水贫困

… water stress and scarcity, linking physical estimates of water availability with socioeconomic variables that reflect poverty, ie, a Water Poverty Index. … suffer from poor water provision, and …

… the water poverty index (WPI). The index was developed as a holistic tool to measure water … well as donor agencies, to determine priority needs for interventions in the water sector. The …

… water poverty. Using a well known data set for 147 countries from which an earlier five-component water poverty index … three-component composite index comprising of Access, Capacity…

The Water Poverty Index (WPI) was created as an interdisciplinary indicator to assess water stress and scarcity, linking physical estimates of water availability with the socioeconomic drivers of poverty. This index has found great relevance in policy making as an effective water management tool, particularly in resources allocation and prioritization processes. Two conceptual weaknesses exist in the current index: (1) inadequate technique to combine available data and (2) poor statistical properties of the resulting composite. The purpose of this paper is to propose a suitable methodology to assess water poverty that overcomes these weaknesses. To this end, a number of combinations to create the WPI have been considered, based on indicators selection criteria, simple aggregation functions and multivariate analysis. The approach adopted has been designed for universal application at local scale. To exemplify the utilization of each alternative method, they have been piloted and implemented in the Turkana District (Kenya) as a case study. The paper concludes that the weighted multiplicative function is the most appropriate aggregation method for estimation of water poverty. It is least eclipsing and ambiguous free function, and it does not allow compensability among different variables of the index.

The Water Poverty Index (WPI), introduced by Sullivan, is an inter-disciplinary tool that integrates the key issues relating to water resources, combining physical, social, economic and environmental information associated with people's ability to get access to water and to use water for productive purposes. It is most relevant at the community or sub-basin scales. This paper is concerned not with the development or underlying methodology of the index, but with how it can best be applied in practice to generate useful data, and then how these data may be used to generate benefits, especially for poor people who suffer from inadequate access to water. WPI values would need to be generated over wide areas, and this would require substantial institutional development. To do this, the use of existing census procedures and the needs for simplified data collection are considered, and the idea of widespread data collection through schools is examined. A number of technical issues relating to implementation of the WPI are discussed, particularly how the different spatial scales inter-relate and how the assessment of the physical resource and the collection of social and economic data may be made compatible. Finally, we discuss how the WPI value can be used in practice, and some of the issues and problems that this presents.

… of water stress, in such a way as to link physical estimates … water availability with the socio-economic drivers of poverty. To this end, some approaches to creating a Water Poverty Index …

… of an index or an indicator to a specific case. This paper assesses the applicability of Water Poverty Index for … At the same time, the paper discusses the concept of water poverty and the …

Abstract Water scarcity is a major issue that many countries, especially developing ones are facing. Climate change is expected to further exacerbate water scarcity in many parts of the world. The Water Poverty Index (WPI) is used as one of the important tools for measuring water scarcity. Although WPI is linked to the development of countries, the impacts of WPI components on the development are not clearly investigated. There are studies that demonstrate strong associations between water-related factors such as availability and accessibility, and development capacity. However, limited knowledge exists on the impacts of multiple WPI sub-components on the Human Development Index (HDI). This paper aims to assess the impacts of the WPI components (i.e., resource, capacity, access, use, and environment) on the HDI in Iran. For this purpose, the Ordinary Least Squares (OLS) regression modeling is used. The results show that the resource component of the WPI has the largest impact on the HDI in Iran, followed by the capacity, environment, use, and access components. Also, while the use component inversely impacts the HDI, the increase in the other components leads to an increase in the HDI. Based on the findings, the paper provides planning recommendations for improving the WPI and consequently the HDI in Iran.

… indexes (HPIs) – HPI-1, HPI-2, and the Multidimensional Poverty Index (MPI) – which are … of this entry is on water poverty and its measurement using the Water Poverty Index (WPI), …

… to assess the water situation across the country in a holistic manner. This paper proposes application of the Water Poverty Index as a comprehensive policy tool to assess actual water-…

Population growth and rising water demand, climate change, severe droughts, and land-use changes are among the top severe issues in Iran. Water management in this country is sectoral and disintegrated. Each authority evaluates water based on its final intention and there is no commonplace indicator for evaluation programs. In this research, we used the Water Poverty Index (WPI) to map the status of water scarcity in a north-eastern province of Iran. Water poverty was measured based on five components of “Resources”, “Access”, “Capacity”, “Use”, and “Environment”. The scores on each component were then aggregated using the weighted multiplicative function, assuming equal weights for all components. The overall WPI was evaluated to be 41.1, signaling an alarming and serious water poverty in the study area. Based on the results, Azadshahr (29.1) and Gorgan (61.6) districts had the worst and the best conditions among all cases, respectively. To better understand the importance of WPI components, four weighting alternatives were used; however, none of them resulted in a tangible improvement of WPI index. The cross-correlation between the components was also evaluated, with Access and Capacity showing significant results. Leaving out “Capacity”, however, reduced WPI by 8.1. In total, “Access”, “Capacity”, and “Use” had the highest correlation with WPI, implying that any attempt to improve water poverty in the province must firstly tackle these issues. This study showed that WPI is an effective indicator of water scarcity assessment and could be used to make priorities for policy-making and water management.

This paper summarises the evolution of the Water Poverty Index (WPI) application at different scales since its emergence. The review captures the main milestones and remarkable developments around the world. It sets the foundation for identifying the most appropriate version of the WPI, building on learning from previous versions. In addition, the paper sheds light on the linkages between the WPI and sustainable development goals and applications to fragile contexts. Therefore, it provides a synthesis of knowledge researchers and practitioners’ need in sustainable water resources management that helps boost human development in unstable/fragile arid and semi-arid contexts. The methodology included (i) WPI literature shortlisting and reviewing, (ii) review literature links WPI with sustainable human development and fragility, and (iii) data analysis, identification of gaps and future trends. Intensive research was found to address the limitations of the WPI. However, further research is needed to shortlist the multiple versions of the WPI and match them to their respective scale, purpose and context (including fragile contexts). In addition, a time-based WPI was rarely touched to forecast the impact of decisions on community welfare.

In terms of water resources, Jordan is considered one of the poorest countries in the world. Water resources management is one of the available options to decrease the gap between demand and resources. Water resources management requires optimum use of the available water resources taking into consideration resources availability, resources reliability, water use pattern, in addition to the socioeconomic issues. One of the most important aspects is human behaviour which has a strong impact on water management and on the ecosystem. Therefore, there is a need to follow a sustainable approach to improve the management and the understanding of the difficulties of water issues by integrating the physical, social, economic, and environmental aspects, as well as linking water issues to poverty indicator. In this paper, Water Poverty Index (WPI) will be used as a tool for water resources management. WPI was calculated based on five parameters: resources, access to water, capacity, use, and the environment. The Jordanian water strategy targets will be used to forecast the water situation in 2025 and calculate WPI. In 2002, the WPI was calculated and found at 46.3%, in comparison with higher figures for other countries. WPI was calculated for the year 2018, and the results showed a value of 50.7%. If the national water strategy targets and improvements will be successfully implemented, by 2025, the value is expected to be increased to 56.38%. Water resources are the most sensitive component of WPI. COVID-19 increased the rate of unemployment and poverty ratio which will affect WPI negatively. It’s concluded that WPI could be used as a valuable indicator to help evaluate the running plans and monitor the management performance.

… review the numerous perspectives on water insecurity, while … development of existing household water insecurity metrics, all … the measurements of household water insecurity currently …

Safe and secure water is a cornerstone of modern life in the global North. This article critically examines a set of prevalent myths about household water in high‐income countries, with a focus on Canada and the United States. Taking a relational approach, we argue that household water insecurity is a product of institutionalized structures and power, manifests unevenly through space and time, and is reproduced in places we tend to assume are the most water‐secure in the world. We first briefly introduce “modern water” and the modern infrastructural ideal, a highly influential set of ideas that have shaped household water provision and infrastructure development over the past two centuries. Against this backdrop, we consolidate evidence to disrupt a set of narratives about water in high‐income countries: the notion that water access is universal, clean, affordable, trustworthy, and uniformly or equitably governed. We identify five thematic areas of future research to delineate an agenda for advancing scholarship and action—including challenges of legal and regulatory regimes, the housing‐water nexus, water affordability, and water quality and contamination. Data gaps underpin the experiences of household water insecurity. Taken together, our review of water security for households in high‐income countries provides a conceptual map to direct critical research in this area for the coming years.

We extend the conceptualization of the social and health burdens of household water insecurity on children beyond the traditional narrow lens of microbiological pathogens and diarrhea. The global burden of disease associated with water insecurity has traditionally focused on diarrheal disease as the most significant driver of infant and child mortality. However, there are many other pathways through which children experience adverse health and social consequences from inadequate or unsafe household water. We synthesize evidence of a broad range of health impacts, affecting children from infancy to late adolescence, across four domains: exposure to unsafe water; interruptions to growth and development through poor nutrition and hydration; negative social effects such as school absenteeism and interpersonal violence; and other non‐communicable health issues such as mental health, injuries, and reproductive health. The growing burden and urgency of these issues is implicated by forecasted increases in climate‐ and conflict‐induced water scarcity, human displacement, and environmental contamination in the decades ahead.

Food and water insecurity have both been demonstrated as acute and chronic stressors and undermine human health and development. A basic untested proposition is that they chronically coexist, and that household water insecurity is a fundamental driver of household food insecurity.

