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BMC Public Health
Published in: BMC Public Health 1/2012

Open Access 01-12-2012 | Research article

Assessment of water, sanitation, and hygiene practice and associated factors among people living with HIV/AIDS home based care services in Gondar city, Ethiopia

Authors: Walelegn W Yallew, Mamo W Terefe, Thomas E Herchline, Hardeep R Sharma, Bikes D Bitew, Manay W Kifle, Desalegn M Tetemke, Mekuriaw A Tefera, Mesafint M Adane

Published in: BMC Public Health | Issue 1/2012

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Abstract

Background

People living with HIV/AIDS have substantially greater need for water, sanitation, and hygiene. Encouraging hygiene education for People Living with HIV/AIDS in home based care services and additional support for the provision of water, sanitation, and hygiene services is recommended.

Methods

A cross-sectional study was carried during 2009 to assess water, sanitation status and hygiene practices and associated factors among People Living with HIV/AIDS in home based care services in Gondar city of Ethiopia. A systematic random sampling was used to select study subjects from 900 Home Based Care clients of People Living HIV/AIDS in Gondar city. Data was collected from 296 People Living with HIV/AIDS from two NGO’s in the city. For in-depth interview, four different categories were participated. Logistic regression and thematic framework analysis were performed for quantitative and qualitative part respectively.

Results

Two hundred ninety four subjects (72.8% (214) females and 27.2% (80) males) were studied. The mean age was 35.8 ± 8.7 years. In the study, 42.9% (126) of the households have unimproved water status, 67% (197) of the households have unimproved sanitation status, and 51.7% (152) of the households have poor hygienic practice. Diarrhoea with water status; educational status and latrine availability with sanitation status; and hand washing device availability and economical reasons for the affordability of soap with hygienic practice were significantly associated. Economical reasons and hygiene education were factors that affect water, sanitation, and hygienic practice. Stigma and discrimination were minimized as a factor in the study area.

