IDEAS home Printed from https://ideas.repec.org/p/ehl/lserod/113562.html
   My bibliography  Save this paper

Urban water access and use in the Kivus: evaluating behavioural outcomes following an integrated WASH intervention in Goma and Bukavu, Democratic Republic of Congo

Author

Listed:
  • Legge, Hugo
  • Fedele, Shahana
  • Preusser, Florian
  • Stys, Patrycja
  • Muzuri, Papy
  • Schuberth, Moritz
  • Dreibelbis, Robert

Abstract

Increasing the availability and reliability of community water sources is a primary pathway through which many water supply interventions aim to achieve health gains in communities with limited access to water. While previous studies in rural settings have shown that greater access to water is associated both with increased overall consumption of water and use of water for hygiene related activities, there is limited evidence from urban environments. Using data collected from 1253 households during the evaluation of a community water supply governance and hygiene promotion intervention in the cities of Goma and Bukavu, Democratic Republic of Congo, we conducted a secondary analysis to determine the impact of these interventions on household water collection and use habits. Using multiple and logistic regression models we compared differences in outcomes of interest between households in quartiers with and without the intervention. Outcomes of interest included litres per capita day (lpcd) of water brought to the household, lpcd used at the household, and lpcd used for hygiene-related activities. Results demonstrated that intervention households were more likely to use community tapstands than households located in comparison quartiers and collected on average 16.3 lpcd of water, compared with 13.5 lpcd among comparison households (adj. coef: 3.2, 95 CI: 0.84 to 5.53, p = 0.008). However, reported usage of water in the household for domestic purposes was lower among intervention households (8.2 lpcd) when compared with comparison households (9.4 lpcd) (adj. coef: −1.11, 95 CI: −2.29 to 0.07), p = 0.066) and there was no difference between study groups in the amount of water allocated to hygiene activities. These results show that in this setting, implementation of a water supply governance and hygiene promotion intervention was associated with a modest increase in the amount of water being bought to the household, but that this did not translate into an increase in either overall per capita consumption of water or the per capita amount of water being allocated to hygiene related activities.

Suggested Citation

  • Legge, Hugo & Fedele, Shahana & Preusser, Florian & Stys, Patrycja & Muzuri, Papy & Schuberth, Moritz & Dreibelbis, Robert, 2022. "Urban water access and use in the Kivus: evaluating behavioural outcomes following an integrated WASH intervention in Goma and Bukavu, Democratic Republic of Congo," LSE Research Online Documents on Economics 113562, London School of Economics and Political Science, LSE Library.
  • Handle: RePEc:ehl:lserod:113562
    as

