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Impact of safe water programs on water treatment practices of people living with human immunodeficiency virus, Ethiopia, 2008

Kim, Sunkyung, O’reilly, Ciara E., Abayneh, Sisay A., Bhattarai, Achuyt, Ahmed, Jelaludin, Mekonnen, Alemayehu, Salah, Zainab and Quick, Rob 2020, Impact of safe water programs on water treatment practices of people living with human immunodeficiency virus, Ethiopia, 2008, Water, vol. 12, no. 11, pp. 1-13, doi: 10.3390/w12113261.

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Title Impact of safe water programs on water treatment practices of people living with human immunodeficiency virus, Ethiopia, 2008
Author(s) Kim, Sunkyung
O’reilly, Ciara E.
Abayneh, Sisay A.
Bhattarai, Achuyt
Ahmed, Jelaludin
Mekonnen, AlemayehuORCID iD for Mekonnen, Alemayehu orcid.org/0000-0002-6826-4817
Salah, Zainab
Quick, Rob
Journal name Water
Volume number 12
Issue number 11
Article ID 3261
Start page 1
End page 13
Total pages 13
Publisher MDPI
Place of publication Basel, Switzerland
Publication date 2020-11
ISSN 2073-4441
Keyword(s) HIV
ART clinic
chlorination
diarrhea
PEPFAR
Summary Household water chlorination has been shown to reduce diarrhea incidence among people living with Human Immunodeficiency Virus (PLHIV). Some HIV programs in Ethiopia previously provided a socially marketed chlorination product (brand name WuhaAgar) to prevent diarrhea. To evaluate the program, we compared WuhaAgar use and water treatment practices between 795 clients from 20 antiretroviral therapy (ART) clinics and 795 community members matched by age, sex, and neighborhood. Overall, 19% of study participants reported water treatment with WuhaAgar. Being an ART clinic client was associated with reported treatment of drinking water (matched odds ratios (mOR): 3.8, 95% confidence interval (CI): 2.9–5.0), reported current water treatment with WuhaAgar (mOR: 5.5, 95% CI 3.9–7.7), and bottles of WuhaAgar observed in the home (mOR: 8.8, 95% CI 5.4–14.3). Being an ART clinic client was also associated with reported diarrhea among respondents (mOR: 4.8, 95% CI 2.9–7.9) and household members (mOR:2.8, 95% CI: 1.9–4.2) in the two weeks preceding the survey. Results suggest that promoting and distributing water chlorination products in ART clinics was effective in increasing access to and use of water treatment products among PLHIV. The positive association between ART clinic attendees and diarrhea likely resulted from the immunocompromised status of ART clinic clients.
Language eng
DOI 10.3390/w12113261
Indigenous content off
HERDC Research category C1 Refereed article in a scholarly journal
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30146668

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.