Access to water, sanitation and hygiene for people living with HIV and AIDS: a cross-sectional study in Nepal

People living with HIV/AIDS (PLHA) are one of the most vulnerable people to WASH associated diseases in Nepal. They are still stigmatized while enjoying WASH services and their risk & vulnerability are further exacerbated due to lack of inadequate WASH. A descriptive cross-sectional study was commissioned by WaterAid in Nepal (WAN) with the objectives to increase understanding of PLHA’s access to WASH and its impact on their daily lives in order to inform health, HIV and WASH sectors. This was a cross-sectional study used mixed methods. Data were collected from 196 PLHAs from different geographic areas. The study does re-emphasize that PLHA have limited access to safe water and improved hygiene & sanitation services, more pronounced in rural areas than in urban. There is an increased need of WASH for them but lacking to meet the needs. Lack of access to WASH and its effect on quality of life invariably call for an urgent action by all stakeholders. The study also revealed some evidence of stigma and discrimination faced by PLHAs.