Water is imperative for nutrition and health, economic productivity, and political stability; it also holds cultural and symbolic meanings and functions. Household water insecurity is an emerging construct that captures lived experiences with water access, use, and acceptability. Although the plausibility of household water insecurity to “get under the skin” and shape human biology is high, these relationships have not been systematically investigated. Therefore, in this article, we set out to examine how household water insecurity and allied concepts affect health and human biology throughout the life course. We first lay out the various ways that water insecurity can act as a deleterious exposure, that is, through problematic quality, excess, and shortage. Next, we posit how water insecurity directly shapes human biology, as well as indirectly, via psychosocial stress precipitating cortisol exposure, with potential intergenerational effects. We highlight a range of established and plausible biological consequences using evidence from human and animal model studies. These include diarrheal prevalence, dehydration, stunting, food insecurity, gut microbiome alteration, malnutrition, psychosocial stress, adverse birth outcomes, lower cognitive function and performance, hypertension, and chronic kidney disease. We also discuss the mechanisms by which household water insecurity may shape human biology across the life course; however, these pathways are just beginning to be understood. Longitudinal studies that simultaneously quantify household water insecurity and biological outcomes using comparable metrics in diverse environments and across generations will provide necessary evidence to establish causal relationships. Given the current global water crisis and its potential health consequences, such studies are urgently needed.

Objective To assess the links between structural and household determinants of household water insecurity and test three water insecurity measures against self-reported diarrhoea, dengue fever and perceived stress in the middle-income and low-income urban areas of Torreón, Mexico. Design Cross-sectional household survey conducted in two waves (rainy and dry seasons). Participants 500 households selected via multistage cluster sample in selected communities. Socioeconomic status determined the selection of participant neighbourhoods; five were identified in low socioeconomic status neighbourhoods and five in low-medium socioeconomic status neighbourhoods. We examine how the context of urban water provision is related to a new cross-culturally valid Household Water Insecurity Experiences (HWISE) Scale. Primary outcome measures The HWISE Scale, self-reported diarrhoea, dengue fever and the Perceived Stress Scale. Results Water system intermittency (adjusted OR (AOR) 3.96, 95% CI 2.40 to 6.54, p<0.001), unpredictability (AOR 2.24, 95% CI 1.34 to 3.74, p=0.002) and the dry season (AOR 3.47, 95% CI 2.18 to 5.52, p<0.001) were structural correlates of the HWISE Scale. This study also found that the HWISE Scale was associated with two health outcomes, self-reported diarrhoea (AOR 1.09, 95% CI 1.03 to 1.15, p=0.002) and perceived stress (β=0.28, SE=0.07, t=4.30, p<0.001), but not self-reported dengue fever (AOR 1.02, 95% CI 0.98 to 1.06). A 3-item hygiene subscore and a 3-item water worry subscore were also both positively associated with self-reported diarrhoea and perceived stress. Conclusion Short-form screeners of water insecurity may be useful for assessing certain health risks by lay survey workers in settings with limited healthcare resources, particularly in lieu of more expensive microbiological tests that require specialised training and facilities.

Household water insecurity (HWI) can have far‐reaching consequences for human health and well‐being, yet little is known about how environmental seasonality contributes to HWI variation. Using a systematic literature review, we examined the following questions: (1) How does environmental seasonality affect HWI? and (2) How do the effects vary over time? We also highlighted strategic areas for future research. We conducted the search using Scopus, Web of Science, PubMed, ProQuest, and EBSCO Academic Search Complete, with an end search date of February 3, 2021; only English‐language studies were included. Articles were included in the review if analysis studied seasonal temperature, precipitation, or freshwater variation and individual or household experiences with household water adequacy, water reliability, water affordability, or water safety. Bias was evaluated via hand assessment, and articles of poor quality were excluded. Studies that focused on extreme weather events or water insecurity at community or watershed levels were omitted. We identified 67 articles, the majority of which were cross‐sectional (n = 46, 68.7%). Among longitudinal studies (n = 21, 31.3%), only one used a quantitative HWI scale, while the rest relied on proxies (n = 20, 95.2%). Our review also revealed literature gaps related to unequal coverage of freshwater ecosystem habitat types and forms of environmental seasonality. There is a need for more attention to extreme climate events, such as a prolonged multiyear drought. With changing climate expected to exacerbate weather patterns with serious implications, especially for vulnerable populations, understanding seasonality in HWI is important for crafting sustainable engineering and policy responses to water insecurity.

Open access This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https:// creativecommons. org/ licenses/ by/ 4. 0/.

Household water insecurity is a complex socioecological challenge with a range of consequences for health and wellbeing. Understanding individual and household‐level coping strategies, i.e., responses or adaptations to manage water insecurity, can shape future research and development practice. We therefore (a) systematically describe the characteristics and contexts of 173 studies documenting coping strategies and (b) classify the types of strategies within four domains of water insecurity: access, use, quality, and reliability. Most studies were from Sub‐Saharan Africa or South Asia. In the domain of access, the most common coping strategies were building infrastructure, and storing, purchasing, and sharing water. For use, changing food consumption, agricultural practices, and hygiene were most frequently mentioned. For quality, water treatment was the most common strategy. To ensure water reliability, people most frequently reported changing routines or relocating their homes altogether. Our review provides a useful framework to understand coping strategies, but more research is needed to address three gaps in particular. First, we recommend more representative exploration of the range of coping strategies, particularly in middle‐ and high‐income countries. Second, the links between coping with water insecurity and a range of other nutritional, social, financial, and health outcomes need to be better understood to address overall household wellbeing. Third, we recommend the development of a metric to quantify individual and household‐level water insecurity‐related coping strategies. This line of inquiry can enable practitioners to design and implement context‐specific interventions that leverage preexisting strategies to improve experiences of water insecurity.

Background New metrics of household water insecurity have been validated for low- to middle-income countries, but it is unclear how these measurements apply to the experiences of people living in high-income countries. This project aims to develop and validate a novel metric for household water insecurity experiences in the United States (HWISE-USA) using a cross-sectional design and data from the Southwest, Midwest, and Western regions. Methods We outline the protocol for the development and validation of a novel household water insecurity scale for the United States to address this scientific need, including the following key steps: (1) item development through literature and theory; (2) pre-testing of items and expert review; (3) scale development and item reduction; and (4) scale validation. To assess the performance of the HWISE-USA scale, we will follow the same scale development analytics on a separate, quasi-nationally-representative U.S. sample. The scale will be generated from household survey data collected from communities at risk of water insecurity throughout the United States. Discussion We explain how a novel metric of water insecurity experiences for households in the United States has important implications for resource allocation, structural interventions, public health and infrastructure planning, and reductions in inequalities. Registration osf.io/zvqs4

Water security is one of the central global issues today. This study aimed to describe and test the validity and reliability of a household water insecurity scale, and to assess the impact of household water insecurity on psychological distress among 371 women living in urban Nepal. A household interview survey was conducted using a structured questionnaire. Approximately 70% of the participants experienced collecting less water than they needed. Four domains of household water insecurity emerged from the principal components factor analysis: (i) difficulties in house-work related to water, (ii) lost opportunity costs and social interactions related to water, (iii) an insufficient safe water supply, and (iv) difficulties in basic activities related to water. Multivariate regression analysis showed that the domains of ‘lost opportunity costs and social interactions’, ‘difficulties in house-work’ and ‘difficulties in basic activities’ were associated with psychological distress among women. The impact of household water insecurity on psychological distress differed by water supply service levels. The current household water insecurity scale is a simple instrument which can be used to prioritise the target population for water interventions. Further research should be conducted towards the development of a universally applicable measurement tool.

Compounding systems of marginalization differentiate and shape water-related risks. Yet, quantitative water security scholarship rarely assesses such risks through intersectionality, a paradigm that conceptualizes and examines racial, gendered, class, and other oppressions as interdependent. Using an intersectionality approach, we analyze the relationships between household head gender and self-reported socio-economic status, and water affordability (proportion of monthly income spent on water) and water insecurity (a composite measure of 11 self-reported experiences) for over 4000 households across 18 low- and middle-income countries in Central and South America, Africa, and Asia. Interaction terms and composite categorical variables were included in regression models, adjusting for putative confounders. Among households with a high socio-economic status, the proportion of monthly income spent on water differed by household head gender. In contrast, greater household water insecurity was associated with lower socio-economic status and did not meaningfully vary by the gender of the household head. We contextualize and interpret these experiences through larger systems of power and privilege. Overall, our results provide evidence of broad intersectional patterns from diverse sites, while indicating that their nature and magnitude depend on local contexts. Through a critical reflection on the study’s value and limitations, including the operationalization of social contexts across different sites, we propose methodological approaches to advance multi-sited and quantitative intersectional research on water affordability and water insecurity. These approaches include developing scale-appropriate models, analyzing complementarities and differences between site-specific and multi-sited data, collecting data on gendered power relations, and measuring the impacts of household water insecurity.

