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Water reuse is recognized as a tool to increase water supply in peri-urban areas of semi-arid and arid regions of the world. However, it is an option rarely explored for rural areas in developing countries, and has not been documented extensively in the scientific literature. This paper presents results from 6 greywater reuse systems which were built with the objective to augment water supply and to provide sanitation in rural low income areas of Madhya Pradesh, India. The systems are based on reclaiming greywater from bathing for the use in toilet flushing and kitchen garden irrigation. The reuse systems were implemented based on the scientific rationale presented in the WHO (2006) guidelines. The paper presents evidence from the operation and evaluation of the greywater treatment plants under field conditions between 2005 and 2008. The paper concludes that greywater is a highly cost effective solution for water scarcity. In this study, reusing greywater resulted in a 60% increase in water availability, a reduction in open defecation and a fourfold increase in food availability. [ABSTRACT FROM AUTHOR]

In line with developments in the water reuse sector, this paper applied quantitative microbial risk assessment (QMRA) techniques to seven greywater reuse systems used for recycling shower water for toilet flushing. The objective of the study was to establish a scientific basis for health-based greywater targets for India. It involved qualitative risk assessments and quantitative microbiological analysis using Enterococci, thermotolerant coliforms (TTC) and coliphage indicator organisms. Four conclusions are drawn from this study. Firstly, the systems indicated a low risk and high quality, and secondly that low levels of risk were present in systems, resulting in the recommendation of guideline of 5000 cfu/100 mL rather than 10 000 cfu/100 mL for greywater utilised for direct toilet flushing. Thirdly, disability adjusted life years (DALYs) are a useful indicator of risk for evaluating the performance of a greywater reuse system in addition to chemical/microbiological indicators DALYs, and finally that TTC are a useful surrogate microbial indicator for analysis of greywater in developing countries with limited analytical facilities. [ABSTRACT FROM AUTHOR]

The World Health Organization (WHO)/United Nations Children's Fund (UNICEF) Joint Monitoring Programme (JMP) for Water Supply and Sanitation was designed to provide reference figures for access in individual countries to safe water. The JMP is based on non-administrative or nongovernment data from national-level surveys such as the Multiple Indicator Clusters Survey (MICS) or Demographic Health Survey. In the 2007 JMP report, India is noted to have water supply coverage of 89% (95% in urban areas and 85% in rural areas) compared to the Government of India estimates of 95%. The central state of Madhya Pradesh is noted by the Government of India to have coverage of 60%. However, the definition of access to safe water currently does not consider the quality or safety of the water being consumed. This paper, therefore, presents results from the application of a statistical tool (random multiple cluster technique-termed Rapid Assessment of Drinking Water Quality [RADWQ]) to Indore Zone in Madhya Pradesh. When results provided by the RADWQ technique are compared to the JMP MICS data, coverage levels reported in the JMP are reduced by up to 40% due to the high risk of microbiological (thermotolerant coliforms) contamination. In Indore Zone, the coverage of safe water reduced from 42% to 25% through the inclusion of the water safety parameters. The study recommends the inclusion of water quality/safety data in reported data under the UNICEF/WHO JMP.