    Download full text from publisher

    File URL: http://eprints.lse.ac.uk/113562/
    File Function: Open access version.
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Curtis, Val & Dreibelbis, Robert & Buxton, Helen & Izang, Nancy & Adekunle, Dara & Aunger, Robert, 2019. "Behaviour settings theory applied to domestic water use in Nigeria: A new conceptual tool for the study of routine behaviour," Social Science & Medicine, Elsevier, vol. 235(C), pages 1-1.
    2. Friedrich, Max N.D. & Kappler, Andreas & Mosler, Hans-Joachim, 2018. "Enhancing handwashing frequency and technique of primary caregivers in Harare, Zimbabwe: A cluster-randomized controlled trial using behavioral and microbial outcomes," Social Science & Medicine, Elsevier, vol. 196(C), pages 66-76.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Hugo Legge & Shahana Fedele & Florian Preusser & Patrycja Stys & Papy Muzuri & Moritz Schuberth & Robert Dreibelbis, 2022. "Urban Water Access and Use in the Kivus: Evaluating Behavioural Outcomes Following an Integrated WASH Intervention in Goma and Bukavu, Democratic Republic of Congo," IJERPH, MDPI, vol. 19(3), pages 1-15, January.
    2. Benjamin L. Robinson & Mike J. Clifford & Sarah Jewitt, 2021. "TIME to Change: An Evaluation of Practical Action Nepal’s Results Based Finance Program," Energies, MDPI, vol. 14(10), pages 1-18, May.
    3. Jewitt, Sarah & Smallman-Raynor, Matthew & K C, Binaya & Robinson, Benjamin & Adhikari, Puspanjali & Evans, Catrin & Karmacharya, Biraj Man & Bolton, Charlotte E. & Hall, Ian P., 2022. "Domesticating cleaner cookstoves for improved respiratory health: Using approaches from the sanitation sector to explore the adoption and sustained use of improved cooking technologies in Nepal," Social Science & Medicine, Elsevier, vol. 308(C).
    4. Harter, Miriam & Inauen, Jennifer & Mosler, Hans-Joachim, 2020. "How does Community-Led Total Sanitation (CLTS) promote latrine construction, and can it be improved? A cluster-randomized controlled trial in Ghana," Social Science & Medicine, Elsevier, vol. 245(C).
    5. Yolisa Nalule & Helen Buxton & Alison Macintyre & Por Ir & Ponnary Pors & Channa Samol & Supheap Leang & Robert Dreibelbis, 2021. "Hand Hygiene during the Early Neonatal Period: A Mixed-Methods Observational Study in Healthcare Facilities and Households in Rural Cambodia," IJERPH, MDPI, vol. 18(9), pages 1-16, April.
    6. Inauen, Jennifer & Lilje, Jonathan & Mosler, Hans-Joachim, 2020. "Refining hand washing interventions by identifying active ingredients: A cluster-randomized controlled trial in rural Zimbabwe," Social Science & Medicine, Elsevier, vol. 245(C).
    7. Adam Biran & Rosie Sanderson & Diana Gonzalez & Hugo Bugoro & Mohammad Kadir & David Gegeo & Jamesford Keboy & Clement Lifoia & Sheilla Funubo & Hellenda Honimae & Lanique Naolina Pitasua & Joanna Tat, 2022. "Formative Research Using Settings and Motives to Explore Child Faeces Disposal and Management in Rural Solomon Islands," IJERPH, MDPI, vol. 19(16), pages 1-15, August.
    8. Kim Dockx & Hans Van Remoortel & Emmy De Buck & Charlotte Schelstraete & An Vanderheyden & Tiene Lievens & John Thomas Kinyagu & Simon Mamuya & Philippe Vandekerckhove, 2019. "Effect of Contextualized Versus Non-Contextualized Interventions for Improving Hand Washing, Sanitation, and Health in Rural Tanzania: Study Design of a Cluster Randomized Controlled Trial," IJERPH, MDPI, vol. 16(14), pages 1-12, July.
    9. Tongtong Zhao & Bo Shao, 2022. "Domestic Water Consumption and Its Influencing Factors in the Yellow River Basin Based on Logarithmic Mean Divisia Index and Decoupling Theory," Sustainability, MDPI, vol. 14(24), pages 1-14, December.
    10. Ali Aljamal & Mark Speece & Mohsen Bagnied, 2020. "Sustainable Policy for Water Pricing in Kuwait," Sustainability, MDPI, vol. 12(8), pages 1-18, April.
    11. de Barra, Mícheál & Gon, Giorgia & Woodd, Susannah & Graham, Wendy J. & de Bruin, Marijn & Kahabuka, Catherine & Williams, A. Jess & Konate, Khadidja & Ali, Said M. & Said, Rukaiya & Penn-Kekana, Love, 2021. "Understanding infection prevention behaviour in maternity wards: A mixed-methods analysis of hand hygiene in Zanzibar," Social Science & Medicine, Elsevier, vol. 272(C).

    More about this item

    Keywords

    behaviour; hygiene; urban; water supply; water use;
    All these keywords.

    JEL classification:

    • R14 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - General Regional Economics - - - Land Use Patterns
    • J01 - Labor and Demographic Economics - - General - - - Labor Economics: General

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:ehl:lserod:113562. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: LSERO Manager (email available below). General contact details of provider: https://edirc.repec.org/data/lsepsuk.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.