Best Practices and Lessons Learned

Integrating Sanitation into Services for People Living with HIV/AIDS

  • Source:
  • C-Change, WASHplus. 2012. USAID

  • Summary:
  • Recognizing the importance of safe water, sanitation, and hygiene promotion in protecting and caring for PLHIV, the trend is to integrate WASH improvement into HIV and AIDS policies and programs. As part of its palliative care approach, PEPFAR has developed a preventive care package that summarizes evidence-based interventions for PLHIV and their families in resource-poor settings. The package identifies three key hygiene improvement practices: safe drinking water, washing hands with soap, and safe handling and disposal of feces, and suggests integrating these into all HIV and AIDS programs. This report also outlines ways to integrate sanitation into existing PEPFAR programs, the rationale for doing so, and examples of how countries have integrated sanitation into their HIV programming. Guidelines and tools are available as annexes.

  • Keywords:
  • Best Practices and Lessons Learned Evidence Base Handwashing (Hand Washing) Household Water Treatment & Storage People Living with HIV/AIDS (PLHIV) PEPFAR Programming Guidance Sanitation/Feces Disposal
  • Inclusive WASH – HIV and AIDS Webinar January 17- 27, 2012

    • Source:
    • WaterAid

    • Summary:
    • Accessible water, sanitation and good hygiene practices are essential for the treatment and well-being of people living with HIV and AIDS (PLWHA) and their careers, yet PLWHA often face stigma and isolation within their own communities, limiting their access to basic water and sanitary services. This session provided participants an introduction to the integration of WASH practices into HIV-care and vice versa. At the Inclusive WASH website you can access a recording of Lucina Schmich's (Burnett Institute) Webinar on why WASH matters for PLWHA and a programming approach to incorporating WASH into various HIV settings, as well as Julia Rosenbaum's (USAID WASHplus) Webinar, which reviews national programming guidance, identifies small doable actions to improve practice, and introduces an integration tool kit and other resources available for program staff.

  • Keywords:
  • Accessing Water Best Practices and Lessons Learned People Living with HIV/AIDS (PLHIV) Programming Guidance Sanitation/Feces Disposal Small Doable Actions Stigma Training Resources
  • Water, Sanitation and Hygiene Considerations in Home-Based Care for People Living with HIV

    • Source:
    • Water, Sanitation and Hygiene Considerations in Home-Based Care for People Living with HIV.Catholic Relief Services.

    • Summary:
    • 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. This guidance document is intended for home-based care 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.

  • Keywords:
  • Accessing Water Best Practices and Lessons Learned Home-Based Care People Living with HIV/AIDS (PLHIV) Programming Guidance Sanitation/Feces Disposal
  • Summary of WaterAid’s Work on HIV/AIDS: Equity and Inclusion – Key Lessons

    • Source:
    • WaterAid. 2011.

    • Summary:
    • Despite people living with HIV and AIDS having an increased need of access to WASH, limited progress has been made in terms of research, integrated programming and joint-advocacy regarding the crossover between WASH and HIV/AIDS. There is a clear need to investigate this link further. This briefing note summarises WaterAid’s work in this area, the key lessons learned and recommendations for the future.

  • Keywords:
  • Accessing Water Best Practices and Lessons Learned Evidence Base Handwashing (Hand Washing) People Living with HIV/AIDS (PLHIV) Sanitation/Feces Disposal
  • Programming Water, Sanitation and Hygiene (WASH) Activities in U.S. Government Country Operational Plans (COPs): A Toolkit for FY2010 Planning

    • Source:
    • HIP. 2010. USAID

    • Summary:
    • The toolkit was developed to provide people working in the HIV/AIDS field—especially USG PEPFAR Coordinators and USAID HIV field staff —with a set of flexible materials to raise their own understanding and help them facilitate better programming for WASH in PEPFAR Country Operational Plans. The aim is to help people at all levels to more effectively prevent diarrheal disease and other unnecessary illnesses, using simple, effective, low-input strategies that may have not been addressed by PEPFAR programs in the past. The emphasis of this programming guidance is to “mainstream” water, sanitation and hygiene interventions—to make them a regular part of all behavior change and education activities in HIV/AIDS programs.

