4.3 Article

PUMPS, GERMS AND STORAGE: THE IMPACT OF IMPROVED WATER CONTAINERS ON WATER QUALITY AND HEALTH

Journal

HEALTH ECONOMICS
Volume 22, Issue 7, Pages 757-774

Publisher

WILEY
DOI: 10.1002/hec.2852

Keywords

water supply; water transport; water storage; water quality; health

Funding

  1. Centre Regional pour l'Eau Potable et l'Assainissement (CREPA)
  2. German KfW Development Bank
  3. Policy and Operations Evaluation Department (IOB)-Ministry of Foreign Affairs of the Netherlands
  4. Federal Ministry of Economic Cooperation and Development Germany (BMZ)
  5. University of Goettingen

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Applying a randomized controlled trial, we study the impact of improved water transport and storage containers on the water quality and health of poor rural households. The results indicate that improved household water infrastructure improves water quality and health outcomes in an environment where point-of-source water quality is good but where recontamination is widespread, leading to unsafe point-of-use drinking water. Moreover, usage rates of 88% after 7 months are encouraging with regard to sustainable adoption. Our estimates suggest that the provision of improved household water infrastructure could keep clean water clean' at a cost of only 5% of the costs of providing households with improved public water supply. Given the general consensus in the literature that recontamination of water from improved public sources is a severe public health problem, improved transport and storage technologies appear to be an effective low-cost supplement to the current standard of financing public water supply for poor rural communities. Copyright (c) 2012 John Wiley & Sons, Ltd.

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