Presenter:  Elizabeth Younger   Implementing HIP Staff:  Julia Rosenbaum ,Renuka Bery & Eleonore Seumo,  CORE SBC Showcase...
Diarrhea Affects PLWHA & their Families: <ul><li>Morbidity and mortality in 90% of PLWHA ( Katabira  1999,  Monkenmuller &...
Importance of WASH and PLWHA: <ul><li>30-40% reduction in diarrhea through 3 key WASH practices (Fewtrell et al 2005, Curt...
Integrate WASH into HIV programs <ul><li>Home-based Care </li></ul><ul><li>Orphans and Vulnerable Children </li></ul><ul><...
Integration Approach <ul><li>Review guidance on WASH within HIV  policies and guidelines </li></ul><ul><li>Identify countr...
WASH-HIV Integration Toolkit  <ul><li>Five components:  </li></ul><ul><ul><li>Training Manual & Handouts </li></ul></ul><u...
Training Manual Content <ul><li>Module 1: Introductory Activities  </li></ul><ul><li>Module 2: WASH Intro, Link to HIV </l...
 
 
Hand Washing
Hand Washing Con’t <ul><li>Correct HW technique </li></ul>
Ugandan trainers from Reach Out Mbuya demonstrating appropriate hand washing practice
TIPPY TAPS <ul><ul><li>Demo how to use </li></ul></ul><ul><ul><li>Demo how to build </li></ul></ul><ul><ul><li>Build in sm...
<ul><li>Convince for need to treat </li></ul><ul><li>“ Pre-Treatment” </li></ul>WATER Settling/Decanting Filtering Through...
 
 
PUR Demonstration
 
FECES
GLOVES  <ul><li>To Use or Not to Use Game </li></ul><ul><li>How to Prevent Stigma </li></ul><ul><li>Preventing Cross Conta...
Universal Precautions <ul><li>Key precautions </li></ul><ul><li>Making water &  bleach solution </li></ul><ul><li>Disinfec...
 
Bed Bound Client Weak  Client Mobile Client
Bed-Bound Client: PROTECTING BEDDING <ul><li>Plastic Sheet; Banana Leaf </li></ul><ul><li>Cover with cotton  cloth </li></ul>
Plastic Pants
Bed-Bound Client <ul><li>Rolling Client  </li></ul>
Bed-Bound Client <ul><li>Changing Linens </li></ul>
 
–  WARNING – Viewer discretion advised!
 
 
Client Who Can Sit Up
Mobile Client
 
Infant Feces <ul><li>Proper Disposal </li></ul><ul><li>Hand washing </li></ul>
Menstrual Blood Management Making a menstrual pad from banana fiber
 
 
Get the HIV/WASH Integration Kit <ul><ul><li>OPTION 1:   Download </li></ul></ul><ul><ul><ul><li>Go to:  http://www.hip.wa...
THANK  YOU
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Meeting the Water, Sanitation and Hygiene Needs of People Living with HIV/AIDS and their Families

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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

Published in: Health & Medicine
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  • Significant morbidity and mortality in 90% of PLWHA ( Katabira 1999, Monkenmuller &amp; 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.
  • Meeting the Water, Sanitation and Hygiene Needs of People Living with HIV/AIDS and their Families

