South Africa
Source:
- Moshabela M. 2012. Int J STD AIDS, May 2012, 23:346—350
Summary:
- Diarrheal diseases are a common cause of morbidity and are associated with mortality in HIV-infected populations. Little is known about the contribution of clinical and socio-environmental factors to the risk of diarrhea in these populations in rural sub-Saharan Africa. The authors conducted a case-control study of people attending a rural HIV clinic with an episode of diarrhea in Bushbuckridge, South Africa. In multivariate analysis, diarrhea remained associated with female gender, limited access to water and pre-ART status. Further intervention research is urgently needed, combining community- and clinic-based approaches, to improve access to water, sanitation and ART for rural areas with high HIV prevalence, along with structural interventions to address gender inequities.
Keywords:
Diarrheal Diseases Evidence Base Gender Issues Journal Articles
Source:
- Potgieter N, du Preez M. 2012. WRC
Summary:
- A substantial burden of the care of people with HIV and AIDS has been placed on the elderly, school-going children, family members, friends and different care organizations within the community. Among many governments and communities, home-based care is based on volunteers whom are unrecognized, under-valued and frequently unpaid. They are largely women and girls. Home-based care is seen as work that does not require remuneration and therefore it is not currently considered within the scope of policies and legislation. The aim of the Water Research Commission project was to investigate home-based care practices with regards to the experiences of caregivers and to perform a health risk assessment of the water used for domestic purposes in households caring for people living with HIV and AIDS.
Keywords:
Evidence Base Gender Issues Handwashing (Hand Washing) Home-Based Care Household Water Treatment & Storage People Living with HIV/AIDS (PLHIV) Sanitation/Feces Disposal
Source:
- Momba MNB, Madoroba E, Obi CL. 2010. Tshwane University of Technology, South Africa.
Summary:
- Worldwide there is a strong association between diarrhoeal diseases and contaminated water. South Africa is no exception. The majority of households in developing countries, the epicentre of the HIV/AIDS epidemic, obtain their water from polluted and contaminated sources. Diarrhoeic pathogens have been more frequently isolated from stool samples of HIV/AIDS patients, and from their respective household drinking water, than from HIV-negative control groups. For these reasons, there are links between the quality of water, diarrhoea and HIV/AIDS, despite the fact that these aspects, at first glance, do not seem connected.
Keywords:
Diarrheal Diseases Evidence Base Household Water Treatment & Storage People Living with HIV/AIDS (PLHIV)
Source:
- IRC. 2007. Newsletter, May 2007. Delft, IRC International Water and Sanitation Centre
Summary:
- Home-based caregivers provide critical support for people who are HIV infected and ill in South Africa as in many other countries. However, their role is made more difficult by limited water supplies and in some cases by inadequate toilets. Limits on water supply also compromise the impact of health and hygiene education and promotion carried out by community health workers. Members of four local Home-Based Care (HBC) groups visit households with HIV infected people three times a week in this community. The caregivers undertake a wide range of activities, including fetching water, bathing patients, washing, laundry, digging pits for solid waste disposal, cleaning households and yards, assistance with access to social, health and other services, and providing counselling, information and support.
Keywords:
Accessing Water Evidence Base Home-Based Care People Living with HIV/AIDS (PLHIV) Sanitation/Feces Disposal
Source:
- Obi CL et al. 2006. Water SA, 32(3):323–344.
Summary:
- HIV/AIDS accounts for a substantial degree of morbidity and mortality in different age groups across the globe, but ripple effects are most devastating in developing countries. People with compromised immune systems are more prone to several diseases than individuals whose immune systems are not compromised by HIV/AIDS, and therefore have greater requirements for potable water. Improving water quality will lead to a decline in child and adult mortality and diarrhoeal diseases in people living with HIV/AIDS. The cross-paths between HIV/AIDS and water have long-term implications for effective water resource management and mainstreaming of HIV/AIDS in the water sector is of the utmost importance; in addition to providing safe water, supply points and latrines should be close to points of use, and appropriate water system design is required to reduce long distances caregivers and HIV/AIDS patients undertake to access safe water.
Keywords:
Accessing Water Diarrheal Diseases Evidence Base Household Water Treatment & Storage People Living with HIV/AIDS (PLHIV) Sanitation/Feces Disposal
Source:
- Kgalushi R, Smits S, Eales K. 2004. Johannesburg, South Africa. The Mvula Trust and Delft, IRC International Water and Sanitation Centre.
Summary:
- In South Africa, HIV/AIDS is approached primarily as a health issue; the social implications and poverty dimensions of HIV /AIDS, while recognised in policy, have not yet been translated adequately into practice. Provision of affordable, accessible and reliable public services, including reliable delivery of good quality water, and sound basic sanitation, is critical to reduce exposure to pathogens to which HIV-positive people are particularly vulnerable, support health maintenance, and reduce stress for people living with HIV/AIDS. Where water and sanitation services are inadequate or inaccessible, the time and monetary costs of accessing good quality water, in sufficient quantities, are high, particularly for HIV-infected people and their care-givers.
Keywords:
Accessing Water Evidence Base Handwashing (Hand Washing) Household Water Treatment & Storage People Living with HIV/AIDS (PLHIV) Sanitation/Feces Disposal
Source:
- Fox S et al. 2002. Cape Town, South Africa, POLICY Project.
Summary:
- This report outlines information from a literature review and field research pertaining to the key differences and similarities between the hospice ICHC model and other home-based care models used in South Africa; reviews the core elements of the ICHC model; and highlights best practices of the model.
Keywords:
Best Practices and Lessons Learned Community-Based Care Evidence Base Home-Based Care Hospice
