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BackgroundAccess to water, sanitation, and hygiene is an important element for communicable disease control including the existing COVID-19 pandemic. This is due to the growing water demand and decreasing water availability, because of shrinking resources, increased urbanization, and pollution. This problem is higher, particularly among least developed countries like Ethiopia. This study, therefore, aimed at investigating the level of improved water sources and sanitation as well as their predictors in Ethiopia using EMDHS-2019.MethodMini Ethiopian Demographic and Health Surveys 2019 database survey was used in this study. Data collection took place over 3 months, from 21 March 2019 to 28 June 2019. A total of 9,150 households were selected for the sample, of which 8,794 were engaged. Among involved households, 8,663 were successfully interviewed at a response rate of 99%. The dependent variables measured in this study were improved drinking water sources and sanitation facilities. Due to the nested nature of DHS data, multilevel binary logistic regression analysis was done using Stata-16.ResultsThe majority (72.62%) of household heads were men, and 69.47% of participants were from rural areas. Close to half (47.65%) of study participants did not have any form of formal education, while the lowest proportion (9.89%) of them had higher education. Approximately 71.74 and 27.45% of the households have accessed improved water sources and sanitation, respectively. Based on the final model results, wealth index, educational status, and having a television individual-level variables while community-level poverty, community-level education, community-level media exposure, and place of residence were statistically significant predictors of getting improved water source and sanitation.ConclusionThe level of access to improved water sources is moderate but it lacks progress, while access to improved sanitation was lower. Based on these findings, great improvements should be made in providing access to an improved water source and sanitation facilities in Ethiopia. Based on these findings, great improvements should be made in providing access to improved water source and sanitation facilities in Ethiopia.

Sustainable access to improved water services is a human right recognized by the Sustainable Development Goals (SDG) agenda and the constitution of South Africa. In recognition of this, South Africa implemented the Free Basic Water (FBW) policy outlining six recommended service level standards (e.g. distance, reliability and cost) to guide improved water services provision, especially in rural municipalities. However, despite implementing the rights-based approach policy, a significant proportion of the rural population is reported to have limited/poor access to improved water services. For this reason, the study adopted the FBW standards as indicators to assess inequalities in sustainable access to improved water services in Makhudutamaga Local Municipality (MLM) in South Africa. The findings indicate inequalities in access to improved water services based on FBW standards. Overall, the improved water services complied with the FBW standard for distance but not with the other standards. The non-compliance with the other standards indicated limited/poor access to improved water services and improper implementation of the FBW policy. This work provides water managers with an understanding of levels of water services provided based on FBW standards for planning and management to improve access to improved water services and enforce proper implementation of the FBW policy. HIGHLIGHTS Aspects of the improved water services did not comply with standards of Free Basic Water (FBW) policy.; Free Basic Water (FBW) policy was not properly implemented.; There were inequalities in access to improved water services.; Unreliability of water services is a challenge affecting sustainable access to improved water services.;

This study analyzed the determinants of households’ access and use of improved water for domestic purposes in the Northern Region of Ghana, using a survey of 356 households selected using the multi-stage sampling technique. The Logit Regression Model, Multinomial Regression Model and the Kendell’s Coefficient of Concordance were the analytical methods employed. The study revealed that the factors that influenced households’ choice of water source were level of education, sex of household head, household income, and households’ size, especially the number of children in the house and distance to water source. Irregular supply of improved water, an inadequate source of improved water and long queue at water points, in that order of severity were reported as the major constraints to households’ access to improved water. The study recommends an income diversification campaign to encourage households to diversify in order to raise their purchasing power for improved water.

Background: Achieving access to clean water and basic sanitation remains as major challenges in Vietnam, especially for vulnerable groups such as minority people, despite all the progress made by the Millennium Development Goal number 7.C. Objectives: The study aimed to describe the access to improved water sources and sanitation of the ethnic minority people in Vietnam based on a national survey and to identify associated factors. Methods: A cross-sectional study was conducted in 2019 with a sample size of 1385 ethnic minority households in 12 provinces in Vietnam. Multivariate logistic regression modeling was performed to examine the probability of having access to improved water sources and sanitation and sociodemographic status at a significance level of P <.05. Results: The access to improved water sources and sanitation was unequal among the ethnic minority people in Vietnam, with the lowest access rate in the northern midland and mountainous and Central Highland areas and the highest access rate in the Mekong Delta region. Some sociodemographic variables that were likely to increase the ethnic minority people's access to improved water sources and/or sanitation included older age, female household heads, household heads with high educational levels, religious households, and households in not poor status. Conclusion and recommendations: The study suggested more emphasis on religion for improving the ethnic minority's access to improved water sources and sanitation. Besides, persons of poor and near-poor status and with low educational levels should be of focus in future water and sanitation intervention programs. [ABSTRACT FROM AUTHOR]

