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Integrating Sanitation into Services for People Living with HIV and AIDS

July 2012 — Globally, more than 33 million people now live with HIV or AIDS (UNAIDS 2009). This epidemic has dramatically changed patterns of disease in developing countries. In addition, previously rare opportunistic diseases have become more common. High rates of morbidity and mortality from endemic conditions such as tuberculosis (TB), diarrheal diseases and wasting syndromes — formerly confined to the elderly and malnourished — are now common among young and middle-aged people in many developing countries. This guide outlines quick, easy ways to integrate sanitation into existing U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) programs and the rationale for such integration. This document also provides examples of how countries have integrated sanitation into their HIV programming. Guidelines and tools are available as annexes.