Climate change is now considered a primary global driver of migration, with water insecurity theorized to be a key determinant. Most studies have focused on large-scale climate migration events triggered by extreme weather events such as droughts, storms, or floods. But there are few studies of how climate change, interacting with background social, economic, and political processes, shapes the everyday household-level experience of water insecurity and subsequent migration decision-making beyond the contexts of disasters and agricultural livelihoods—an invisible ‘slow drip’ of migration. This review proposes a complementary, alternative framework for linking climate change, household-level water insecurity, and environmental migration by positioning household water insecurity as a critical pathway for shaping migration decision-making in the context of socio-environmental change. We present evidence that household water insecurity is a push factor that motivates household members to migrate due to water-related disruptions to physical and mental health, livelihoods beyond agriculture, and social relationships. We close with implications for anti-poverty and development initiatives, and for water interventions to mitigate forced climate migration.

… access and use under conditions of insecurity. Based on a relational approach (Hadley and … ), I define household water insecurity as prolonged experiences of inadequate water of …

Background Over 650 million people worldwide lack access to safe water supplies, and even among those who have gained access to ‘improved’ sources, water may be seasonally unreliable, far from homes, expensive, and provide insufficient quantity. Measurement of water access at the level of communities and households remains crude, and better measures of household water insecurity are urgently needed to inform needs assessments and monitoring and evaluation. We set out to assess the validity of a quantitative scale of household water insecurity, and to investigate (1) whether improvements to community water supply reduce water insecurity, (2) whether water interventions affect women’s psychological distress, and (3) the impacts of water insecurity on psychological distress, independent of socio-economic status, food security, and harvest quality. Methods and Findings Measures were taken before and one to six months after a community water supply improvement in three villages in rural northern Ethiopia. Villages similar in size and access to water sources and other amenities did not receive interventions, and served as controls. Household water insecurity was assessed using a 21-item scale based on prior qualitative work in Ethiopia. Women’s psychological distress was assessed using the WHO Self-Reporting Questionnaire (SRQ-20). Respondents were either female heads of household or wives of the heads of household (n = 247 at baseline, n = 223 at endline); 123 households provided data at both rounds. The intervention was associated with a decline of approximately 2 points on the water insecurity scale between baseline and endline compared to the control (beta -1.99; 95% CI’s -3.15, -0.84). We did not find evidence of impact of the intervention on women’s psychological distress. Water insecurity was, however, predictive of psychological distress (p <0.01), independent of household food security and the quality of the previous year’s harvest. Conclusion These results contribute to the construct validity of our water insecurity scale, and establish our approach to measuring water insecurity as a plausible means of evaluating water interventions. Improvements to community water supplies were effective in reducing household water insecurity, but not psychological distress, in this population. Water insecurity was an important predictor of psychological distress. This study contributes to an emerging literature on quantitative assessment of household water insecurity, and draws attention to the potential impact of improved access to water on women’s mental well-being.

… Existing methods to assess the state of household water insecurity focus largely on water … of household water insecurity. In contrast, a broader definition of household water insecurity …

The measurement of household-level and individual-level water insecurity has accelerated over the past 5 years through innovation and dissemination of new survey-based experiential psychometric scales modelled after food insecurity scales. These measures offer needed insight into the relative frequency of various dimensions of water problems experienced by households or individuals. But they currently tell us nothing about the severity of these experiences, mitigating behaviours (ie, adaptation) or the effectiveness of water-related behaviours (ie, resilience). Given the magnitude of the global challenge to provide water security for all, we propose a low-cost, theoretically grounded modification to common water insecurity metrics in order to capture information about severity, adaptation and resilience. We also discuss ongoing challenges in cost-effective measurement related to multidimensionality, water affordability and perception of water quality for maximising the impact and sustainability of water supply interventions. The next generation of water insecurity metrics promises better monitoring and evaluation tools—particularly in the context of rapid global environmental change—once scale reliability across diverse contexts is better characterised.

… modified version of the Household Water Insecurity Access Scale (HWIAS… water influence reported levels of water insecurity as well as amount of money and time savings, post the water …

The importance of measuring inequalities in sustainable development is reflected in the requirement to disaggregate national data for the Sustainable Development Goals (SDGs). In this paper, piped water access, water use and water stress are mapped and reported at national, provincial, district, municipal, town and ward levels, and urban and rural areas. The results show that although 45% of the population has water access in their dwelling this ranges from 0.07% to 100% at ward level, with a high level of inequality (Gini index of 0.36). National per capita water use is 208 litres per person per day (l/c/d) but ranges from 8 l/c/d to 2,414 l/c/d at town level, with a Gini index of 0.27. The analysis shows that social factors, such as water access and income, and not natural factors, such as rainfall or runoff, have the greatest influence on per capita water use. The paper provides the first in-depth analysis of per capita water use at the local level across South Africa and suggests new water indicators that could support equitable allocation of water resources and SDG reporting.

The diffusion of the indicators for monitoring sustainable development goals (SDG) has conceptual and symbolic uses far beyond their instrumental uses. Despite its value in dismantling social and economic inequalities, the goal regarding guaranteed of water and sanitation for all did not specify any indicators for this purpose. This research contributes to the discussions on the best way to monitor inequality in access to water by the SDG. Inequality measures established in other areas of study and specific to the access to water were analyzed as their applicability for this purpose. Our study finds that current United Nations strategy does not allow for robust conclusions and does not respect some economical axioms. Furthermore, we show the potentialities and inconveniences of the most important metrics, but it can be concluded that if the objective is merely to measure inequality and communicate easily, the concentration index is the most appropriate measure. These results may contribute to a more refined discussion of how the SDGs can measures progress towards equality in water access and provides information to guide governments agendas for equality in water access.

… In this study we examine how patterns of inequality in safe water access are affected by the definition of safe water that is used. We assess inequality based on use of an improved …

This paper explores the application of machine learning to enhance our understanding of water accessibility issues in underserved communities called Colonias located along the northern part of the United States - Mexico border. We analyzed more than 2000 such communities using data from the Rural Community Assistance Partnership (RCAP) and applied hierarchical clustering and the adaptive affinity propagation algorithm to automatically group Colonias into clusters with different water access conditions. The Gower distance was introduced to make the algorithm capable of processing complex datasets containing both categorical and numerical attributes. To better understand and explain the clustering results derived from the machine learning process, we further applied a decision tree analysis algorithm to associate the input data with the derived clusters, to identify and rank the importance of factors that characterize different water access conditions in each cluster. Our results complement experts' priority rankings of water infrastructure needs, providing a more in-depth view of the water insecurity challenges that the Colonias suffer from. As an automated and reproducible workflow combining a series of tools, the proposed machine learning pipeline represents an operationalized solution for conducting data-driven analysis to understand water access inequality. This pipeline can be adapted to analyze different datasets and decision scenarios.

In recent years, emerging scholarship has advanced embodied approaches to urban water in/security, inequality and infrastructure. This new literature is broadly informed by political ecology studies of water, which critique depoliticized approaches to water scarcity, insecurity and inequality and give attention to the socially differentiated experiences of the urban waterscape. Recent interventions to bring feminist and embodied approaches to water's urban political ecology analyze the site and scale of the body as critical for understanding everyday urban water access and inequality. Drawing from these frameworks, I summarize three contributions of an embodied urban political ecology approach for addressing water in/security. These include analytical approaches that give attention to (1) the scale of the body within multi‐scalar approaches to water, (2) intersectionality and gender/class/race/ethno‐religious relations in shaping patterns of water inequality and insecurity, and (3) everyday practices and politics, in relation to both governance and citizens, which reveal under‐theorized dimensions of water insecurity and inequality. Embodied approaches to urban water insecurity are poised to expand and deepen work on the everyday politics and lived experiences of insufficient, insecure, and unequal water that profoundly shape urban life for city‐dwellers.

Urban-rural inequalities in water constitute one of the major obstacles to achieving universal water access, and in Sub-Saharan Africa these inequalities have persisted for decades. The Sustainable Development Goals (SDGs) seek to achieve universal access to safely managed water, which requires that an improved source be located on premises, available when needed, and free from contamination. This paper draws on empirical evidence from household surveys in peri-urban and rural Malawi to examine differences in access to safely managed water. The paper highlights issues with the SDGs’ definition and monitoring indicators and outlines lessons for improving water access given existing inequalities between urban and rural areas. It concludes by arguing that a one-size-fits-all approach to governance, monitoring, and planning cannot eliminate inequalities in water access, especially between urban and rural areas.

This paper examined inequalities in drinking water access among regions and between urban and rural areas in Ghana with a focus on access to safely managed water service, access to safe water, access to water on premises, access to sufficient quantities of water, and access to improved water. Microdata of the 2017/18 Ghana Multiple Indicator Cluster Survey was used and analyzed using descriptive statistics and Gini index. Nationally, access to safely managed water service was low (6.8%) with moderate inequality among regions (Gini index = 0.27) and high inequality between rural and urban areas (Gini index = 0.42). Also, among the 10 administrative regions, moderate inequality was recorded for access to water on premises (Gini index = 0.20), and low inequality for access to safe water (Gini index = 0.117), access to improved water (0.06), and access to sufficient quantities of drinking water (0.02). The results of the study reinforce the call by the United Nations for disaggregation of national data of the Sustainable Development Goals by relevant socio-economic and spatial variables at a subnational level to help in the design and implementation of inclusive and equitable policies.

