Post on 20-Jan-2016
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
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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