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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

Integrating WASH for People Living with HIV/AIDS

Presented by:

Katharine McHugh, PSI

Roy Dhlamini, PSI Zimbabwe

what is psi s approach
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
basic care packages
Basic Care Packages
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slide6

The Reach of PSI’s WASH Programs

WASH programs in more than 30 countries

possible actions for integration
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
diarrheal diseases in zimbabwe
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
diarrheal diseases in zimbabwe cont d
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
hygiene promotion and point of use water treatment among plwh
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
key messages to plwh
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
lessons learnt
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
acknowledgements
Acknowledgements
  • Tanaka Urayai
  • FaraiChieza