The housing unaffordability and cost-of-living crisis is affecting millions of people in US cities, yet the implications for urban dwellers’ well-being and social reproduction remain less clear. This Article presents a longitudinal analysis of household access to running water—a vital component of social infrastructure—in the 50 largest US cities since 1970. The results indicate that water access has worsened in an increasing number and typology of US cities since the 2008 global financial crash, disproportionately affecting households of color in 12 of the 15 largest cities. We provide evidence to suggest that a ‘reproductive squeeze’—systemic, compounding pressures on households’ capacity to reproduce themselves on a daily and societal basis—is forcing urban households into more precarious living arrangements, including housing without running water. We analyze the case study of Portland (Oregon) to illustrate the racialized nature of the reproductive squeeze under a housing crisis. Our insights reveal that plumbing poverty—a lack of household running water—is expanding in scope and severity to a broader array of US cities, raising doubts about equitable progress towards Sustainable Development Goals for clean water and sanitation for all (SDG 6) and sustainable cities (SDG 11) in an increasingly urbanized United States. Meehan and colleagues study access to running water in large US cities since 1970, finding that the 2008 financial crisis worsened household ‘plumbing poverty’ in many cities. This disproportionately impacted households of color and generally squeezed lower-income households into more precarious living situations.

Water Inequality, Water Security and Water Governance are fundamental parameters that affect the sustainable use of water resources. Through policy formulation and decision-making, Water Governance determines both Water Security and Water Inequality. Largely, where Water Inequality exists, Water Security is undermined through unsustainable water use practices that lead to pollution of water resources, conflicts, hoarding of water, and poor sanitation. Incidentally, the interconnectedness of Water Governance, Water Inequality and Water Security has not been investigated previously. This study modified the Gini coefficient and used a Logistics Growth of Water Resources Model (LGWR Model) to access Water Inequality and Water Security mathematically, and discussed the connected role of Water Governance. We tested the validity of both models by calculating the actual Water Inequality and Water Security of Ghana. We also discussed the implications of Water Inequality on Water Security and the overarching role of Water Governance. The results show that regional Water Inequality is widespread in some parts. The Volta region showed the highest Water Inequality (Gini index of 0.58), while the Central region showed the lowest (Gini index of 0.15). Water Security is moderately sustainable. The use of water resources is currently stress-free. It was estimated to maintain such status until 2132 ± 18 when Ghana will consume half of the current total water resources of 53.2 billion cubic meters. Effectively, Water Inequality is a threat to Water Security, results in poverty, under-development heightens tensions in water use, and causes instability. With proper Water Governance, Water Inequality can be eliminated through formulating and implementing approaches that engender equal allocation and sustainable use of water resources.

Given the importance of reducing diverse forms of inequality in access to water, highlighted both in the framework of the Human Right to Water (HRW) and in the Sustainable Development Goals (SDG), this work assesses conditions of access to water and related inequalities before and after the construction of a Water Supply System (WSS) in a rural community of Brazil's semi-arid region. A quasi-experimental study was performed to assess the conditions of access to water for study and control groups (amounting to 380 households). The methodology encompassed two phases, one prior and another subsequent to the construction of a WSS in the study community. The analytical framework of the HRW was applied, specifically the normative content regarding quality, accessibility and availability. The case study's findings help to evidence the limitations and challenges of merely infrastructure-related measures to improve access to water. The construction of a new WSS in the studied community was an improvement as it provided water of good quality to the beneficiary households, which entailed a decreased or even a no-longer-existing need to collect water for children and adolescents. However, certain problems persisted, such as the continued practice of collecting water and the use, by certain families, of water that was fecally contaminated. In a different perspective, the WSS made it possible to increase the per capita volume of water consumed by families and to reduce inequalities associated with this aspect. Meanwhile, the research reveals the possible limits of the WSS in ensuring that higher volumes of water will be consumed per capita, especially among households without intra-household water distribution infrastructure.

… are widely recognized, quantitative analysis of gender inequality in global water … inequality in water security. We measured water security by examining both water access and water …

… Lack of access to clean water and … water resources worldwide. The purpose of this paper is to open up a conversation on how the prevalence of inequality in income, wealth, and access …

Abstract Poor access to potable water remains one of the most troubling challenges in Sub-Saharan Africa’s informal settlements (or slums) where majority of the poor and vulnerable urban population lives. While prior research shows significant disparities in water access between urban and rural areas, little is known about intra-urban inequalities and whether they are influenced by household socio-economic status. This paper draws from household surveys in three urban informal settlements in Lilongwe, Malawi, to explore intra-urban differences in water access based on water source, volume of water per capita, total time/day spent fetching water, and affordability of primary water source. It first compares the proportion of respondents that have access to water based on Malawi’s (national) and the United Nations and World Health Organization’s (international) minimum standards. It then uses linear and logistic regressions to examine socio-economic inequalities in water access. The results show inconsistencies in the proportion of households that satisfy Malawi versus the United Nations and World Health Organization minimum water-access standards. Household socio-economic status (SES) significantly influenced water access, underscoring the need for pro-poor water policies that recognize that even among households in predominantly poor and under-resourced urban settings, significant socio-economic differences underlie inequalities in water access.

ABSTRACT Access to water and sanitation as a basic human right is still limited within resource-poor rural settings of Africa, including Kitui, Kenya. This is exacerbated by prevailing gender inequalities which can be mediated when communities leverage on social capital. Qualitative methods were used to examine how values embedded in social capital enable women and vulnerable groups to cope with household water insecurity. How communities exploit the bonding and bridging dimensions of social capital to cope with water insecurities has gendered implications. Understanding the role of social capital is important in advancing public policy to reduce gender inequalities in water access.

IntroductionMeasuring inequality in access to safe drinking-water and sanitation is proposed as a component of international monitoring following the expiry of the Millennium Development Goals. This study aims to evaluate the utility of census data in measuring geographic inequality in access to drinking-water and sanitation.MethodsSpatially referenced census data were acquired for Colombia, South Africa, Egypt, and Uganda, whilst non-spatially referenced census data were acquired for Kenya. Four variants of the dissimilarity index were used to estimate geographic inequality in access to both services using large and small area units in each country through a cross-sectional, ecological study.ResultsInequality was greatest for piped water in South Africa in 2001 (based on 53 areas (N) with a median population (MP) of 657,015; D = 0.5599) and lowest for access to an improved water source in Uganda in2008 (N = 56; MP = 419,399; D = 0.2801). For sanitation, inequality was greatest for those lacking any facility in Kenya in 2009 (N = 158; MP = 216,992; D = 0.6981), and lowest for access to an improved facility in Uganda in 2002 (N = 56; MP = 341,954; D = 0.3403). Although dissimilarity index values were greater for smaller areal units, when study countries were ranked in terms of inequality, these ranks remained unaffected by the choice of large or small areal units. International comparability was limited due to definitional and temporal differences between censuses.ConclusionsThis five-country study suggests that patterns of inequality for broad regional units do often reflect inequality in service access at a more local scale. This implies household surveys designed to estimate province-level service coverage can provide valuable insights into geographic inequality at lower levels. In comparison with household surveys, censuses facilitate inequality assessment at different spatial scales, but pose challenges in harmonising water and sanitation typologies across countries.

… principles of water ethics relative to human rights for water, … to improve societal access to water by transferring ‘virtual water’ … (perfect inequality, only eg, one person has access to water …

… to the fact that access to water resources is not evenly … inequalities when it comes to water, and these inequalities are embedded in particular histories. This article examines the water …

Economic and population growth in Mexico City (CDMX) is the main cause of an increase in water demand against a naturally limited endowment, which increases the gap between water demand and supply. In a water scarcity environment, households are facing pressure to maintain their involvement in the city’s only operating body, the Water System of Mexico City (SACMEX) total supply. The objective of this work is to measure the inequality in the distribution of drinking water and water subsidies between households connected to the public network of CDMX in order to generate objective indicators of the phenomenon. Having such information provides a baseline scenario of the problem and allows for the delineation of a policy covering the minimum levels of well-being in the supply of drinking water that is appropriate for the most important city in the country. The method consists of measuring inequality through continuous variables estimating the Lorenz curve, the Gini coefficient, the targeting coefficient and elasticity in water consumption and in water subsidies among households in CDMX. Data comes from a household survey carried out in 2011, Consumption Habits, Service and Quality of Water by Household in Mexico City (EHCSCA). Results show that drinking water and subsidies present a regressive distribution, benefit high-income households and, to a lesser degree, the poorest households in the city and highlight the urgency and importance for SACMEX to redefine its policy on water distribution, fees and subsidies. The present study’s scope can contribute to the monitoring of the distribution of drinking water and of subsidies among household groups. The study justifies that the indicators employed in this work can be used and are recommended as a valuable tool in water management, especially in a dynamic environment.

Progress toward achieving Sustainable Development Goal 6, clean water and sanitation for all, is behind schedule and faces substantial financial challenges. Rigorous water, sanitation, and hygiene (WASH) interventions have underperformed, casting doubt on their efficacy and potentially undermining confidence in WASH funding and investments. But these interventions have leaned on a narrow set of WASH indicators—linear growth and diarrhea—that reflect a 20th‐century prioritization of microbiological water quality as the most important measurement of WASH intervention success. Even when water is microbiologically safe, hundreds of millions of people face harassment, assault, injury, poisoning, anxiety, exhaustion, depression, social exclusion, discrimination, subjugation, hunger, debt, or work, school, or family care absenteeism when retrieving or consuming household water. Measures of WASH intervention success should incorporate these impacts to reinforce the WASH value proposition. We present a way forward for implementing a monitoring and evaluation paradigm shift that can help achieve transformative WASH.

