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Water, Sanitation and Hygiene Considerations in Home-Based Care for People Living with HIV

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. People living with HIV often require modifications to their water supply and sanitation facilities and hygiene practices due to their debilitating illness. This guidance document is intended for Home-Based Care (HBC) 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.

Christopher Seremet

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Preface 6
Background 7
Phase I. WHO/USAID Country Assessments 10
Lack of Policy Relevance 10
Barriers to Improved Water Supply 11
Barriers to Improved Sanitation 11
Barriers to Good Hygiene 11
Barriers to Home-Based Care Provision 11
Phase II. Consolidation of Current Thinking 12
Phase III. Integration of Water, Sanitation and Hygiene into HIV/AIDS Home-Based Care Strategies Workshop 13
Proposed Policy Statements 15
Proposed Strategy Statements 15
Key Points and Innovations from the Group Discussions 15
Action Planning to Integrate WASH into HBC Programs for People Living with HIV/AIDS 16
Conclusions, Achievements and Impacts of the Workshop 18
Phase IV. Malawi Pilot Project 19
Water, Sanitation and Hygiene Considerations and Recommendations 22
Resources Needed 32
References and Additional Resources 33

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