PEPFAR

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
  • AIDSTAR AIDS Support and Technical Assistance Resources – Improving the Lives of PLHIV Training Resources

    • Source:
    • AIDSTAR-One

    • Summary:
    • Several USAID projects have developed training materials and participant manuals for integrating WASH into home-based and facility care. These provide more detailed "how tos": both how to improve sanitation and hand washing through behavior change, and how to build capacity of professional and lay cadres. USAID’s AIDSTAR I program has developed a comprehensive training guide and materials for health workers available from the AIDSTAR website.

  • Keywords:
  • Food Hygiene Home-Based Care Household Water Treatment & Storage Innovation Maternal and Child Health Nutrition OVCs (Orphans/Vulnerable Children) People Living with HIV/AIDS (PLHIV) PEPFAR PMTCT (Preventing Mother to Child Trans.) Sanitation/Feces Disposal Small Doable Actions Websites
  • FANTA Site – Focus Area: HIV

    • Source:
    • FANTA (Food and Nutrition Technical Assistance)

    • Summary:
    • HIV compromises the nutritional status of infected individuals and malnutrition worsens the effects of the disease. Nutrition interventions can help break this cycle by helping PLHIV manage symptoms, reduce susceptibility to opportunistic infections, improve nutritional status, promote response to medical treatment, and improve overall quality of life. Specifically,with support from USAID and PEPFAR, FANTA-2: a) provides technical assistance to strengthen nutrition assessment, counseling, and support for PLHIV; b) improves food assistance security programming in the context of HIV; c) produces and disseminates program guidance on nutritional care and support interventions; d) helps countries in east and southern Africa adapt HIV-nutrition guidance to their specific contexts through national guidelines, training curricula and programs, counseling materials, monitoring and evaluation support, and capacity-building activities; e) provides in-country support to integrate and scale up nutrition interventions in HIV services in Kenya, Namibia, Rwanda, Uganda, and Zambia; f) strengthens the evidence base about the impacts of food supplementation on malnourished PLHIV; g) supports randomized controlled evaluations in Malawi and Kenya; and h) supports improved program design and monitoring and evaluation of food-assisted programs addressing HIV and its impacts through technical assistance to USAID.

  • Keywords:
  • Monitoring and Evaluation (M&E) Nutrition People Living with HIV/AIDS (PLHIV) PEPFAR Policy Programming Guidance Training Resources Websites
  • 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
  • Programming Water, Sanitation, and Hygiene (WASH) Activities in U.S. Government Country Operational Plans (COPs): A Toolkit for FY2010 Planning

    • Source:
    • HIP. 2008. Washington, DC. United States Agency for International Development.

    • 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:
  • Diarrheal Diseases Handwashing (Hand Washing) Household Water Treatment & Storage PEPFAR Programming Guidance Sanitation/Feces Disposal Small Doable Actions Training Resources
  • Programming Guidance for Integrating Water, Sanitation, and Hygiene Improvement into HIV/AIDS Programs to Reduce Diarrhea Morbidity (May 2008)

    • Source:
    • HIP. 2008. USAID

    • Summary:
    • Evidence is growing on the effectiveness of integrating safe water, hygiene, and sanitation interventions into HIV/AIDS programs, but little specific programming guidance exists. This document expands on an earlier August 2006 version with concrete guidance for implementers of HIV/AIDS care and support activities. USAID/HIP and the World Bank Water and Sanitation Program developed these recommendations through extensive consultations with HIV/AIDS and water sector researchers and program implementers and a broad review of the literature from different sectors.

  • Keywords:
  • Accessing Water Diarrheal Diseases Enabling Technologies Evidence Base Formative Research Handwashing (Hand Washing) Household Water Treatment & Storage People Living with HIV/AIDS (PLHIV) PEPFAR Programming Guidance Reports Sanitation/Feces Disposal
  • Integrating Hygiene Improvement into HIV/AIDS Programming to Reduce Diarrhea Morbidity

    • Source:
    • HIP. 2006. Washington, DC. United States Agency for International Development.

    • Summary:
    • As more people live with HIV and AIDS, comprehensive care, treatment and preventative services are necessary to help them live longer and healthier lives. Recognizing the importance of safe water, sanitation and hygiene promotion in protecting and caring for PLWHA, some organizations are integrating hygiene improvement into their HIV/AIDS programs. The President’s Emergency Plan for AIDS Relief, as part of its palliative care approach, has developed a Preventive Care Package that summarizes evidence-based interventions for PLWHA and their families in resource-poor settings. The purpose of this paper is to highlight discrete hygiene improvement activities that can be incorporated into HIV/ AIDS programs in different settings to help mitigate the impact of diarrhea on people living with HIV and AIDS (PLWHA) and their families.

  • Keywords:
  • Diarrheal Diseases Handwashing (Hand Washing) Household Water Treatment & Storage People Living with HIV/AIDS (PLHIV) PEPFAR Programming Guidance Sanitation/Feces Disposal