Home-Based Care

Assessment of Knowledge, Attitude and Practice Regarding Water, Sanitation and Hygiene for People Living with HIV/AIDS

  • Source:
  • Beyene, H & Hailu, D. 2013. Journal of Water, Sanitation and Hygiene for Development Vol 3 No 1, pp 81–85.

  • Summary:
  • A cross-sectional study was conducted to assess the water, sanitation, and hygiene status and the knowledge, attitude and practice of home-based care clients of People Living with HIV/AIDS (PLWHA) regarding water, sanitation and hygiene (WSH). Interviews and observation of WSH facilities were carried out on 331 randomly selected PLWHA in Hawassa City, Southern Ethiopia. Though the latrine coverage was high, 43% use latrines not easily accessible, 31% use contaminated latrines and 73.4% of the latrines lacked hand-washing facilities. Thirty-four per cent did not have a reliable source of water and 196 (59%) of the households stored water at home for more than one day. Women were more likely to practice personal hygiene as compared to their men counterparts. Although a good level of knowledge and favourable attitudes about WSH related health problems were observed, two-thirds of the participants believed that diarrhoeal infection is not preventable. HIV/AIDS and WSH programmes need to be integrated for better intervention activities in Ethiopia.

  • Keywords:
  • Accessing Water Diarrheal Diseases Evidence Base Handwashing (Hand Washing) Home-Based Care Household Water Treatment & Storage People Living with HIV/AIDS (PLHIV) Sanitation/Feces Disposal
  • Assessment of Water, Sanitation, and Hygiene Practice and Associated Factors Among People Living with HIV/AIDS Home Based Care Services in Gondar City, Ethiopia

    • Source:
    • Yallew, W et al. 2012. BMC Public Health 2012, 12:1057.

    • Summary:
    • People living with HIV/AIDS have substantially greater need for water, sanitation, and hygiene. Encouraging hygiene education for People Living with HIV/AIDS in home based care services and additional support for the provision of water, sanitation, and hygiene services is recommended.

  • Keywords:
  • Evidence Base Handwashing (Hand Washing) Home-Based Care Household Water Treatment & Storage Journal Articles People Living with HIV/AIDS (PLHIV) Sanitation/Feces Disposal
  • 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
  • Health Impact of Water, Sanitation and Hygiene Services in Relation to Home-Based Care for People Living with HIV and AIDS in the Limpopo Province

    • Source:
    • Potgieter N, du Preez M. 2012. WRC

    • Summary:
    • A substantial burden of the care of people with HIV and AIDS has been placed on the elderly, school-going children, family members, friends and different care organizations within the community. Among many governments and communities, home-based care is based on volunteers whom are unrecognized, under-valued and frequently unpaid. They are largely women and girls. Home-based care is seen as work that does not require remuneration and therefore it is not currently considered within the scope of policies and legislation. The aim of the Water Research Commission project was to investigate home-based care practices with regards to the experiences of caregivers and to perform a health risk assessment of the water used for domestic purposes in households caring for people living with HIV and AIDS.

  • Keywords:
  • Evidence Base Gender Issues Handwashing (Hand Washing) Home-Based Care Household Water Treatment & Storage People Living with HIV/AIDS (PLHIV) Sanitation/Feces Disposal
  • Integrating Water, Sanitation, and Hygiene into HIV Programs in Ethiopia – Participant’s Guide

    • Source:
    • USAID, HIP and Government of Ethiopia.

    • Summary:
    • HIV/AIDS organizations working with PLWHA do not routinely integrate WASH into their programs. To address this, HIP engaged interested partners and formed a national community of practice in Addis Ababa to explore feasible, effective actions for improved WASH practices in the home-based care (HBC) context. To support this effort HIP developed this module, which can be integrated into existing training for HBC workers, HIV case managers, and nurses working in counseling and testing, PMTCT and antiretroviral therapy programs.

  • Keywords:
  • Handwashing (Hand Washing) Home-Based Care Household Water Treatment & Storage People Living with HIV/AIDS (PLHIV) PMTCT (Preventing Mother to Child Trans.) Sanitation/Feces Disposal Training Resources
  • Trainer’s Guide to Integrating Water, Sanitation, and Hygiene into HIV Programs in Ethiopia

    • Source:
    • USAID, HIP and Government of Ethiopia.

    • Summary:
    • HIV/AIDS organizations working with PLWHA do not routinely integrate WASH into their programs. To address this, HIP engaged interested partners and formed a national community of practice in Addis Ababa to explore feasible, effective actions for improved WASH practices in the home-based care (HBC) context. To support this effort HIP developed this module, which can be integrated into existing training for HBC workers, HIV case managers, and nurses working in counseling and testing, PMTCT and antiretroviral therapy programs.

  • Keywords:
  • Handwashing (Hand Washing) Home-Based Care Household Water Treatment & Storage People Living with HIV/AIDS (PLHIV) PMTCT (Preventing Mother to Child Trans.) Sanitation/Feces Disposal Training Resources
  • Innovations in Water and Sanitation – Helping People Living with HIV to Access Better Water and Sanitation Facilities

    • Source:
    • Catholic Relief Services

    • Summary:
    • A healthy environment is crucial for maintaining the quality of life of people living with HIV/AIDS, and for the success of home-based care. The WHO estimates that 85 to 90 percent of diarrheal illnesses in developing countries can be attributed to unsafe water and inadequate sanitation and hygiene practices, such as handwashing with soap, treatment and safe storage of water, and safe feces disposal. Proper care requires not only safe drinking water, but also larger quantities of water for hygiene and sanitation purposes, and because of physical limitations caused by HIV/ AIDS, the design of water and sanitation facilities greatly influences effective access to these services. Unfortunately, water and sanitation services are extremely limited in many of the countries most affected by the HIV/ AIDS pandemic.

  • Keywords:
  • Accessing Water Diarrheal Diseases Evidence Base Handwashing (Hand Washing) Home-Based Care Household Water Treatment & Storage Innovation People Living with HIV/AIDS (PLHIV) Sanitation/Feces Disposal
  • Uganda HIV and WASH Integration Training Resources – Assessment Tool

    • Source:
    • USAID, HIP, Government of Uganda and Plan Uganda.

    • Summary:
    • A pictorially based WASH Assessment Tool to help the home-based care worker assess a household's current practices in hand washing; treatment of drinking water; feces disposal; and cleaning of rags used for menstrual blood (that will be reused). The practices toward the left hand side of the Assessment Tool represent higher risk practices that put the patient's health at risk. The practices on the right hand side of the tool represent practices that provide better protection against illnesses, such as diarrhea.

  • Keywords:
  • Handwashing (Hand Washing) Home-Based Care Household Water Treatment & Storage Job Aids Menstrual Hygiene Management (MHM) Sanitation/Feces Disposal Training Resources
  • Uganda HIV and WASH Integration Training Resources – Counseling Cards

    • Source:
    • USAID, HIP, Government of Uganda and Plan Uganda.

    • Summary:
    • Pictorially based tools prepared for home-based care workers to use with clients in the household, including a WASH Assessment Tool (to assess the current WASH behaviors to help identify those that need to be improved) and 23 Counseling Cards (covering hand washing; water treatment, storage and handling; feces management for mobile and bed-bound clients; and menstrual blood management). These tools are available in English, Acoli, Ateso, Kiswahili, Lugandan, and Runyankole-Rukiga.

  • Keywords:
  • Handwashing (Hand Washing) Home-Based Care Household Water Treatment & Storage Job Aids Menstrual Hygiene Management (MHM) Sanitation/Feces Disposal Training Resources
  • 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