 2.1 million, Maluti Hospital serves more than 70,000 people in the western part of the Berea district, as well as a small portion of the Leribe district. In addition, a number of health centers and clinics outside the health-service area reach an even larger population. At nearly a mile above sea level, the region experiences cold winters, often with subfreezing temperatures, frost, and occasional snow.
Summers are hot, with low humidity and frequent thundershowers.
For many families, the main source of income is from serving as migrant laborers. Soon after finishing her training at Maluti School of Nursing, Dr. Ranotsi was already looking for ways to take the next step in her training. While working in the operating room at Maluti, she attended school in South Africa to specialize in her area. Completing her course, she was promoted to operating room supervisor, and served in that capacity for several years. Maluti Hospital, a 160-bed facility, was established in 1951.