Meeting the Water, Sanitation and Hygiene Needs of People Living with HIV/AIDS and their Families
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Transcript of 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 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: [email protected]
HIP webinar available at:• http://www.hip.watsan.net/page/4105
Contact Information• Elizabeth Younger [email protected]• Renuka Bery [email protected]• Julia Rosenbaum [email protected]• Eleonore Seumo [email protected]
THANK YOU