HIV co-morbidities have been repeatedly shown to have compounding adverse effects to people living with HIV (PLHIV). This session assessed how diarrheal diseases pose a serious concern to PLHIV, and PLHIV are disproportionately affected. Depicted through the lens of global water, sanitation, and hygiene programming (WASH), presenters made a case for real biomedical side effects such as reduced ART uptake, increased morbidity and mortality, lower retention, and higher PMTCT transmission rates. Significant evidence demonstrate that integrating WASH programs with existing PMTCT infrastructure would create cost effective and highly efficient outcomes with a large range of benefits. Panelists then called attention to numerous low cost structural changes that could greatly increase WASH, as well as reduce HIV related stigma. Program integration examples were shown from Malawi and India, exemplifying the integration of WASH and HIV interventions at local, regional, and international levels. These programs also stressed the need for WASH programming to be taken on at a community level rather than a targeted subgroup, and be organized with the community, rather than for the community. With the large crossover between the two populations, integrated services similar to those that are seen with STDs will increase the reach and efficiency of HIV prevention and treatment without the added cost.