The Lesotho Ministry of Health and Social Welfare (MOHSW), with technical support from the Frontiers in Reproductive Health Program (FRONTIERS) of Population Council and funding from PEPFAR/RHAP/USAID, carried out an operations research project to strengthen the existing postpartum care services. This study has a specific focus on strengthening linkages with existing PMTCT follow up services and family planning services during the postpartum period by changing the number, timing and content of postpartum consultations that a woman and her newborn should receive. Researchers found that facilities were prepared or needed minimal adjustments to provide the PNC services; provider knowledge improved; provider practice improved; there was an increase in women testing for HIV; there was an increase in the proportion of providers who would recommend LAM and condoms to postpartum women at 48 hours, two weeks and 6 weeks; the majority of women said they intended to use FP between 6 weeks and 6 months.