Meeting the Water, Sanitation and Hygiene Needs of People Living with HIV/AIDS and their Families
Elizabeth Younger, USAID
SBC Working Group Showcase
CORE Group Spring Meeting, April 29, 2010
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Meeting the Water, Sanitation and Hygiene Needs of People Living with HIV/AIDS and their Families
1. Presenter: Elizabeth Younger Implementing HIP Staff: Julia Rosenbaum ,Renuka Bery & Eleonore Seumo, CORE SBC Showcase April 29, 2010 Meeting the Water, Sanitation and Hygiene Needs of People Living with HIV/AIDS and their Families
Significant morbidity and mortality in 90% of PLWHA ( Katabira 1999, Monkenmuller & Wilcox 2000) PLWHA are more susceptible to contracting diarrhea Morbidity and mortality from diarrhea more severe in HIV+ children Diarrheal disease reduces absorption of ARVs (Bushen et al, 2004) Burden on caregivers in the home increases
The antidote that we propose is Hygiene improvement a comprehensive approach to reducing diarrheal disease by promoting 3 key practices –hand washing with soap, household water treatment and safe storage and safe disposal of feces, in combination with increased access to water and sanitation infrastructure.
The Hygiene Improvement Project examined national policies and guidelines and explored HIV programs in different countries HIP realized that not much was being done to try to reduce diarrhea in the context of HIV. Further, diarrhea affects more than just the person who is sick…it can affect everyone, and everyone needs to improve hygiene behaviors to prevent diarrhea WASH makes a difference…so the question was HOW can you improve these WASH practices Approach HIP has taken, is to integrate into EXISTING programs HIP started by integrating water, sanitation and hygiene into home based care programs, but many opportunities exist to integrate it further… into other programs such as orphans and vulnerable children and nutrition and HIV
The HIP approach has tried to be holistic….reviewing and improving policies and guidance As well as integrating water, sanitation and hygiene improvements into programming Our approach has been to share the importance about why WASH matters in the HIV context Identify country-specific small doable actions that help people get closer to practicing an ideal practice HIP started a community of practice in different countries to develop tools and share experiences and ideas HIP has developed tools and training that organizations can use to integrate WASH into HIV programs
WASH Integration toolkit The SDAs generated during the TIPs were used to develop the integration toolkit that is comprised of: Competency based training manual Participant’s guide Assessment tool for HBC to use when negotiating improved WASH practices Counseling cards to help communicate with clients during the negotiation, and WASH-HIV integration indicators to help track the progress in the integration of WASH into HIV program
This materials can be downloaded by clicking on the link provided on this slide. You can also send an email to one of the contact listed and we will send you the CD containing this materials. We hope you will find it useful. Feel free to adapt it, copy and paste in your training manual or in any other materials as you see fit. Please let us know how it works.