People Living with HIV/AIDS (PLHIV)

HIV/AIDS: Caring for HIV-Infected People in South Africa Requires Love, Patience and 200 Liters of Water Per Day

  • Source:
  • IRC. 2007. Newsletter, May 2007. Delft, IRC International Water and Sanitation Centre

  • Summary:
  • Home-based caregivers provide critical support for people who are HIV infected and ill in South Africa as in many other countries. However, their role is made more difficult by limited water supplies and in some cases by inadequate toilets. Limits on water supply also compromise the impact of health and hygiene education and promotion carried out by community health workers. Members of four local Home-Based Care (HBC) groups visit households with HIV infected people three times a week in this community. The caregivers undertake a wide range of activities, including fetching water, bathing patients, washing, laundry, digging pits for solid waste disposal, cleaning households and yards, assistance with access to social, health and other services, and providing counselling, information and support.

  • Keywords:
  • Accessing Water Evidence Base Home-Based Care People Living with HIV/AIDS (PLHIV) Sanitation/Feces Disposal
  • The Interesting Cross-Paths of HIV/AIDS and Water in Southern Africa with Special Reference to South Africa

    • Source:
    • Obi CL et al. 2006. Water SA, 32(3):323–344.

    • Summary:
    • HIV/AIDS accounts for a substantial degree of morbidity and mortality in different age groups across the globe, but ripple effects are most devastating in developing countries. People with compromised immune systems are more prone to several diseases than individuals whose immune systems are not compromised by HIV/AIDS, and therefore have greater requirements for potable water. Improving water quality will lead to a decline in child and adult mortality and diarrhoeal diseases in people living with HIV/AIDS. The cross-paths between HIV/AIDS and water have long-term implications for effective water resource management and mainstreaming of HIV/AIDS in the water sector is of the utmost importance; in addition to providing safe water, supply points and latrines should be close to points of use, and appropriate water system design is required to reduce long distances caregivers and HIV/AIDS patients undertake to access safe water.

  • Keywords:
  • Accessing Water Diarrheal Diseases Evidence Base Household Water Treatment & Storage People Living with HIV/AIDS (PLHIV) Sanitation/Feces Disposal
  • Equal Access for All? Meeting the Needs for Water and Sanitation of People Living with HIV/ AIDS

    • Source:
    • Magrath P, Tesfu M. 2006. Addis Ababa. WaterAid, Ethiopia.

    • Summary:
    • People living with HIV/AIDS (PLWHA) are particularly vulnerable to the health impacts of inadequate water and sanitation; in seeking to protect themselves from infection and cope with symptoms, their needs for clean water and sanitation increase. In Addis Ababa, the poor generally have inadequate water and sanitation facilities, and, due to discrimination and sickness, PLWHA often have even more limited access than others. WaterAid Ethiopia researches the needs of PLWHA in water and sanitation, constraints on meeting these needs, and ideas for addressing them through water and sanitation programming by NGOs and government in Ethiopia.

  • Keywords:
  • Accessing Water Evidence Base Household Water Treatment & Storage People Living with HIV/AIDS (PLHIV) Programming Guidance Sanitation/Feces Disposal Stigma
  • 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
  • Community Home-Based Care for People and Communities Affected by HIV/AIDS: A Handbook for Community Health Workers

    • Source:
    • Colton T et al. 2006. Community Home-Based Care for People and Communities Affected by HIV/AIDS. A Handbook for Community Health Workers. Watertown, MA, Pathfinder International

    • Summary:
    • This curriculum draws on the experience of Pathfinder staff who put into practice a model of community home-based care (CHBC) in Kenya, Tanzania, Ethiopia, Nigeria, and Uganda. Pathfinder’s CHBC model, piloted by COPHIA in Kenya, emphasizes community mobilization for prevention as well as participation in care and support for those affected by HIV/AIDS. In recent years, Pathfinder has integrated prevention of mother-to-child transmission (PMTCT), family planning, and other reproductive health initiatives into its CHBC programs in Kenya and Tanzania.

  • Keywords:
  • Community-Based Care Home-Based Care People Living with HIV/AIDS (PLHIV) PMTCT (Preventing Mother to Child Trans.) Programming Guidance Training Resources
  • HIV/AIDS Home-Based Care Costing Guidelines

    • Source:
    • Hsi N, Musau S, Chanfreau C. 2005. Bethesda, MD. PHRplus

    • Summary:
    • As the global HIV/AIDS community considers options to scale up treatment and other aspects of care for people living with HIV/AIDS (PLWHA), providing care in the home of affected people is increasingly looked to as an option. Understanding the cost of home-based care (HBC) is essential to guide the efficiency and reach of organizations. These guidelines, therefore, present standard principles and steps of costing that can be applied to HBC interventions, particularly at the community level, to produce accurate and comparable cost estimates for the diverse HBC approaches and to better inform efficiency options. The document includes an overview of HBC costing guidelines that outlines objectives and intended audiences, defines HBC, and describes the information that results from the cost analysis methodology, and its benefit on an organization providing HBC; we also detail steps of the methodology.

