1. Barriers to WASH Access Among PLHIV AIDS 2012 25 July 2012 Washington, DC Water, Sanitation and Hygiene and HIV

2. Focused expertise in Safe Drinking Water, Sanitation and Hygiene (WASH) 27 Country Programs, 4 Member Offices Policy, Advocacy, Campaigns + Technical Capacity, M&E Equity and Inclusion strategies SHARE Consortium: building evidence base Why WaterAid?

3. Water: Take ARVs, potentially improve PMTCT efforts Prevent Diarrheal Diseases, improve nutrition Make hygiene possible Reduce collection burden, increase educational opportunities Sanitation: Keep water safe Enhance basic dignity Promote inclusivity, confront stigma and discrimination Mitigate SVAW risk Why WASH?

4. WaterAid/Layton Thompson

5. Access to WASH NepalEthiopia Don’t have access to Improved Source of Drinking Water (natl) 11%56% Don’t have Access to Improved Sanitation (natl) 69% (49% open defecation) 79% (46% open defecation) Don’t have access to safe drinking water (PLHIV) 20%33% Don’t have access to sanitation (PLHIV) 57%33%

6. Stigma & Discrimination and WASH Access: Nepal

7. Recommendations: Access Plan and deliver WASH services with and for the whole community rather than emphasizing targeted provision. Know who is excluded from WASH services and why; disseminate results. Support and undertake advocacy to tackle discrimination and ensure improved access to WASH for PLWHA.

8. Recommendations: Health Outcomes Improve integration of WASH and HIV at all levels—donor and national govt coordination bodies, strategies, training of HCWs/CHWs Maximize IEC and BCC programs to include hygiene and HIV messages together, where appropriate Include WASH in OVC and basic education programs.

9. Program Overview: NGO-Government partnership WASH info centers at ART/care clinics in 14 Districts Staff training on WASH WASH BCC in ART counseling sessions Extension worker oversight of WASH practices at home Outcomes: Improved NGO Practice Improved Government commitment Successful Approaches: India

10. Thank you! www.wateraidamerica.org