Safely managed water, sanitation, and hygiene (WASH) are fundamental for human health and wellbeing and are thought to contribute to a range of positive outcomes related to education, livelihoods, dignity, safety, and gender equality. However, gender and other social categories (e.g. age, ethnicity, caste, disability, marital status) can mediate who benefits from WASH services and in which ways. As progress in gaining access to safe WASH services has not occurred equally, there has been a focus on mainstreaming gender equality and social inclusion (GESI) in interventions. Despite awareness in the sector of the importance of promoting gender and socially inclusive WASH services, evaluations of interventions focus largely on technical or health outcomes, while social outcomes are not included. This systematic evidence synthesis aimed to collate evidence on the impact of WASH interventions on GESI outcomes in low- and middle-income countries (LMICs). It also aimed to synthesise evidence on violence-related outcomes, and to advance understanding of barriers to, and facilitators of, change in violence-related outcomes in the context of WASH interventions.

Many studies have reported the effect of water supply, sanitation and hygiene (WASH) in improving health and ultimately alleviating poverty. Current coverage estimates show however that a large proportion of people in the world still do not have access to a simple pit latrine or a source of safe drinking water, and this situation worsens in rural areas. To help end these appalling figures, much effort has gone into the development of policy instruments which support decision-making, i.e. planning, targeting and prioritization. Indices and indicators are increasingly recognised as powerful tools for such purposes. This paper details the theoretical framework and development of a multidimensional, WASH-focused, thematic indicator: the WASH Poverty Index (WASH PI). It describes the methodology in index construction and disseminates achieved results in a variety of forms to promote the utility of the tool for the integrated analysis of WASH and poverty linkages. The article uses Kenya as initial case study to illustrate the application of the index. Overall, WASH PI helps identify priority areas and guide appropriate action and policy-making towards improved service delivery.

Access to improved water, sanitation, and hygiene (WASH) services is crucial in recognizing human rights to water and sanitation and due to their impacts on education, livelihoods, and human health. However, these services are often inadequate in non-household settings such as prisons, refugee camps, schools, and healthcare facilities. Progress in monitoring to ensure sustainable services in these settings has been limited. Although several tools are available to assess WASH services in both household and non-household settings, they have limitations, and none has taken a holistic approach to evaluate WASH performance in all non-household settings. Furthermore, the impacts of climate change on WASH services are rarely considered in these evaluations, making the inadequacies of WASH services worse. To address these gaps, an integrated tool was developed to assess WASH performance in non-household settings, incorporating financial, institutional, environmental impact, technical, social, and climate change factors. The tool provides scores for indicators to solve the problem of a lack of final aggregated data to enable decision-makers to determine the level of WASH performance in a setting. Moreover, it provides qualitative explanations for each score, allowing decision-makers to identify areas for improvement. This tool offers valuable and insightful data for improving WASH facilities and ensuring sustainable services in non-household settings, particularly for WASH service providers and local governments.

… It is through the Water Poverty Index that hydrophilanthropy can make the greatest contribution to communities in low-income countries and to indicator development for WASH activities. …

… This chapter covers indicators for monitoring target 6.1 on drinking water and 6.2 on sanitation and hygiene. Targets 6.1 and 6.2 seek to address the unfinished business and …

Monitoring water, sanitation, and hygiene (WaSH) is important to track progress, improve accountability, and demonstrate impacts of efforts to improve conditions and services, especially in low- and middle-income countries. Indicator selection methods enable robust monitoring of WaSH projects and conditions. However, selection methods are not always used and there are no commonly-used methods for selecting WaSH indicators. To address this gap, we conducted a systematic review of indicator selection methods used in WaSH-related fields. We present a summary of indicator selection methods for environment, international development, and water. We identified six methodological stages for selecting indicators for WaSH: define the purpose and scope; select a conceptual framework; search for candidate indicators; determine selection criteria; score indicators against criteria; and select a final suite of indicators. This summary of indicator selection methods provides a foundation for the critical assessment of existing methods. It can be used to inform future efforts to construct indicator sets in WaSH and related fields.

… Assessment background, the present effort demonstrates the development and implementation of a composite indicator in the WASH sector. According to the Sphere standards, this …

… WASH benefits refer to the qualitative indicators that lead to … to shortlist these countries included WASH indicators such as: … , and percentage with hand-washing facilities at home. …

Introduction Poor access to water, sanitation and hygiene (WASH) services threatens population health and contributes to gender and social inequalities, especially in low-resource settings. Despite awareness in the WASH sector of the importance of promoting gender equality and social inclusion (GESI) to address these inequalities, evaluations of interventions focus largely on health outcomes, while gender equality and other social outcomes are rarely included. This review aimed to collate and describe available research evidence of GESI outcomes evaluated in WASH intervention studies. Methods We applied a systematic mapping methodology and searched for both academic and grey literature published between 2010 and 2020 in 16 bibliographic databases and 53 specialist websites. Eligibility screening (with consistency checking) was conducted according to predetermined criteria, followed by metadata coding and narrative synthesis. Results Our evidence base comprises 463 intervention studies. Only 42% of studies measured transformative GESI outcomes of WASH interventions, referring to those that seek to transform gender relations and power imbalances to promote equality. A majority of studies disaggregated outcome data by sex, but other forms of data disaggregation were limited. Most included studies (78%) lacked a specific GESI mainstreaming component in their intervention design. Of the interventions with GESI mainstreaming, the majority targeted women and girls, with very few focused on other social groups or intersectional considerations. Conclusion The review points to various areas for future primary and secondary research. Given the potential contribution of WASH to GESI, GESI considerations should be incorporated into the evaluation of WASH interventions. Regular collection of data and monitoring of GESI outcomes is needed as well as developing new and testing existing methods for monitoring and evaluation of such data.

Water, Sanitation and Hygiene (WASH) levels have been shown to have impacts on health. However, the knowledge of WASH levels in war-prone West African countries is limited. The study extracted data (2015-2021) from the Joint Monitoring Programme (WHO/UNICEF), World Bank and Demographic and Health Surveys (DHS) to estimate WASH levels in the study countries. Pearson correlation analysis was used to establish the association among the WASH levels. Results showed that women had better access to safe water (56.39%), good sanitation (59.36%) and good hygiene (60.23%) compared to men. The urban population had better access to safe water (57.60%), good sanitation (61.23%), and good hygiene (65.65%) than the rural population. Among the countries under study, Nigeria had the highest access to safe water (36.10%) and good sanitation (24.41%), while Mali had the highest access to good hygiene (27.93%). Pearson correlation analysis showed a strong positive association between safe water and good hygiene (r = .998), safe water and sanitation (r = .996) and hygiene and sanitation (r = .998) at .00 significant levels. Based on the findings, it is recommended that integrated WASH programmes with combined infrastructure development, behaviour change campaigns and community engagement should be encouraged to ensure peaceful and sustainable access to WASH levels.

Introduction Despite many institutions gaining access to improved water sanitation and hygiene (WASH) services, childcare centres in informal settlements have low access and poor condition of WASH services. It is imperative to understand how existing actors and social networks operate in the WASH sector in childcare centres in Nairobi’s informal settlements. Objective To empirically map and understand how different actors within informal settlements influence the provision of adequate and quality water, sanitation and hygiene services within childcare centres in Nairobi’s informal settlements. Methods This was a qualitative study. We conducted an ethnographic study using governance diaries with 24 participants from Korogocho and Viwandani informal settlements in Nairobi, Kenya. The governance diaries approach involved conducting bi-weekly governance in-depth interviews (IDIs) with study participants for 4 months, complemented with observations, reflections, participant diaries and informal discussions. We used a framework analysis which is partly deductive, informed by the governance framework and stakeholder framework. Results Social accountability actors were individuals or groups involved in WASH service provision in childcare centres. The actors included both key actors (actors who are primary to meeting the day-to-day WASH service needs of children) and non-key actors (actors operating in the WASH sector but not always present for day-to-day provision in childcare centres). The key actors were unanimously identified as childcare centre owners/teachers and parents/guardians as they had a more direct role in the provision of WASH services in childcare centres. The actors had direct, possible or desired networks, with the direct networks portrayed more by the parents and childcare centre owners, whose roles included acting as a voice and responding to the WASH service needs of children as it relates to access and quality. Centre owners had more power/authority over WASH services for children in childcare centres than the parents. Key actors derived power by their discretion depending on whether a decision was beneficial to children or not. Lastly, the interest of key actors were diverse ranging from income generation, access to WASH services by children, compliance with government regulations, and promotion of child health, to the prevention of the spread of diseases. Conclusion Our study highlights that parents and childcare owners play an important role in WASH service provision. While service providers and other players may be statutorily given primary responsibilities for WASH provision, and more visible in official standing, among study participants they are not seen as primary actors but secondary players with ancillary responsibilities. We conclude that WASH service provision in child care centres may be realised when key actors have a voice and work within networks to demand WASH services from desired networks including the government. We also conclude that developing more direct networks and converting desired and potential networks into direct networks in WASH service provision is critical for the success of WASH service delivery. Lastly, actors in WASH services in childcare centres may need to collaborate in identifying potential avenues for strengthening existing networks that enhance access and quality of WASH services in childcare centres.

