PMTCT (Preventing Mother to Child Trans.)

Water, Sanitation and Hygiene (WASH) Considerations for Accelerated PMTCT Programming

  • Source:
  • USAID & WASHplus. 2012.

  • Summary:
  • Many life-threatening opportunistic infections are caused by exposure to unsafe water, inadequate sanitation and poor hygiene. Diarrhea, a very common symptom that can occur in people living with HIV and AIDS (PLHIV), affects 90 percent of PLHIV and results in significant morbidity and mortality, especially in HIV-positive children. Studies have shown that children 7-14 months of age show an increase in diarrhea after being exclusively breastfed and this is linked to the introduction of complementary feeding. While previously it was thought that unsafe water was the primary cause, recent evidence is also pointing to unsafe food.

  • Keywords:
  • Diarrheal Diseases Handwashing (Hand Washing) Household Water Treatment & Storage Nutrition People Living with HIV/AIDS (PLHIV) PMTCT (Preventing Mother to Child Trans.) Programming Guidance 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
  • 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
  • Use of Nutritional and Water Hygiene Packages for Diarrhoeal Prevention Among HIV-Exposed Infants in Lilongwe, Malawi: An Evaluation of a Pilot Prevention of Mother-to-Child Transmission Post-Natal Care Service

    • Source:
    • Xue J et al. 2010. Trop Med Int Health October 2010. University of North Carolina School of Medicine.

    • Summary:
    • In Malawi, free fortified porridge and water hygiene packages were offered to mothers to encourage frequent post-natal visits and to reduce diarrheal rates in infants on replacement feeding. Participant retention and infant health outcome were assessed. The majority of participants adhered to their scheduled visits and retention was favorable, possibly because of the introduction of hygiene and nutrition incentives. The infant diarrheal rate was low, suggesting benefits of regular medical care with hygiene package usage and reliable replacement feeding options.

  • Keywords:
  • Breast Feeding/Infant Feeding Diarrheal Diseases Food Hygiene Formative Research Household Water Treatment & Storage Journal Articles Nutrition People Living with HIV/AIDS (PLHIV) PMTCT (Preventing Mother to Child Trans.)
  • Case-Control Study to Determine Risk Factors for Diarrhea Among Children During a Large Outbreak in a Country with a High Prevalence of HIV Infection

    • Source:
    • Arvelo A et al. 2010. Int J Infect Dis November 2010. Centers for Disease Control and Prevention.

    • Summary:
    • Between January and March 2006, over 35,000 diarrhea cases and 532 deaths were reported among children under the age of five in Botswana. During this diarrhea outbreak, in a country with a national program to prevent mother-to-child transmission of HIV, ill children were less likely to be breastfed and more likely to have been exposed to environmental factors associated with fecal contamination. These findings underscore the importance of adequate access to safe water, sanitation, hygiene, and nutrition education among populations using breast milk substitutes.

  • Keywords:
  • Breast Feeding/Infant Feeding Diarrheal Diseases Evidence Base Handwashing (Hand Washing) Household Water Treatment & Storage Journal Articles PMTCT (Preventing Mother to Child Trans.) 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