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The new PEPFAR (President’s Emergency Plan for AIDS Relief) strategy calls for a comprehensive, multisectoral approach that expands access to prevention, care, and treatment in ways that promote sustainable country programs. The U.S. government’s HIV approach now must respond to a diverse array of global health challenges requiring an integrated response with other health and development programs. Investments in specific health programs have yielded important results, and interest has expanded in strengthening health systems to reduce mortality and morbidity, especially in maternal and child health programs.
Water, sanitation, and hygiene (WASH) activities and programs can be included in this integration framework. Outlined below are some quick, easy ways to integrate sanitation into existing PEPFAR programs along with the rationale for doing so. In addition, this document provides some examples of how countries have integrated sanitation into their HIV programming. Guidelines and tools are available as annexes.