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Learning Briefs | January 1, 2009

Integration of Water, Sanitation and Hygiene into HIV Programs

Lessons from Malawi

Adequate clean water, improved sanitation infrastructure, and better hygiene may significantly improve health outcomes for people living with HIV in resource-poor settings. However, few programs effectively integrate water, sanitation, and hygiene into home-based care and other HIV services.

In Malawi, Catholic Relief Services Malawi implemented a pilot project to identify household-scale changes or actions that could improve water, sanitation and hygiene conditions for people living with HIV. An evaluation showed substantial changes in six targeted behaviors and a reduction in the overall prevalence of diarrhea, suggesting that this is an effective approach to ameliorating water, sanitation, and hygiene conditions for those affected by HIV.


  • Abstract

  • Introduction

  • WSH and HIV

  • Planning the Pilot Project

  • Implementing the Pilot Project

  • Results

  • Conclusion

  • References

  • Additional Information