Infant mortality rate (IMR) is an important development indicator and a vital component of millennium development goals (MDGs) set by United Nations Development Programme (UNDP). According to UNDP, so far India has only fared moderately in reducing IMR (Goal 4 of MDGs). India (32) ranks 144th among 196 countries regarding IMR as per the 2017 data availed from World Development Indicators. Its adjacent countries such as Bhutan (25.6), Bangladesh (26.9) and Nepal (27.8) have fared much better regarding infant survival. Numbers within the parentheses indicate the IMR of the respective country. The United Nations Children's Fund (UNICEF) has identified that IMR among families with better access to improved drinking water sources and toilet is much lower than those bereft of the same. This inference has been drawn from National Family Health Survey 3 data (NFHS III). The present study investigates into the aforementioned relation analysing NFHS IV data. The result depicts that contrary to UNICEF's findings, IMR increases with better accessibility to improved water sources. Further to this, the article shows that an additional aqua-related practice together with improved drinking water sources might lead to the betterment of IMR for India. [ABSTRACT FROM AUTHOR]

Objective: This study aims to characterize household trends in access to improved water sources and sanitaton in Chi Linh Town, Hai Duong Province, Vietnam, and to identify factors affecting those trends. Method: Data were extracted from the Chi Linh Health and Demographic Surveillance System (CHILILAB HDSS) database from 2004–2014, which included household access to improved water sources, household access to improved sanitation, and household demographic data. Descriptive statistical analysis and multinominal logistic regression were used. The results showed that over a 10-year period (2004–2014), the proportion of households with access to improved water and improved sanitation increased by 3.7% and 28.3%, respectively. As such, the 2015 Millennium Development Goal targets for safe drinking water and basic sanitation were met. However, 13.5% of households still had unimproved water and sanitation. People who are retired, work in trade or services, or other occupations were 1.49, 1.97, and 1.34 times more likely to have access to improved water and sanitation facilities than farming households, respectively (p < 0.001). Households living in urban areas were 1.84 times more likely than those living in rural areas to have access to improved water sources and improved sanitation facilities (OR =1.84; 95% CI = 1.73–1.96). Non-poor households were 2.12 times more likely to have access to improved water sources and improved sanitation facilities compared to the poor group (OR = 2.12; 95% CI = 2.00–2.25). More efforts are required to increase household access to both improved water and sanitation in Chi Linh Town, focusing on the 13.5% of households currently without access. Similar to situations observed elsewhere in Vietnam and other low- and middle- income countries, there is a need to address socio-economic factors that are associated with inadequate access to improved water sources and sanitation facilities.

Background: Despite progress made by the Millennium Development Goal (MDG) number 7.C, Vietnam still faces challenges with regard to the provision of access to safe drinking water and basic sanitation. Objective: This paper describes household trends in access to improved water sources and sanitation facilities separately, and analyses factors associated with access to improved water sources and sanitation facilities in combination. Design: Secondary data from the Vietnam Multiple Indicator Cluster Survey in 2000, 2006, and 2011 were analyzed. Descriptive statistics and tests of significance describe trends over time in access to water and sanitation by location, demographic and socio-economic factors. Binary logistic regressions (2000, 2006, and 2011) describe associations between access to water and sanitation, and geographic, demographic, and socio-economic factors. Results: There have been some outstanding developments in access to improved water sources and sanitation facilities from 2000 to 2011. In 2011, the proportion of households with access to improved water sources and sanitation facilities reached 90% and 77%, respectively, meeting the 2015 MDG targets for safe drinking water and basic sanitation set at 88% and 75%, respectively. However, despite these achievements, in 2011, only 74% of households overall had access to combined improved drinking water and sanitation facilities. There were also stark differences between regions. In 2011, only 47% of households had access to both improved water and sanitation facilities in the Mekong River Delta compared with 94% in the Red River Delta. In 2011, households in urban compared to rural areas were more than twice as likely (odds ratio [OR]: 2.2; 95% confidence interval [CI]: 1.9–2.5) to have access to improved water and sanitation facilities in combination, and households in the highest compared with the lowest wealth quintile were over 40 times more likely (OR: 42.3; 95% CI: 29.8–60.0). Conclusions: More efforts are required to increase household access to both improved water and sanitation facilities in the Mekong River Delta, South East and Central Highlands regions of Vietnam. There is also a need to address socio-economic factors associated with inadequate access to improved sanitation facilities.

