Over one hundred years ago, the Paris Evangelical Missionary Society gave birth to the Lesotho Evangelical Church. Much of the Christian witness of this church has become nominal over the years, partly as a result of liberal influences. At the invitation of this church in 1986, AIM began a Theological Education by Extension (TEE) course to give Bible training for lay leaders. This program is now being run under national leadership. Half a million people in the mountainous areas of Lesotho are virtually unreached by the gospel. An AIM team works among these people, including medical staff at Tebellong hospital.

Exciting ministries have blossomed among the herdboys of Lesotho. This group of boys and young men spend most of the year high in the hills grazing herds. Consequently, few receive a formal education. AIM is reaching out to the herdboys through literacy, and at the same time, introducing them to Jesus Christ. A vocational school has been started to open new doors of opportunity for the herdboys.

Other areas of outreach include Bible studies, craft fellowship for women, and a nursery school which is run by nationals. TIMO, a two-year hands-on missionary training program has also had a tremendous impact in Lesotho.