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.

中文翻译：

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安全用水计划对人类免疫缺陷病毒感染者水处理实践的影响，埃塞俄比亚，2008 年

家庭用水氯化已被证明可以减少人类免疫缺陷病毒 (PLHIV) 感染者的腹泻发生率。埃塞俄比亚的一些艾滋病毒项目以前提供了一种社会销售的氯化产品（品牌名称 WuhaAgar）以预防腹泻。为了评估该计划，我们比较了来自 20 个抗逆转录病毒治疗 (ART) 诊所的 795 名客户和 795 名按年龄、性别和社区相匹配的社区成员之间的 WuhaAgar 使用和水处理实践。总体而言，19% 的研究参与者报告使用 WuhaAgar 进行水处理。作为 ART 诊所客户与报告的饮用水处理相关（匹配优势比 (mOR)：3.8，95% 置信区间 (CI)：2.9-5.0），报告当前使用 WuhaAgar 进行水处理（mOR：5.5，95% CI 3.9–7.7)，以及在家中观察到的 WuhaAgar 瓶（mOR：8.8，95% CI 5.4–14.3）。在调查前两周，作为 ART 诊所客户也与受访者（mOR：4.8，95% CI 2.9-7.9）和家庭成员（mOR：2.8，95% CI：1.9-4.2）报告的腹泻有关。结果表明，在 ART 诊所推广和分发水氯化产品可有效增加 PLHIV 患者获得和使用水处理产品的机会。ART 诊所参加者与腹泻之间的正相关可能是由于 ART 诊所客户的免疫功能低下状态所致。结果表明，在 ART 诊所推广和分发水氯化产品可有效增加 PLHIV 患者获得和使用水处理产品的机会。ART 诊所参加者与腹泻之间的正相关可能是由于 ART 诊所客户的免疫功能低下状态所致。结果表明，在 ART 诊所推广和分发水氯化产品可有效增加 PLHIV 患者获得和使用水处理产品的机会。ART 诊所参加者与腹泻之间的正相关可能是由于 ART 诊所客户的免疫功能低下状态所致。