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‘We Are Drinking Diseases’: Perception of Water Insecurity and Emotional Distress in Urban Slums in Accra, Ghana

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  • Joseph Kangmennaang

    (Department of Geography and Earth Sciences, University of North Carolina at Charlotte, Charlotte, North Carolina, NC 28223, USA)

  • Elijah Bisung

    (School of Kinesiology and Health Studies, SKHS Building 28 Division Street, Queen’s University, Kingston, ON K7L 3N6, Canada)

  • Susan J. Elliott

    (Department of Geography and Environmental Management, University of Waterloo, 200 University Avenue West Waterloo, ON N2L 3G1, Canada)

Abstract

Water security is critical to the health and well-being of people around the world, especially among populations experiencing water stresses and rapid urbanization in low- to middle-income countries (LMICs). Recent research suggests water insecurity is associated with negative mental health outcomes. Despite global improvement in access to safe water across the world, the World Health Organization (WHO) reports that access to safe water in urban areas has not changed significantly or has stagnated in certain countries. In most African cities, entrepreneurial water vendors have stepped up to fill supply gaps in the formal delivery system by selling vended water. As part of a larger research program that aims to assess and analyze public perceptions around vended water, this paper explores the links connecting water insecurity and emotional distress among urban slum dwellers who mostly use vended water in Accra, Ghana. We used a parallel mixed-methods approach. Our quantitative results show that water-insecure households (OR = 2.23, p = 0.01) were more likely to report emotional distresses compared to water-secure households. However, households with improved sanitation (OR = 0.28, p = 0.01) and those willing to participate for improved water and sanitation (OR = 0.28, p = 0.01) were less likely to report emotional distress. Our qualitative results offered support for the quantitative results, as participants not only hold various perceptions regarding the safety and quality of vended water but expressed emotional distresses such as fear of contamination, discomfort, worry over arbitrary change in prices, and anxiety. The implications of the results for policy and practice, specifically to ensuring access to safe water, are discussed.

Suggested Citation

  • Joseph Kangmennaang & Elijah Bisung & Susan J. Elliott, 2020. "‘We Are Drinking Diseases’: Perception of Water Insecurity and Emotional Distress in Urban Slums in Accra, Ghana," IJERPH, MDPI, vol. 17(3), pages 1-17, January.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:3:p:890-:d:314830
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    1. Joshi, Nupur & Gerlak, Andrea K. & Hannah, Corrie & Lopus, Sara & Krell, Natasha & Evans, Tom, 2023. "Water insecurity, housing tenure, and the role of informal water services in Nairobi’s slum settlements," World Development, Elsevier, vol. 164(C).
    2. Joshi, Nupur & Lopus, Sara & Hannah, Corrie & Ernst, Kacey C. & Kilungo, Aminata P. & Opiyo, Romanus & Ngayu, Margaret & Davies, Julia & Evans, Tom, 2022. "COVID-19 lockdowns: Employment and business disruptions, water access and hygiene practices in Nairobi's informal settlements," Social Science & Medicine, Elsevier, vol. 308(C).
    3. Achore, Meshack & Bisung, Elijah, 2022. "Experiences of inequalities in access to safe water and psycho-emotional distress in Ghana," Social Science & Medicine, Elsevier, vol. 301(C).
    4. Shu Wang & Jipeng Pei & Kuo Zhang & Dawei Gong & Karlis Rokpelnis & Weicheng Yang & Xiao Yu, 2022. "Does Individuals’ Perception of Wastewater Pollution Decrease Their Self-Rated Health? Evidence from China," IJERPH, MDPI, vol. 19(12), pages 1-18, June.
    5. Michelle M. Vine & Kate Mulligan & Rachel Harris & Jennifer L. Dean, 2023. "The Impact of Health Geography on Public Health Research, Policy, and Practice in Canada," IJERPH, MDPI, vol. 20(18), pages 1-14, September.

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