Water, Sanitation and Hygiene Considerations in Home-Based Care for People Living with HIV

This guidance document offers water supply and sanitation facility and hygiene promotion design considerations and recommendations intended to increase access to these facilities by people living with HIV. People living with HIV often require modifications to their water supply and sanitation facilities and hygiene practices due to their debilitating illness. This guidance document is intended for Home-Based Care (HBC) practitioners serving people living with this disease as well as water and sanitation engineers and technicians tasked with providing community water supply and household sanitation systems.

Christopher Seremet

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Contents

Preface	6
Background	7
Phase I. WHO/USAID Country Assessments	10
Lack of Policy Relevance	10
Barriers to Improved Water Supply	11
Barriers to Improved Sanitation	11
Barriers to Good Hygiene	11
Barriers to Home-Based Care Provision	11
Phase II. Consolidation of Current Thinking	12
Phase III. Integration of Water, Sanitation and Hygiene into HIV/AIDS Home-Based Care Strategies Workshop	13
Proposed Policy Statements	15
Proposed Strategy Statements	15
Key Points and Innovations from the Group Discussions	15
Action Planning to Integrate WASH into HBC Programs for People Living with HIV/AIDS	16
Conclusions, Achievements and Impacts of the Workshop	18
Phase IV. Malawi Pilot Project	19
Water, Sanitation and Hygiene Considerations and Recommendations	22
Resources Needed	32
References and Additional Resources	33