Water supply must take into consideration a variety of factors, including consumer habits, options and needs. Little is known about water demands in rural areas of developing regions. Based on data from southern Mali, this paper banks on the hypothesis that water consumption in rural villages can be predicted by combining measurable variables with spatial analyses. A ten-day field campaign was carried out at the end of the dry season 2016. All improved water sources were checked for functionality, flow rate and water quality. Outcomes were coupled with those from over one-hundred household interviews and incorporated into a geographic database. Buffered network analyses were used to quantify the main spatial determinants for water use. Simple and multiple regression models were then developed to establish the main predictors for per capita and household water consumption. Multiple regression reveals that models based on the number of household members, travel time and total travel distance provide robust forecasts for water consumption (R 2 > 0.93). Conversely, potentially relevant parameters such as affordability or water quality were not statistically significant. This could be attributed to the presence of free water sources and to the absence of quality-monitoring, respectively. Outcomes also suggest that having access to basic means of transportation, such as pushcarts, doubles water consumption at the household level. In terms of access to improved water sources, coverage was found to be lower in practice than on paper. These outcomes contribute to the growing body of literature that challenges the widely accepted assumption that 90% of the world population has access to safe drinking supplies. [ABSTRACT FROM AUTHOR]

Halving the number of people without sustainable access to safe drinking water was a core target of the Millennium Development Goals. This led to an unprecedented effort in the water sector, improving the livelihoods of millions of people. While the goal has officially been accomplished, unsuitable benchmarks have led to overstatement of the results. Indicators overemphasize improved water sources, disregarding the fact that many continue to be contaminated, unreliable or unaffordable. The alleged success needs to be reframed to avoid confusion, prevent investments from being reallocated away from the water sector and obtain more accurate estimates of water access. [ABSTRACT FROM PUBLISHER]

Water and wireless coverage were evaluated in a rural commune of southern Mali. All improved water sources in the area were checked for operability, accessibility, and water quality, while wireless coverage was tested by means of smartphones, phone calls, and instant messaging applications. Theoretical water coverage exceeded 82% of the total village surface area, thus beating the national and sub-Saharan African averages, but dropped to just 39% when considering only serviceable and contamination-free sources. In contrast, wireless coverage exceeded 90%. These outcomes highlight a triple paradox: (1) water from theoretically safe (i.e., improved) water sources is often unsafe to drink; (2) wireless access is better than water access even though water is essential for human survival and telecommunications are not; and (3) excellent Internet coverage does not help a large number of people, who lack the skills, devices, or need to access it. While telecommunications seem to be making inroads towards universal access faster than the water sector, a survey of water committees uncovered a hidden nexus between both resources, revealing that increased wireless access is actually contributing to underpin water coverage in a variety of ways. [ABSTRACT FROM AUTHOR]

Background: Access to water, sanitation, and hygiene is an important element for communicable disease control including the existing COVID-19 pandemic. This is due to the growing water demand and decreasing water availability, because of shrinking resources, increased urbanization, and pollution. This problem is higher, particularly among least developed countries like Ethiopia. This study, therefore, aimed at investigating the level of improved water sources and sanitation as well as their predictors in Ethiopia using EMDHS-2019., Method: Mini Ethiopian Demographic and Health Surveys 2019 database survey was used in this study. Data collection took place over 3 months, from 21 March 2019 to 28 June 2019. A total of 9,150 households were selected for the sample, of which 8,794 were engaged. Among involved households, 8,663 were successfully interviewed at a response rate of 99%. The dependent variables measured in this study were improved drinking water sources and sanitation facilities. Due to the nested nature of DHS data, multilevel binary logistic regression analysis was done using Stata-16., Results: The majority (72.62%) of household heads were men, and 69.47% of participants were from rural areas. Close to half (47.65%) of study participants did not have any form of formal education, while the lowest proportion (9.89%) of them had higher education. Approximately 71.74 and 27.45% of the households have accessed improved water sources and sanitation, respectively. Based on the final model results, wealth index, educational status, and having a television individual-level variables while community-level poverty, community-level education, community-level media exposure, and place of residence were statistically significant predictors of getting improved water source and sanitation., Conclusion: The level of access to improved water sources is moderate but it lacks progress, while access to improved sanitation was lower. Based on these findings, great improvements should be made in providing access to an improved water source and sanitation facilities in Ethiopia. Based on these findings, great improvements should be made in providing access to improved water source and sanitation facilities in Ethiopia., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2023 Azanaw, Abera, Malede and Endalew.)