  • Keywords:
  • Home-Based Care People Living with HIV/AIDS (PLHIV) Programming Guidance
  • WELL Briefing Note: The HIV/AIDS Millennium Development Goal – What Water, Sanitation and Hygiene Can Do

    • Source:
    • WELL Project. 2004. London, UK

    • Summary:
    • This Briefing Note focuses on HIV/AIDS only. There are very few examples to date of the impact of water supply, sanitation and improved hygiene on the lives of those with this disease. However, its impact on health and care of the sick is known and can be applied to HIV/AIDS. Evidence is presented here, with a focus on: HIV/AIDS and Children, HIV/AIDS and Staying Healthy, HIV/AIDS and Home-Based Care, and HIV/AIDS and Income Generation.

  • Keywords:
  • Accessing Water Evidence Base Handwashing (Hand Washing) Home-Based Care Maternal and Child Health OVCs (Orphans/Vulnerable Children) People Living with HIV/AIDS (PLHIV) Sanitation/Feces Disposal
  • People Living with HIV/AIDS in a Context of Rural Poverty: The Importance of Water and Sanitation Services and Hygiene Education. A Case Study from Bolobedu (Limpopo Province, South Africa)

    • Source:
    • Kgalushi R, Smits S, Eales K. 2004. Johannesburg, South Africa. The Mvula Trust and Delft, IRC International Water and Sanitation Centre.

    • Summary:
    • In South Africa, HIV/AIDS is approached primarily as a health issue; the social implications and poverty dimensions of HIV /AIDS, while recognised in policy, have not yet been translated adequately into practice. Provision of affordable, accessible and reliable public services, including reliable delivery of good quality water, and sound basic sanitation, is critical to reduce exposure to pathogens to which HIV-positive people are particularly vulnerable, support health maintenance, and reduce stress for people living with HIV/AIDS. Where water and sanitation services are inadequate or inaccessible, the time and monetary costs of accessing good quality water, in sufficient quantities, are high, particularly for HIV-infected people and their care-givers.

  • Keywords:
  • Accessing Water Evidence Base Handwashing (Hand Washing) Household Water Treatment & Storage People Living with HIV/AIDS (PLHIV) Sanitation/Feces Disposal
  • IASC Guidelines for HIV/AIDS Interventions in Emergency Settings

    • Source:
    • IASC. 2004. Geneva, World Health Organization.

    • Summary:
    • The Inter-Agency Standing Committee (IASC) is issuing Guidelines for HIV/AIDS interventions in Emergency Settings to help individuals and organizations in their efforts to address the special needs of HIV-infected and HIV-affected people living in emergency situation. It is difficult to grasp the scale of devastation that HIV/AIDS has on people whose lives have been uprooted by conflict and disaster. In January 2003, the IASC issued a statement in which it committed itself to “redoubling our individual and joint agency responses to promote a comprehensive, multi-faceted approach to this unprecedented crisis” as it faced the impact of HIV/AIDS on food security and human survival, as evidenced in southern Africa. The IASC undertook to develop a practical handbook that could be put to immediate use for the benefit of those who most need our commitment and support.

  • Keywords:
  • People Living with HIV/AIDS (PLHIV) Programming Guidance
  • HIV/AIDS Prevention and Care in Resource-Constrained Settings: A Handbook for the Design and Management of Programs

    • Source:
    • Lamptey PR, Gayle HD. 2001. Research Triangle Park, NC, Family Health International

    • Summary:
    • Chapter 25 focuses on providing healthcare for people living with HIV/AIDS (PLHA) in resource-constrained countries. Health facilities in these areas often lack the resources to offer high-quality medical care to the general public—much less meet the complex demands of AIDS-related morbidity and mortality. The challenge of improving PLHA’s quality of life requires a more comprehensive or holistic approach—an approach that meets the medical, psychological and social needs of people and families living with HIV. Strategy and policy development can be linked with development of a managed, rational system of care and referral that supports community-based initiatives and implementing agencies should integrate family and community support programs into health, education, agriculture, water and sanitation sectors.

  • Keywords:
  • Community-Based Care Healthcare Facilities Household Water Treatment & Storage People Living with HIV/AIDS (PLHIV) Programming Guidance Sanitation/Feces Disposal