Integrating WASH for People Living with HIV/AIDS

Presented by:Katharine McHugh, PSI Roy Dhlamini, PSI Zimbabwe

What is PSI’s approach?• Total Market Approach

– Deliver integrated health services and products using networks of health providers

– Put Sara at the centre– Focus on provider

Access, Quality, Demand

Basic Care Packages

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Integration with care and support

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Social Marketing

The Reach of PSI’s WASH Programs

WASH programs in more than 30 countries

Possible actions for integration • Linking safe drinking-water,

sanitation and hygiene in HIV/AIDS policies and strategies

• National advocacy and training regarding safe drinking-water

• Integration of household water treatment technologies in basic care packages

• Incentivizing uptake of antenatal care and prevention of mother-to-child transmission

• Sustaining healthy practices during postnatal care

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Diarrheal diseases in Zimbabwe • Several waterborne disease

outbreaks since 2008• PLWH more vulnerable due to

compromised immune system• 13% of Zimbabwe households

treat water, (10% boiling, 2% bleach, 1% other)– Intermittent water supply, deteriorating

infrastructure in densely populated urban areas

– Limited access to safe water sources in rural areas

– Storage increases likelihood of water contamination from withdrawal for consumption

Diarrheal diseases in Zimbabwe cont’d• 60% of households lack

improved latrine facilities– Increased likelihood of improper

disposal of fecal matter and ongoing contamination of water

• 13.7% of Zimbabwean population living with HIV/AIDS (ZDHS, 2007)– 132,938 children (ages 0-14)

• No affordable, widely distributed water treatment product available

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Hygiene Promotion and Point of Use Water Treatment among PLWH

• Goal is to reduce incidence of diarrhea among PLWH

• Reached 255,000 PLWH with WASH promotion messages since 2008

• Targeted messages through New Life post test support network via individual or group sessions

• Waterguard solution socially marketed through post test support centres to compliment retail distribution outlets

• Trained professional and peer counsellors on hygiene and point of use water treatment

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Key messages to PLWH• Ensure all water for drinking is

consistently treated• Store water in a container with

a lid; use a tap or withdraw water using a ladle with a long handle

• Wash hands with soap or ash under running water at the critical times

• Wash fruits and vegetables with safe water before eating them

• Eat food while its hot at all times and keep it covered page 11

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Lessons Learnt

• PLWH are more consistent in use of water treatment products because of perception of vulnerability

• Increased likelihood of point of use water treatment has been a result of:– Social support from

peers and significant others– Awareness of brand attributes

and belief in product efficacy by PLWH

Acknowledgements

• Tanaka Urayai• Farai Chieza

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Thank You