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Perceived water insecurity among adults from urban and peri-urban Haiti: A qualitative study

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  • Elizabeth A Wood
  • Hannah Douglas
  • Andrew J Fiore
  • Meredith K Nappy
  • Robinson Bernier
  • Kelly S Chapman

Abstract

Water and sanitation services are fundamental in preventing the spread of waterborne and hygiene-related diseases. However, in developing countries, such as Haiti, access to clean water continues to pose major challenges despite efforts to improve quality and reduce distance. With Léogâne being the epicenter of the earthquake in Haiti in 2010, there were dozens of interventions aimed to improve access to clean water, specifically well construction and use of water treatment strategies. Using the socioecological framework, this study collected qualitative data to supplement a household water insecurity experiences (HWISE) survey in order to fully understand the narratives around water in Léogâne (urban) and its neighboring commune Gressier (peri-urban). The inclusion criteria for this study was that the participant must be a resident of either site, at least 18 years or older, and a female. Only females were included in this study so that researchers could better understand how perceived water insecurity impacts reproductive health, specifically gynecological infections. This cross-sectional study yielded 61 total in-depth interviews using a semi-structured open ended questionnaire to allow participants the ability to elaborate. Results suggest that there are common misconceptions about water and reproductive health specifically that engaging in sexual intercourse in saltwater will not result in pregnancy. Relevant narratives among the two communes included water acquisition, use of water, and bathing practices, among several others. Through understanding the local Haitian perspective and practices that surround water insecurity, we can better tailor public health interventions to improve access to water, female hygiene practices, and ultimately lower and prevent disease transmission.

Suggested Citation

  • Elizabeth A Wood & Hannah Douglas & Andrew J Fiore & Meredith K Nappy & Robinson Bernier & Kelly S Chapman, 2019. "Perceived water insecurity among adults from urban and peri-urban Haiti: A qualitative study," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-13, April.
    • Handle: RePEc:plo:pone00:0214790
    DOI: 10.1371/journal.pone.0214790
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    References listed on IDEAS

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    1. Stevenson, Edward G.J. & Greene, Leslie E. & Maes, Kenneth C. & Ambelu, Argaw & Tesfaye, Yihenew Alemu & Rheingans, Richard & Hadley, Craig, 2012. "Water insecurity in 3 dimensions: An anthropological perspective on water and women's psychosocial distress in Ethiopia," Social Science & Medicine, Elsevier, vol. 75(2), pages 392-400.
    2. Ramnath Subbaraman & Laura Nolan & Kiran Sawant & Shrutika Shitole & Tejal Shitole & Mahesh Nanarkar & Anita Patil-Deshmukh & David E Bloom, 2015. "Multidimensional Measurement of Household Water Poverty in a Mumbai Slum: Looking Beyond Water Quality," PLOS ONE, Public Library of Science, vol. 10(7), pages 1-19, July.
    3. Bisung, Elijah & Elliott, Susan J., 2018. "Improvement in access to safe water, household water insecurity, and time savings: A cross-sectional retrospective study in Kenya," Social Science & Medicine, Elsevier, vol. 200(C), pages 1-8.
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