  • Keywords:
  • Best Practices and Lessons Learned Diarrheal Diseases Handwashing (Hand Washing) Household Water Treatment & Storage PEPFAR Programming Guidance Sanitation/Feces Disposal Training Resources
  • How to Integrate Water, Sanitation and Hygiene into HIV Programmes

    • Source:
    • Bery R, Rosenbaum J. 2010. USAID. WHO.

    • Summary:
    • This document is the first comprehensive guide to integrating WASH practices into HIV care. It was written in response to requests from countries and programs for clear instruction on how to develop care programs at the national level. It contains guidance on implementing priority WASH practices, including WASH in global and national HIV/AIDS policy and guidance, and integrating WASH-HIV programs.

  • Keywords:
  • Best Practices and Lessons Learned Handwashing (Hand Washing) Household Water Treatment & Storage Policy Programming Guidance Sanitation/Feces Disposal
  • Water, Sanitation and Hygiene Considerations in Home-Based Care for People Living with HIV

    • Source:
    • Seremet C. 2010. Catholic Relief Services

    • Summary:
    • This guidance document offers water supply, sanitation facility ,and hygiene promotion design considerations and recommendations intended to increase access to WASH facilities for people living with HIV. This guide is targeted both to home-based care practitioners serving people living with HIV/AIDS, and water and sanitation engineers and technicians tasked with providing community water supply and household sanitation systems.

  • Keywords:
  • Accessing Water Best Practices and Lessons Learned Handwashing (Hand Washing) Home-Based Care People Living with HIV/AIDS (PLHIV) Programming Guidance Sanitation/Feces Disposal
  • The Millennium Development Goal on Poverty and the Links with Water Supply, Sanitation, Hygiene and HIV/AIDS: A Case Study from Kenya

    • Source:
    • Kiongo JM. 2005. Delft, IRC International Water and Sanitation Centre.

    • Summary:
    • A case study on water supply and sanitation conditions and policies in Kenya in the context of the Millennium Development Goals and HIV/AIDS . The study aims to facilitate learning on how HIV/AIDS affects the water and sanitation sector, and how administrators and policy makers may respond to, and cope with the effects of the disease. It provides an overview of water sector conditions and policies in Kenya in the light of Millennium Development Goals; insights into the relationship of these goals and their realization with the broader context of poverty, water resources conditions and management, and HIV/AIDS; illustrations of the influence of the epidemics on attitudes and coping strategies with examples of community and agency/project experiences; and lessons and recommendations on how administrators, policy makers, and donors can better cope with the disease and its implications for the water sectors.

  • Keywords:
  • Accessing Water Best Practices and Lessons Learned Evidence Base Handwashing (Hand Washing) Policy Sanitation/Feces Disposal
  • HIV/AIDS and Water, Sanitation and Hygiene: Thematic Overview Paper

    • Source:
    • Kamminga E, Wegelin-Schuringa M. 2005 . Delft, IRC International Water and Sanitation Centre

    • Summary:
    • HIV is not spread via contaminated water or poor hygiene. But a Thematic Overview Paper (TOP) on HIV/AIDS and the intersection with the water, sanitation and hygiene (WSH) sector is needed to address the devastating impact of the HIV/AIDS epidemic on WSH service providers; the changing demands for WSH services brought about by the effects of HIV/AIDS on households and communities, and reasons improved WSH services have a crucial role to play in slowing the progression of HIV/ AIDS. The topic is relevant not only for regions highly affected by the epidemic (mainly in Africa), but also for those with rapidly increasing infection rates, such as Asia and Eastern Europe. Topics addressed include effect on sanitation organizations and service provision, and lessons learned in preventing and mitigating the effects of HIV/AIDS from outside and inside the water and sanitation sector.

  • Keywords:
  • Best Practices and Lessons Learned Evidence Base Handwashing (Hand Washing) Household Water Treatment & Storage Sanitation/Feces Disposal
  • Integrated Community-Based Home Care (ICHC) in South Africa: A Review of the Model Implemented by the Hospice Association of South Africa

    • 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