224993 Better WASH without Increasing Stigma for PLHIV in Tanzania

Tuesday, November 9, 2010 : 5:15 PM - 5:30 PM

Eleonore Fosso Seumo, Dr , Global Health Population and Nutrition, Academy for Educational Development, Washington, DC
Julia Rosenbaum, ScM , Hygiene Improvement Project, Academy for Educational Development, Washington, DC
Sandra Callier, MA , Academy for Educational Development, Washington DC, DC
Renuka Bery, MPH , Global Health Population and Nutrition, Academy for Educational Development, Washington, DC
Mary Marandu, BS , Tanzanian Marketing and Communications Company Limited, Dar es Salaam, Tanzania
Issues: Diarrheal diseases negatively impact the quality of life of PLHIV. Most diarrheal diseases are attributed to poor hygiene practices. There is a growing body of evidence on the positive outcomes of improved water, sanitation, and hygiene (WASH) practices on the quality of life of PLHIV and their households. However, the challenge is how to strengthen WASH in HIV programs without increasing stigma. Description of the project: The project carried out a formative assessment with PLHIV to identify WASH feasible and effective improvements within their context and resources. These actions were incorporated in the training of volunteers and were promoted by these volunteers with existing outreach and home-based care program. At the same time, the project implemented a general WASH behavior change campaign to promote improved WASH practices for all, with the underlying objective of generalizing the public's association with WASH actions and products to minimize stigmatization of PLHIV. The project worked with schools to encourage students to improve WASH practices in schools and engage students as WASH change agents in their households and communities. Lessons Learned and Recommendation: Most PLHIV and their families saw the benefits of improved WASH and adopted most WASH small doable actions. The project's innovative approach helped reduce stigma and empowered PLHIV to serve as WASH change agents in their communities. These results informed WASH and HIV programming.

Learning Areas:
Environmental health sciences
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Social and behavioral sciences

Learning Objectives:
Describe the two-prong approach used to increase PLHIVís access to improved WASH practices while enhancing the general populationís engagement and actions on WASH improvement Discuss the results, the lessons learned, and the recommendations for non-stigmatization WASH and HIV programming

Keywords: HIV/AIDS, Quality of Life

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I led the team that carried out the activities of the project.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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