HIV/AIDS, home care and human waste disposal in Botswana

Abstract

Batswana have been hard-hit by the HIV/AIDS pandemic. The Botswana government has initiated the Community Home-Based Care programme to provide material support for HIV/AIDS patients cared for at home by family members and relatives. This paper identifies and explores emerging home care issues and pays specific attention to potential risks related to poorly managed clinical human and solid waste disposal generated through home-based care of HIV/AIDS patients in Ngamiland and Kweneng Districts in Botswana. Data were collected through focus group discussion with care-givers, discursive interviews with professional service providers, and participant observation. The results of the study indicate that the majority of care givers received material benefits provided through the CHBC programme. However, it was clear that CHBC did not have the capacity to address other critical needs for the proper care of patients in the home. Most households studied are very poor and lack basic facilities such as toilets, basic waste receptacles and regular collection of solid waste. Access to these facilities is important for disposing of both clinical and ordinary human and solid waste from HBC patients. Poor sanitation facilities - especially the improper handling of soiled laundry and inadequate ventilation - increase risks of infection. The study recommends the formation of care-giver support groups to reduce risks associated with poorly managed clinical solid waste disposal generated from home care-giving of HIV/AIDS patients.