ABSTRACT This paper examines global statistics on water availability, water demands, access to water, sanitation and hygiene (WASH) services, and human development in 2015, a milestone year for the transition from United Nations’ Millennium Development Goals (MDGs) to the new Sustainable Development Goals (SDGs). The results of nonparametric statistical tests point out that, in most countries, water endowment – or potential water availability – has not been a determining factor for economic prosperity and human development. However, it is possible to delineate a strong nexus between water and human development from the perspective of water demands, particularly when considering primary water uses for drinking and sanitation.

Despite some progress, universal access to safe water, sanitation and hygiene (WASH) by 2030—a remit of Sustainable Development Goal 6—remains a distant prospect in many countries. Policy-makers and implementers of the WASH sector are challenged to track a new path. This research aimed to identify core orienting themes of the sector, as legacies of past processes, which can provide insights for its future. We reviewed global policy, science and programmatic documents and carried out 19 expert interviews to track the evolution of the global WASH sector over seven decades. We situated this evolution in relation to wider trends in global health and development over the same time period. With transnational flows of concern, expertise and resources from high-income to lower-income countries, the WASH sector evolved over decades of international institutionalisation of health and development with (1) a focus on technologies (technicalisation), (2) a search for generalised solutions (universalisation), (3) attempts to make recipients responsible for environmental health (responsibilisation) and (4) the shaping of programmes around quantifiable outcomes (metricisation). The emergent commitment of the WASH sector to these core themes reflects a pragmatic response in health and development to depoliticise poverty and social inequalities in order to enable action. This leads to questions about what potential solutions have been obscured, a recognition which might be understood as ‘uncomfortable knowledge’—the knowns that have had to be unknown, which resonate with concerns about deep inequalities, shrinking budgets and the gap between what could and has been achieved.

Multiple established connections link access to safely managed water, sanitation and hygiene (WASH) and gender equality. As development actors seek to attain the fifth and sixth Sustainable Development Goals, the need to measure WASH programs' contributions to gender equality outcomes is increasingly pressing. Yet the measurement of such outcomes remains challenging. This article describes and justifies the theory, concepts and decisions that underlie a recently developed quantitative measure of gender equality in WASH — the water, sanitation and hygiene gender equality measure (WASH-GEM) — and outlines key tensions navigated in its development. We developed the WASH-GEM through a collaborative, iterative process informed by a feminist perspective, critical review of relevant literature, pilot implementation and partner engagement. We report on five design considerations critical for the robust design of quantitative measures of social change: conceptual framing; measurement focus; measurement context; sectoral scope; and evaluative scope. We also define the WASH-GEM's five domains of measurement: Resources; Agency; Critical consciousness; Wellbeing; and Struc- tures, and discuss how we balanced theoretical integrity with practical application and relevance to WASH. In reflecting on the WASH-GEM design, this article contributes to a critical discourse on methodological challenges and imperatives in the measurement of complex social change.

Abstract Water, sanitation and hygiene services are often promoted as critical for women's empowerment and gender equality. Tools for monitoring water, sanitation and hygiene (WASH) have focused largely on technical standards related to public health outcomes, overlooking those related to broader human wellbeing such as gender and social equality. The Empowerment in Water, Sanitation and Hygiene Index (EWI) is a novel survey-based index designed to measure agency, participation and empowerment in the water and sanitation sector. The EWI can be used to assess gender outcomes of a WASH intervention and to monitor changes over time. Drawing on a multi-level conceptualization of empowerment, the EWI is comprised of a suite of indicators at individual, household, and societal levels. The EWI uses responses collected from a male and female respondent at the same household, and represents the proportion of women and men who are empowered, as well as the level of empowerment. We report the methodological approach and data from this pilot study in Burkina Faso. The findings highlight the importance of better understanding household- and community-level power and gender relations, such as decision-making related to household water or sanitation spending. By enabling measurement of women’s empowerment, practitioners and policy-makers can identify and incorporate more targeted strategies that address gender disparities and promote empowerment, and also monitor and evaluate their effectiveness.

Motivation: COVID-19 has revived focus on improving equitable access to water, sanitation and hygiene (WASH) and health services in developing countries. Most public programming tends to rely on economic indicators to identify and target vulnerable groups. Can expanded targeting criteria that include social status help to improve not only targeting, but also equity in access to WASH and health services?. Purpose: This article assesses the role of social identity in mediating access to WASH and health services, controlling for economic disadvantages such as household wealth, income sources, and assets. Methods and approach: We use regression analysis applied to the 2016 Nepal Demographic and Health Survey (DHS) to estimate the relationships between social identity and access to WASH and health services, controlling for wealth (using wealth index quantiles) and remittances (using indicator variables for domestic and international remittances). Findings: We find that differences in access are mediated in large part by caste, and religious and ethnic identity, especially in rural areas, suggesting that the supply of such services is lower for historically disadvantaged communities. In addition, communities with least access are not necessarily the most economically disadvantaged, indicating that relying solely on traditional economic indicators to target programmes and interventions may not be sufficient to improve equity in access to public health services. Policy implications: The results make a case for broadening indicators beyond the economic criteria for improving targeting of public funds for more inclusive development. © 2021 The Authors. Development Policy Review published by John Wiley & Sons Ltd on behalf of Overseas Development Institute

Climate shock‐related water insecurity has a significant impact on poverty, and vice versa, with poor people adversely impacted by different hazards. Many studies have focused on rural communities resulting in a lack of evidence on the vulnerability of urban dwellers. In this review, we explore the literature on the vulnerability of the urban poor to floods, droughts, and cholera in Sub‐Saharan Africa. We particularly highlight the structural challenges and systemic inequalities that are increasing the vulnerability of the urban poor including the differential experiences of women and children. We conclude that poor people have: unequal opportunities to cope with shocks, being deprived from access to water services that wealthier households have; their needs are inequitably ignored; and cumulative vulnerability that reverberates climate shocks into smaller consequences that can have dramatic effects. Therefore, the pathways out of poverty are limited for the urban poor. This is not only due to factors of political economy such as the location and construction materials of houses, but also legacies of discrimination and their reproduction. Individual vulnerabilities are frequently increased due to the roles and responsibilities assigned to people of particular genders and/or ages. We find that these differential vulnerabilities are crucial yet poorly researched. There is also a lack of evidence for the manifold effects of drought on the urban poor. Building on the urban climate resilience literature we argue that policy makers and practitioners must consider who water security is for.

… Finally, we reflect on work done in the area of urban water security indices. … water vulnerability' and 'urban water risk', supplemented with an online search for urban water security and …

… as the interaction between water resource utilization and … The resilience of urban water supplies can be transformed … of their influence on urban water vulnerability through a principal …

The human right to water (HRTW) and sustainable development goals (SDG) emphasize that human well‐being depends not just on the quality and physical accessibility of drinking water, but also on its economic accessibility. Despite this recognition, governments and academics alike have been hard‐pressed to define and measure water affordability. In the US, affordability is no longer solely focused on utility cost‐recovery models but equitable water access for individuals and households. How should water affordability be measured to represent this new focus? This question motivates the critical review presented here. We propose that household‐centered affordability measures reflect the normative aims of internationally established frameworks such as the HRTW and the SDGs. Linking measurement to aims is essential to improve transparency and comparability across studies, and ultimately, to align measures with water access objectives. First, we characterize normative positions outlined in the HRTW and SDGs and identify defining features of water affordability. Second, we identify dominant definitions and measures of affordability, including novel approaches. Bringing the defining features of affordability to bear on existing measures enables us to identify several emergent debates in the literature where affordability measures could better incorporate the aspirations of the HRTW and SDGs. We conclude with recommendations on how to improve water affordability measurements, while recognizing the trade‐offs between ideal measures and practical implementation.

Households that cannot be able to afford their water bills may lose access to drinking water and wastewater services. This study seeks to quantify how many households may struggle to pay for water services across 787 of the largest drinking water providers located within each state of the United States. Household water affordability is the ability for a household to pay for basic water services without undue hardship. Here, we select 6,000 gallons per month (22.7 m3/mo) as sufficient to meet basic needs and define undue hardship as spending more than 4.6% of household income (one day of labor each month) to pay for water services. Monthly bills are combined with census income data based on service area boundaries to determine how many households are spending more than 4.6% of their income on water services. We find that basic water services are unaffordable for 17% of the households (28.3 million persons) in this study. The median, or representative community, has one in seven households spending more than 4.6% of their income paying for water services. We developed a data visualization tool to allow users to explore how affordability challenges change across different volumes of water usage and levels of financial hardship (https://nicholasinstitute.duke.edu/water-affordability/water-affordability-united-states). This research shows that household water unaffordability is not a localized problem but rather is a challenge experienced by households in communities across the nation.

Rapidly‐growing concern among scholars and policy makers over residential drinking water affordability in the United States highlights the need to identify and assess the efficacy of potential solutions to address this problem. Accordingly, in this advanced review of the literature, we examine the state of scholarly evidence over the last 30 years on the prevalence and effectiveness of strategies to address household drinking water affordability in the United States. We classify interventions into four categories: rate structure designs, water efficiency programs, recurring bill assistance, and crisis relief. Our findings are twofold. First, the conceptual literature on affordability interventions is fairly robust, but demonstrates both tradeoffs and complementarities across the four approaches. Second, despite employing a PRISMA approach, we identify few empirical studies that demonstrate the effectiveness of affordability interventions in practice, especially the targeted approaches of recurring bill assistance and crisis relief. The literature on affordability interventions thus appears to lag considerably behind scholarship identifying and defining the problem of affordability. Accordingly, we suggest key questions throughout our review that need to be answered, thereby providing an agenda for future research on drinking water affordability solutions.

