Presenter: Elizabeth Younger Implementing HIP Staff: Julia Rosenbaum ,Renuka Bery &

Eleonore Seumo,

CORE SBC ShowcaseApril 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

6

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 7

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

FECES

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

clothhard surfacessoft 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: hip@aed.org

HIP webinar available at:• http://www.hip.watsan.net/page/4105

Contact Information• Elizabeth Younger eyounger@aed.org• Renuka Bery rbery@aed.org• Julia Rosenbaum jrosenba@aed.org• Eleonore Seumo eseumo@aed.org

THANK YOU