Conclusions

There is high burden of water, sanitation and hygiene in people living HIV/AIDS in home based care services. Encouraging hygiene education for people living HIVAIDS in home based care services and additional support for the provision of water, sanitation, and hygiene services is recommended.
Appendix
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Literature
1.
2.
3.
Central Statistical Agency [Ethiopia] and ORC Macro: Ethiopia Demographic and Health Survey 2005. 2006, Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ORC Macro
4.
Berhane Y, Sanders E, Lulseged S, Ismail S, Melaku Z, Kloos H: Ecology of Health and Disease in Ethiopia. 2006, Addis Ababa: Shama Books, 1-
5.
Federal Democratic Republic of Ethiopia, Ministry of Health: HIV/AIDS Home Care Handbook Supporting Primary Care Givers in Ethiopia. January 2002, Addis Ababa
6.
Madeleen WS, Evelien K, de Graaf S: HIV/AIDS and its implications for the water and sanitation. 2003, Abuja,Nigeria: CRS, 366-368.
7.
8.
Ngwenya BN, Kgathi DL: HIV/AIDS and access to water: A case study of home-based care in Ngamiland, Botswana. Journal of Physics and Chemistry of the Earth. 2006, 31: 669-680. 10.1016/j.pce.2006.08.041.CrossRef
9.
10.
Central Statistical Agency [Ethiopia] and ICF International: Ethiopia Demographic and Health Survey 2011. 2012, Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ICF International
11.
Colton T, Hainsworth G, Israel E: Community Home-Based Care for People and Communities Affected by HIV/AIDS, in A Handbook for Community Health Workers. 2006, USA: P. International
12.
Dennis W, Christopher S, Shannon S: Assessment of the Adequacy of Water, Sanitation and Hygiene Facilities in Resource-poor Areas of Nigeria in Relation to the Needs of Vulnerable People. 2007, Nigeria: CRS, http://​www.​crsprogramqualit​y.​org.
13.
Uwimana J, Struthers P: Met and unmet palliative care needs of people living with HIV/AIDS in Rwanda. Journal of Social Aspects of HIV/AIDS. 2007, 4: 575-585. 10.1080/17290376.2007.9724819.CrossRefPubMed
14.
Potgieter N, Koekemoer R, Jagals P: A pilot assessment of water, sanitation, hygiene and home-based care services for people living with HIV/AIDS in rural and peri-urban communities in South Africa. Water Sci Technol. 2007, 56: 125-131.CrossRefPubMed
15.
16.
Nancy Phaswana M, Nimish S: Factors that could motivate people to adopt safe hygienic practices in the Eastern Cape Province, South Africa. Afr Heal Sci. 2005, 5: 21-28.
17.
18.
FISHER J: The HIV/AIDS Millennium Development Goal: what water, sanitation and hygiene can do. WELL Briefing Note 5. 2004, Loughborough: WEDC, 2004-
19.
Magrath P: Equal acces to all? Meeting the need of water, sanitation of people living with HIV/AIDS in Addis Ababa, Ethiopia. 2006, Addis Ababa: Water aid Ethiopia, 20-23.
20.
21.
22.
23.
24.
Lockwood K, Msapato K, Senefeld S, Nogi J, Perrin P, Mitika M: Water and Sanitation Assessment of Home-Based Care Clients in Malawi. 2006, In Malawi: CRS
25.
Kangamba M, Roberts C, Campbell J, Service J, Cecilia Adalla : Water and Sanitation Assessment of Home-based Care Clients in Zambia. 2006, In Zambia: CRS
26.
Tibebu B, Belachew T: Knowledge, attitude and practice of home-based care for HIV/AIDS patients by their family/ caregivers at Jimma town. Ethiopian Medical Journal. 2007, 45: 282-292.
27.
Curtis V, Cairncross S: Effect of washing hands with soap on diarrhea risk in the community:a systematic review. Lancet. 2003, 3: 275-281. 10.1016/S1473-3099(03)00606-6.CrossRefPubMed
28.
Lorna F, Kaufmann RB, David K, Wayne E, Laurence H, Colford Jr JM: Water, sanitation, and hygiene interventions to reduce diarrhea in less developed countries: a systematic review and meta-analysis. Lancet Infect Dis. 2005, 5: 42-52. 10.1016/S1473-3099(04)01253-8.CrossRef
29.
Bajracharya D: Myanmar experiences in sanitation and ygiene promotion: lessons learned and future directions. Int J Environ Heal Res. 2005, 13: 141-152.CrossRef
30.
Khan MMH, Alexander K: Socio-economic factors explain differences in public health-related variables among women in Bangladesh: A cross-sectional study. BMC Publ Health. 2008, 8: 254-10.1186/1471-2458-8-254.CrossRef
31.
Phaswana-Mafuya N: Hygiene status of rural communities in the Eastern Cape of South Africa. Int J Environ Heal Res. 2006, 16: 289-303. 10.1080/09603120600734279.CrossRef
32.
Agbonyitor M: Home-based care for people living with HIV/AIDS in Plateau State, Nigeria: Findings from qualitative study. Global Public Health. 2009, 4: 303-312. 10.1080/17441690902783165.CrossRefPubMed
33.
Oluwagbemiga A: HIV/AIDS, and family support systems: A situation analysis of people living with HIV/AIDS in Lagos State. Journal of Social Aspects of HIV/AIDS. 2007, 4: 668-677. 10.1080/17290376.2007.9724890.CrossRefPubMed
34.
Kang’ethe SM: The Challenges impacting on the quality of care to persons living with HIV/AIDS and other terminal illnesses with reference to Kanye community home-based care programme. Journal of Social Aspects of HIV/AIDS. 2009, 6: 23-32.
35.
Nkosi M, Jhangri G: a Care burden and self-reported health status of informal women caregivers of HIV/AIDS patients in Kinshasa, Democratic Republic of Congo. AIDS Care. 2006, 18: 694-697. 10.1080/13548500500294401.CrossRef
36.
kalichman S, Simbayi L: Traditional beliefs about the cause of AID and AIDS-related stigma in South Africa. Journal of AIDSCARE. 2004, 16: 572-580.
37.
Aga F, Kylma J, Nikkonen M: The Conceptions of Care Among Family Caregivers of Persons Living With HIV/AIDS in Addis Ababa, Ethiopia. Journal of Transcultural Nursing. 2009, 20: 37-50.CrossRefPubMed
38.
Adedigba MOE, Jeboda S, Naidoo S: Self-perceived and unmet general health need among plwha in Nigeria. East African Journal of Public Health. 2008, 5: 199-204.PubMed
Metadata
Title
Assessment of water, sanitation, and hygiene practice and associated factors among people living with HIV/AIDS home based care services in Gondar city, Ethiopia
Authors
Walelegn W Yallew
Mamo W Terefe
Thomas E Herchline
Hardeep R Sharma
Bikes D Bitew
Manay W Kifle
Desalegn M Tetemke
Mekuriaw A Tefera
Mesafint M Adane
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2012
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-12-1057

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