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Presented by: Katharine McHugh, PSI Roy Dhlamini , PSI Zimbabwe

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

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Presented by: Katharine McHugh, PSI Roy Dhlamini , PSI Zimbabwe

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  1. Integrating WASH for People Living with HIV/AIDS Presented by: Katharine McHugh, PSI Roy Dhlamini, PSI Zimbabwe

  2. 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

  3. Basic Care Packages • Lorem ipsum dolor sit

  4. Integration with care and support

  5. Social Marketing

  6. The Reach of PSI’s WASH Programs WASH programs in more than 30 countries

  7. 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

  8. 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

  9. 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

  10. 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 • Waterguardsolution 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

  11. 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

  12. 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

  13. Acknowledgements • Tanaka Urayai • FaraiChieza

  14. Thank You

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