Meeting the Water, Sanitation and Hygiene Needs of People Living with HIV/AIDS and their Families

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

Diarrhea Affects PLWHA & their Families:
Morbidity and mortality in 90% of PLWHA ( Katabira 1999, Monkenmuller & Wilcox 2000)
Susceptibility of PLWHA contracting diarrhea
Nutrient absorption
Absorption of ARVs (Bushen et al, 2004);
(= possible ARV resistant strains)
Burden on caregivers
Water needs for people with HIV
More severe in HIV+ children

Importance of WASH and PLWHA:
30-40% reduction in diarrhea through 3 key WASH practices (Fewtrell et al 2005, Curtis and Cairncross 2003)
Hand washing with soap
Household water treatment and safe storage
Safe disposal of faeces
Diarrhea in PLWHA via improved WASH practices
Protects entire family from diarrhea

Integrate WASH into HIV programs
Home-based Care
Orphans and Vulnerable Children
Counseling and Testing
Prevention of Maternal to Child Transmission
Nutrition and HIV

Integration Approach
Review guidance on WASH within HIV policies and guidelines
Identify country-specific Small Doable Actions to help people improve WASH practices
Provide tools and training that organizations can use to integrate WASH into HIV programs

WASH-HIV Integration Toolkit
Five components:
Training Manual & Handouts
Participant’s Guide
Assessment Tool
Counseling Cards
WASH-HIV Integration Indicators

Training Manual Content
Module 1: Introductory Activities
Module 2: WASH Intro, Link to HIV
Module 3: Intro WASH Behavior Change
Module 4: Hand Washing
Module 5: Making Water Safe to Drink
Module 6: Handling Feces
Module 7: Menstrual Blood Management
Module 8: Negotiating Behaviors
Module 9: Action Planning; Tracking Progress

Hand Washing

Hand Washing Con’t
Correct HW technique

Ugandan trainers from Reach Out Mbuya demonstrating appropriate hand washing practice

TIPPY TAPS
Demo how to use
Demo how to build
Build in small groups

Convince for need to treat
“ Pre-Treatment”
WATER Settling/Decanting Filtering Through Cloth

PUR Demonstration

GLOVES
To Use or Not to Use Game
How to Prevent Stigma
Preventing Cross Contamination
Putting on/Taking Off Medical and “Household” Gloves; Bags
Glove Disposal and Reuse

Universal Precautions
Key precautions
Making water & bleach solution
Disinfecting
cloth
hard surfaces
soft surfaces

Bed Bound Client Weak Client Mobile Client

Bed-Bound Client: PROTECTING BEDDING
Plastic Sheet; Banana Leaf
Cover with cotton cloth

Plastic Pants

Bed-Bound Client
Rolling Client

Bed-Bound Client
Changing Linens

– WARNING – Viewer discretion advised!

Client Who Can Sit Up

Mobile Client

Infant Feces
Proper Disposal
Hand washing

Menstrual Blood Management Making a menstrual pad from banana fiber

Get the HIV/WASH Integration Kit
OPTION 1: Download
Go to: http://www.hip.watsan.net/page/3442
Link to your webpage!
OPTION 2: Request a free CD from HIP
Email: [email_address]
HIP webinar available at:
http://www.hip.watsan.net/page/4105
Contact Information
Elizabeth Younger [email_address]
Renuka Bery [email_address]
Julia Rosenbaum [email_address]
Eleonore Seumo [email_address]

THANK YOU

Meeting the Water, Sanitation and Hygiene Needs of People Living with HIV/AIDS and their Families

by jehill3 on May 04, 2010

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Meeting the Water, Sanitation and Hygiene Needs of People Living with HIV/AIDS and their Families — Presentation Transcript