… domestic water supply services in the study towns, (iii) determine the level of domestic water consumed by households, and (iii) measure household ability to pay for water supply …

In developed countries, water affordability issues are regarded as a non-significant problem. This paper analyses the prevalence of affordability problems at household level and the determinants that might affect their occurrence. From a questionnaire-based survey, Portuguese household level data are used to show that average measures can mask affordability issues for substantial proportions of the low income groups. Findings also indicate that to tackle affordability problems more successfully, special tariff schemes should consider household income, size (large families) and composition (children in poorer households).

AbstractCommonly used approaches for studying water affordability in developing countries tend to focus on households that pay for their water supply (revealed affordability). A major problem of th...

Water and sanitation affordability has drawn researchers’ attention over the past years due to the recent economic crisis and the growing role of tariffs on funding services. This paper conducted a systematic review of previous research on water and/or sanitation affordability and a critical qualitative discussion on the methodologies adopted. The research framework relied on a hybrid approach that combines systematic quantitative and narrative analyses. The literature review protocol applied returned 79 relevant studies published by journals and recognized international organizations and four key topics, namely affordability indicators, threshold, data source, and practical use of the analysis were identified and critically discussed. This paper contributes to the literature by presenting and discussing the most important water affordability issues and enlightening the potential role of the analysis in public financial policies.

ABSTRACT Global efforts are still under way to ensure sustainable development goal 6 of providing enough clean water to sustain public health in many regions, and especially in the Arctic where the remoteness of communities and the harsh climate make water provision especially challenging. This study aimed to examine the sufficiency, accessibility, and affordability of water supplies in rural Greenland. The state of the water supply was investigated using quantitative data on infrastructure and demographics. Qualitative data on water-related practices and perceptions were collected through fieldwork and interviews in a selection of settlements. Generally, the supply of drinking water was found to be sufficient and affordable for most. However, access was severely constrained by the lack of piping to rural homes (20% were piped). The daily water consumption of residents from un-piped households was between 13 and 23 L/d/cap, i.e. within the basic access level according to WHO, which is in theory not sufficient to sustain public health. Several health risks could be caused by the low daily consumption in un-piped homes, and water saving practices induced by it – i.e. the use of shared handwashing basins, and household water storage, which could lead to degradation of water quality at the point-of-use.

Abstract Sustainable Development Goal 6.1 is “to achieve universal and equitable access to safe and affordable drinking water for all”. To measure affordability of accessing clean water, coping cost approach has been adopted, and this paper contributes to the burgeoning empirical literature on measuring affordability. The objective of this paper is to estimate coping costs related to the erratic, unsafe, and inadequate water supply in the metropolitan area of Chennai, India. Based on the data collected from 423 households, we find that households in Chennai city resort to five main types of coping behaviors: collecting, pumping, treating, storing, and purchasing. We employ the multiple regression with robust errors, to estimate the determinants of the coping costs. We obtain the mean coping costs as INR (Indian Rupee) 553, and INR 658 per month for piped and non-piped households in this sample. For non-piped households, collection costs (time costs in traveling and queuing for collecting water) constitute 22% of the coping costs, while collection costs for piped households are less 2% of the coping costs. One interesting finding is the variation of coping costs with household income—these costs are roughly 1% of income for the high income households to as high as 15% for the low income households. The results outline the need of policy intervention to enhance affordability.

In developed countries, water affordability problems remain up on the agenda as the increasing financial costs of water services can impede the realisation of an equal access to water. More than ever, public authorities that define water tariffs face the challenge of reconciling environmental and cost recovery objectives with equity and financial accessibility for all. Indicators of water affordability can be helpful in this regard. Conventional affordability indicators often rely on the actual amount that households spend on water use. In contrast, we propose a needs-based indicator that measures the risk of being unable to afford the amount of water necessary to fulfill essential needs, i.e. needs that should be fulfilled for adequate participation in society. In this paper we set forth the methodological choices inherent to constructing a needs-based affordability indicator. Using a micro-dataset on households in Flanders (Belgium), we compare its results with the outcomes of a more common actual expenses-indicator. The paper illustrates how the constructed needs-based indicator can complement existing affordability indicators, and its capacity to reveal important risk groups.

While basic access to clean water is critical, another important issue is the affordability of water access for people around the globe. Prior international work has highlighted that a large proportion of consumers could not afford water if priced at full cost recovery levels. Given growing concern about affordability issues due to rising water rates, and a comparative lack of work on affordability in the developed world, as compared to the developing world, more work is needed in developed countries to understand the extent of this issue in terms of the number of households and persons impacted. To address this need, this paper assesses potential affordability issues for households in the United States using the U.S. EPA’s 4.5% affordability criteria for combined water and wastewater services. Analytical results from this paper highlight high-risk and at-risk households for water poverty or unaffordable water services. Many of these households are clustered in pockets of water poverty within counties, which is a concern for individual utility providers servicing a large proportion of customers with a financial inability to pay for water services. Results also highlight that while water rates remain comparatively affordable for many U.S. households, this trend will not continue in the future. If water rates rise at projected amounts over the next five years, conservative projections estimate that the percentage of U.S. households who will find water bills unaffordable could triple from 11.9% to 35.6%. This is a concern due to the cascading economic impacts associated with widespread affordability issues; these issues mean that utility providers could have fewer customers over which to spread the large fixed costs of water service. Unaffordable water bills also impact customers for whom water services are affordable via higher water rates to recover the costs of services that go unpaid by lower income households.

… water affordability in Great Britain. The use and meaning of the term ‘affordability’ are discussed in relation to the domestic … the term ‘affordability’ in relation to the domestic or household …

… We analyze water affordability in 23 European countries using the latest microdata from … affordability problems occurs within countries regardless of their high or low average affordability …

One common method for assessing the affordability of water supply, sanitation, and hygiene (WASH) services is to compare a household’s reported WASH expenditure, as a proportion of total household ...

… be used to evaluate water affordability. A proper assessment of water affordability will be a … Distribution, equity and domestic water charging regimes: The case of Scotland . Annals of …

… Governments have often depended on inadequate affordability analyses, if any, to identify … water supply and sanitation services. This paper proposes a comprehensive affordability …

… While other people pay so dearly for domestic water others have an easy access to adequate clean water and sanitation. Accessibility and affordability of domestic water and sanitation …

Water affordability is central to water access but remains a challenge to measure. California enshrined the human right to safe and affordable water in 2012 but the question remains: how should water affordability be measured across the state? This paper contributes to this question in three steps. First, we identify key dimensions of water affordability measures (including scale, volume of water needed to meet ‘basic’ needs, and affordability criteria) and a cross-cutting theme (social equity). Second, using these dimensions, we develop three affordability ratios measured at the water system scale for households with median, poverty level, and deep poverty (i.e., half the poverty level) incomes and estimate the corresponding percentage of households at these income levels. Using multiple measures conveys a fuller picture of affordability given the known limitations of specific affordability measures. Third, we analyze our results disaggregated by a key characteristic of water system vulnerability–water system size. We find that water is relatively affordable for median income households. However, we identify high unaffordability for households in poverty in a large fraction of water systems. We identify several scenarios with different policy implications for the human right to water, such as very small systems with high water bills and low-income households within large water systems. We also characterize how data gaps complicate theoretical ideals and present barriers in human right to water monitoring efforts. This paper presents a systematic approach to measuring affordability and represents the first statewide assessment of water affordability within California’s community water systems.

Clean fuels and safe water have a clear role in averting devastating health outcomes, yet unaffordability remains a major barrier to their uptake and to correct and continued use. Within the global health field, we have no consistent answer to the question of how we know that something is affordable and for whom. In this Viewpoint, we draw on the literature and our own fieldwork in Tanzania, Mexico, and India to show that commonly used metrics of affordability do not represent the true burdens of affording safe water and clean cooking in low-income and middle-income countries. We discuss the explicit and implicit assumptions in existing affordability metrics and call for augmented measures to shape affordability policies for water and cooking that advance global health goals. Research and policy must be realistic about who the user is, what the user's constraints are, and how these constraints shape any meaningful affordability metric. Unrealistic affordability metrics can only hide affordability crises and hinder progress on global public health goals.

Worldwide, 844 million people still lack access to basic drinking water, especially in the rural areas of low and middle income countries. However, considerable progress has been made in recent years due to work on the Millennium Development Goals and Sustainable Development Goals. Nevertheless, countries’ national characteristics have often impacted on this progress. This paper analyzes whether specific socioeconomic factors affect access to improved water sources in the rural areas of developing countries. In particular, we analyze access to ‘total improved’, piped on premises, as well as other improved sources of access in rural areas for low income, low-middle income, and high-middle income countries. Our results suggest that gross national income (GNI); female primary completion rate; agriculture; growth of rural population; and governance indicators, such as political stability, control of corruption, or regulatory quality are variables related to water access, although specific associations depend on the source of water and income group examined. Understanding these interrelations could be of great importance for decision makers in the water sector as well as for future research on this topic.