    1. 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
    2. 2. Diarrhea Affects PLWHA & their Families: <ul><li>Morbidity and mortality in 90% of PLWHA ( Katabira 1999, Monkenmuller & Wilcox 2000) </li></ul><ul><li>Susceptibility of PLWHA contracting diarrhea </li></ul><ul><li>Nutrient absorption </li></ul><ul><li>Absorption of ARVs (Bushen et al, 2004); </li></ul><ul><li>(= possible ARV resistant strains) </li></ul><ul><li>Burden on caregivers </li></ul><ul><li>Water needs for people with HIV </li></ul><ul><li>More severe in HIV+ children </li></ul>
    3. 3. Importance of WASH and PLWHA: <ul><li>30-40% reduction in diarrhea through 3 key WASH practices (Fewtrell et al 2005, Curtis and Cairncross 2003) </li></ul><ul><ul><li>Hand washing with soap </li></ul></ul><ul><ul><li>Household water treatment and safe storage </li></ul></ul><ul><ul><li>Safe disposal of faeces </li></ul></ul><ul><li>Diarrhea in PLWHA via improved WASH practices </li></ul><ul><li>Protects entire family from diarrhea </li></ul>
    4. 4. Integrate WASH into HIV programs <ul><li>Home-based Care </li></ul><ul><li>Orphans and Vulnerable Children </li></ul><ul><li>Counseling and Testing </li></ul><ul><li>Prevention of Maternal to Child Transmission </li></ul><ul><li>Nutrition and HIV </li></ul>
    5. 5. Integration Approach <ul><li>Review guidance on WASH within HIV policies and guidelines </li></ul><ul><li>Identify country-specific Small Doable Actions to help people improve WASH practices </li></ul><ul><li>Provide tools and training that organizations can use to integrate WASH into HIV programs </li></ul>
    6. 6. WASH-HIV Integration Toolkit <ul><li>Five components: </li></ul><ul><ul><li>Training Manual & Handouts </li></ul></ul><ul><ul><li>Participant’s Guide </li></ul></ul><ul><ul><li>Assessment Tool </li></ul></ul><ul><ul><li>Counseling Cards </li></ul></ul><ul><ul><li>WASH-HIV Integration Indicators </li></ul></ul>
    7. 7. Training Manual Content <ul><li>Module 1: Introductory Activities </li></ul><ul><li>Module 2: WASH Intro, Link to HIV </li></ul><ul><li>Module 3: Intro WASH Behavior Change </li></ul><ul><li>Module 4: Hand Washing </li></ul><ul><li>Module 5: Making Water Safe to Drink </li></ul><ul><li>Module 6: Handling Feces </li></ul><ul><li>Module 7: Menstrual Blood Management </li></ul><ul><li>Module 8: Negotiating Behaviors </li></ul><ul><li>Module 9: Action Planning; Tracking Progress </li></ul>
    8. 10. Hand Washing
    9. 11. Hand Washing Con’t <ul><li>Correct HW technique </li></ul>
    10. 12. Ugandan trainers from Reach Out Mbuya demonstrating appropriate hand washing practice
    11. 13. TIPPY TAPS <ul><ul><li>Demo how to use </li></ul></ul><ul><ul><li>Demo how to build </li></ul></ul><ul><ul><li>Build in small groups </li></ul></ul>
    12. 14. <ul><li>Convince for need to treat </li></ul><ul><li>“ Pre-Treatment” </li></ul>WATER Settling/Decanting Filtering Through Cloth
    13. 17. PUR Demonstration
    14. 19. FECES
    15. 20. GLOVES <ul><li>To Use or Not to Use Game </li></ul><ul><li>How to Prevent Stigma </li></ul><ul><li>Preventing Cross Contamination </li></ul><ul><li>Putting on/Taking Off Medical and “Household” Gloves; Bags </li></ul><ul><li>Glove Disposal and Reuse </li></ul>
    16. 21. Universal Precautions <ul><li>Key precautions </li></ul><ul><li>Making water & bleach solution </li></ul><ul><li>Disinfecting </li></ul><ul><ul><li>cloth </li></ul></ul><ul><ul><li>hard surfaces </li></ul></ul><ul><ul><li>soft surfaces </li></ul></ul>
    17. 23. Bed Bound Client Weak Client Mobile Client
    18. 24. Bed-Bound Client: PROTECTING BEDDING <ul><li>Plastic Sheet; Banana Leaf </li></ul><ul><li>Cover with cotton cloth </li></ul>
    19. 25. Plastic Pants
    20. 26. Bed-Bound Client <ul><li>Rolling Client </li></ul>
    21. 27. Bed-Bound Client <ul><li>Changing Linens </li></ul>
    22. 29. – WARNING – Viewer discretion advised!
    23. 32. Client Who Can Sit Up
    24. 33. Mobile Client
    25. 35. Infant Feces <ul><li>Proper Disposal </li></ul><ul><li>Hand washing </li></ul>
    26. 36. Menstrual Blood Management Making a menstrual pad from banana fiber
    27. 39. Get the HIV/WASH Integration Kit <ul><ul><li>OPTION 1: Download </li></ul></ul><ul><ul><ul><li>Go to: http://www.hip.watsan.net/page/3442 </li></ul></ul></ul><ul><ul><ul><li>Link to your webpage! </li></ul></ul></ul><ul><ul><li>OPTION 2: Request a free CD from HIP </li></ul></ul><ul><ul><ul><li>Email: [email_address] </li></ul></ul></ul><ul><li>HIP webinar available at: </li></ul><ul><ul><ul><li> http://www.hip.watsan.net/page/4105 </li></ul></ul></ul><ul><li>Contact Information </li></ul><ul><ul><ul><li>Elizabeth Younger [email_address] </li></ul></ul></ul><ul><ul><ul><li>Renuka Bery [email_address] </li></ul></ul></ul><ul><ul><ul><li>Julia Rosenbaum [email_address] </li></ul></ul></ul><ul><ul><ul><li>Eleonore Seumo [email_address] </li></ul></ul></ul>
    28. 40. THANK YOU

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