In Nigeria, the rural population comprises 49% of the total population and has been reported to bear the brunt of ongoing water access challenges. For communities to have access to clean and safe water, an adequate water source should be ensured. In dissevering the definition of water access, this research identifies that distance to a water source, time spent to collect water, water availability, and water quality are determinants of water source choice. A survey with 404 randomly selected respondents was conducted in three local government areas in Kogi state alongside interviews with key participants (n = 12). The data collected were analysed using a Chi-square test to determine any significant relationship between water source choice and the predictor variables (age, education, occupation, religion, ethnic group, household size, income, and distance). Furthermore, multinomial logistic regression was adopted to investigate the relationship and effect between these variables. Findings indicated that the predictor factors such as age, level of education, ethnic group, and participants’ occupation have a statistically significant relationship with using a particular water source. Finally, more insights for policymakers are provided to bridge the gap surrounding water access in developing countries while focusing on an adequate water source.

In rural planning, ensuring sustainable water management is pivotal, particularly in addressing the challenges posed by the absence of comprehensive rural water security assessments. Despite the abundance of water resources in mountainous regions, their accessibility and utilization remain significant hurdles for local populations, often hindering sustainable development. This study proposed a rural water accessibility (RWA) model, focusing on village settlements (VSs) as fundamental units for water utilization. The model examines two critical aspects of mountainous water security that are essential for sustainability: the supply–demand relation between VSs and their water sources, and the water availability to characterize difficulties in obtaining water sources in complex terrain. Using data from 1156 natural VSs in Dongchuan District, Kunming, water demand was calculated based on population and local average rural water demand per person. Springs and streams were identified as main and standby water sources, respectively. The RWA model evaluates the supply–demand balance and assesses water availability using the least-cost path (LCP) method. The results establish RWA grades, indicating water security conditions for VSs. This approach effectively identifies supply–demand relations and determines water demand gaps, facilitating targeted water management in rural areas, especially during droughts. It enables managers to accurately gauge the grade of water accessibility for each VS, allowing for prompt and tailored emergency water supply interventions. Furthermore, aggregating the RWA of each VS can provide valuable insights for devising sustainable water management strategies in mountainous regions.

… Poor, rural women are disproportionally and adversely impacted by domestic and public … to water accessibility, system design and management, as well as by the high costs of water …

… the needs of the community's clean water, specifically rural communities in the semi-arid … to which access to clean water sources affects the patterns of water use and fulfillment of rural …

Reducing the spread of COVID-19 partly depends on easy access to water to ensure adherence to good hygienic practices. However, most communities in Ghana face a series of challenges in accessing improved water sources. This study seeks to examine water access and its associated challenges, and the various strategies adopted by households to cope with these challenges in the Yilo Krobo Municipality of Ghana during the early days of the COVID-19 pandemic. Both qualitative and quantitative methods were employed. Communities were stratified into rural and urban, and 400 households were randomly sampled for questionnaire administration. The data was inputted into SPSS and the results were analyzed using chi-square and descriptive statistics. Purposive and convenient sampling was used to select 30 informants for the qualitative interviews and the results were analyzed using thematic content analysis. The findings show that about 68.5% of households have access to pipe-borne water during COVID-19 compared to 8% who use unhygienic sources. Most households (54.5%) depended on pipe-borne water sources outside their dwellings. The main water accessibility challenge during the COVID-19 pandemic was the increased cost of water (41%) even though water provision was supposed to be free during the early period of the pandemic. Most respondents adapted to the situation by storing water using small-sized storage facilities and also had to buy from other vendors at an expensive rate. The study recommends the formation of a water and sanitation board and an increase in the capacity of the pumping station to ensure adequate provision of potable water for the communities on a sustainable basis.

… water quality degradation in urban and rural areas, water treatment methods, and implementation of sustainable drinking water accessibility … Results of the review revealed that the water …

… access to improved drinking water by 2015 was achieved (WHO and UNICEF 2012a). However, over 740 million people remain without access to improved drinking water… be poor, rural …

… Due to difficulty of rural population to have water access and suffer from drought, the … in water access, as well as the combination of MCDA, SIG, CA and participation of rural inhabitants …

Uganda has experienced a major policy shift from a supply-driven to a demand-driven approach in rural water provision since 1990. The article sheds light on the rural population’s access to safe water within the changing institutional frameworks. We analysed individual and group interviews with key informants from national to community levels and relevant official documents with the ‘Social-Ecological Systems’ framework. Since the implementation of the demand-driven approach, rural safe water coverage has slightly improved but operation and maintenance of water sources pose a great challenge hampering, long-term access to safe water. The abrupt and top-down imposed policy shift has resulted in competing signals from old and new policies creating uncertainty and ambiguity about responsibilities, rules and incentives. The analysis shows the importance of taking into account the implications of national institutional disturbances on local collective action for long-term access to safe water.

Small towns and cities in Sub-Saharan Africa are emerging as hotspots of population growth. This paper considers the case of the small but rapidly growing town of Bondo in the Lake Victoria region of Kenya, and its surrounding peri-urban and rural settlements. The study objectives are to examine: a) alternative indicators of households’ accessibility to improved water sources along the urban-rural gradient; b) households’ water collection and storage practices; and c) women’s involvement in community-level efforts to improve water-service provision. Data were collected through interviews of 307 women from urban, peri-urban and rural settlements in 2011. By studying different kinds of settlements in the same geographical region, the paper shows how each kind has its own unique characteristics and development needs. Results show that peri-urban settlements are not just an intermediate space between the rural and the urban; instead, these settlements pose very different kinds of challenges than those of their rural and urban counterparts. Despite efforts by donor and government agencies to promote participation among women, study results indicate that women participate only marginally, with lowest participation observed among women from peri-urban areas. Innovative ways that agencies can engage more women to improve water service are discussed.

… of rural water resources. Therefore, this study investigated the effects … water accessibility on water conservation practices, determinants of water conservation practices among rural …

How is it possible to design and deploy circular economy (CE) strategies oriented to inclusive development? How can non-traditional units of production and consumption (i.e., actual productive actors such as waste picker cooperatives and peasant organizations) be integrated into these strategies? Using data collected as a result of two long-term participatory action research projects carried out with a waste picker cooperative in Buenos Aires and 65 peasant families in Chaco (both located in Argentina) the paper opens the door to a proactive critical debate in terms of how to integrate circular economy principles with the development of technological solutions (artifacts, processes and methods of organization). We show that CE holds great potential, both in terms of its contribution to the generation of new interpretive frameworks and also, in terms of nurturing local and inclusive development strategies when it is integrated with collaborative, bottom-up and innovative dynamics. Based on the idea of working with heterogeneous traditional production units (not only with profit-maximizing firms), it is possible to think of social development avenues for vulnerable populations, where the CE principles build up mechanisms capable of maximizing the transformative potential of the resources (including those understood as waste) presented in actual techno-economic matrices.

As rural African communities experience more frequent and extreme droughts, it is increasingly important that water supplies are climate resilient. Using a unique temporal dataset we explore rural water supply (n = 5196) performance during the 2015–16 drought in Ethiopia. Mean functionality ranged from 60% for motorised boreholes to 75% for hand-pumped boreholes. Real-time monitoring and responsive operation and maintenance led to rapid increases in functionality of hand-pumped and, to a lesser extent, motorised boreholes. Increased demand was placed on motorised boreholes in lowland areas as springs, hand-dug-wells and open sources failed. Most users travelled >1 h to access motorised boreholes but <30 min, increasing to 30-60 mins, for hand-pumped boreholes. Boreholes accessing deep (>30 m) groundwater performed best during the drought. Prioritising access to groundwater via multiple improved sources and a portfolio of technologies, such as hand-pumped and motorised boreholes, supported by responsive and proactive operation and maintenance, increases rural water supply resilience. The authors compared the performance of a range of rural water supply types during drought in Ethiopia. They show that prioritising access to groundwater via multiple improved water sources and technologies, such as hand-pumped and motorised boreholes, supported by monitoring and proactive operation and maintenance increases rural water supply resilience.

… The uneven allocation of rural water access reveals regional differences in the distribution of this vital resource, with specific areas encountering more severe obstacles than others. …

This study examined the levels of rural water access and coverage in Akwa Ibom State, Nigeria. In Akwa Ibom State, there are two statutory bodies involved in water supply: Akwa Ibom State Water Company Limited and Akwa Ibom State Rural Water Supply and Sanitation Agency. Apart from these two statutory bodies, the federal government, United Nations Development Programme (UNDP), Exxon Mobil, and other foreign bodies are involved in rural water supply. This study explores the contribution of these bodies towards improved rural water coverage and access using scientific approach. Data on mini water schemes and hand pump boreholes in rural areas in the state were obtained from official records and utilized for analysis. The result indicated inequity in the location of projects. The distribution however does not conform to the clearly spelt out criteria for sitting of water schemes in the rural communities. With this distribution gap created by such chaotic pattern, it was apt to examine the level of access which also revealed that access to safe water in the state is grossly inadequate. At the state level, the coverage and access levels of 37.69 and 33.99% were observed. Four spatial factors were examined to ascertain their influence on rural water supply using correlation analysis and result singled out rural population to be highly significant correlated with the number of safe water points(r=0.678). This implies that about 46% of variance in safe water points in rural areas of the state is explained by rural population factor. It can be inferred that poor coverage and access to safe water facilities provide clear indicators of the state of poverty in rural areas of Akwa Ibom State and thus, call for urgent attention.   Key words: Water coverage, water access, rural areas, trends, dimensions, Nigeria.

… kept on achieving universal access to safe water (primarily in rural areas) while monitoring progress towards higher service levels, including greater water safety (both in rural and urban …