In recent years, ‘equity’ has become a goal of water governance. Yet, the indices and policy guidelines for household water, published by the WHO and UNICEF and adopted globally, focus on either ‘drinking water’ or a limited interpretation of the ‘human right to water’. We examine ideas of equity in household water and argue that the dominant focus on improving the potability of water has muted attention to the wider consideration of domestic water and its impact on livelihoods and poverty. A focus on the many capabilities enabled by domestic water illuminates some of these issues. [ABSTRACT FROM AUTHOR]

Formally acknowledged in 2010, the human right to water reveals an increasing commitment to guaranteeing the universality of access to water for domestic uses, in accordance to the targets set in both the Millennium Development Goals and Sustainable Development Goals. However, countries' fulfillment of the goal to provide access to improved water sources varies. Investing in infrastructures or education and promoting women's access to formal jobs are expected to increase the access to improved water sources, especially in more urbanized areas. • Worldwide differences across regions persist regarding human right to water. • Investment, particularly in urban areas, promote access to improved water sources. • The promotion of women empowerment and educational standards exert positive externalities. • It is positive to promote efficiency in the use of water in agriculture. • For the MENA region, the net effect of the implementation of the MDGs is negative. [ABSTRACT FROM AUTHOR]

Objective: This study aims to characterize household trends in access to improved water sources and sanitaton in Chi Linh Town, Hai Duong Province, Vietnam, and to identify factors affecting those trends., Method: Data were extracted from the Chi Linh Health and Demographic Surveillance System (CHILILAB HDSS) database from 2004-2014, which included household access to improved water sources, household access to improved sanitation, and household demographic data. Descriptive statistical analysis and multinominal logistic regression were used. The results showed that over a 10-year period (2004-2014), the proportion of households with access to improved water and improved sanitation increased by 3.7% and 28.3%, respectively. As such, the 2015 Millennium Development Goal targets for safe drinking water and basic sanitation were met. However, 13.5% of households still had unimproved water and sanitation. People who are retired, work in trade or services, or other occupations were 1.49, 1.97, and 1.34 times more likely to have access to improved water and sanitation facilities than farming households, respectively ( p < 0.001). Households living in urban areas were 1.84 times more likely than those living in rural areas to have access to improved water sources and improved sanitation facilities (OR =1.84; 95% CI = 1.73-1.96). Non-poor households were 2.12 times more likely to have access to improved water sources and improved sanitation facilities compared to the poor group (OR = 2.12; 95% CI = 2.00-2.25). More efforts are required to increase household access to both improved water and sanitation in Chi Linh Town, focusing on the 13.5% of households currently without access. Similar to situations observed elsewhere in Vietnam and other low- and middle- income countries, there is a need to address socio-economic factors that are associated with inadequate access to improved water sources and sanitation facilities., Competing Interests: Conflict of Interest: The authors declare no conflict of interest.

Background: Despite progress made by the Millennium Development Goal (MDG) number 7.C, Vietnam still faces challenges with regard to the provision of access to safe drinking water and basic sanitation., Objective: This paper describes household trends in access to improved water sources and sanitation facilities separately, and analyses factors associated with access to improved water sources and sanitation facilities in combination., Design: Secondary data from the Vietnam Multiple Indicator Cluster Survey in 2000, 2006, and 2011 were analyzed. Descriptive statistics and tests of significance describe trends over time in access to water and sanitation by location, demographic and socio-economic factors. Binary logistic regressions (2000, 2006, and 2011) describe associations between access to water and sanitation, and geographic, demographic, and socio-economic factors., Results: There have been some outstanding developments in access to improved water sources and sanitation facilities from 2000 to 2011. In 2011, the proportion of households with access to improved water sources and sanitation facilities reached 90% and 77%, respectively, meeting the 2015 MDG targets for safe drinking water and basic sanitation set at 88% and 75%, respectively. However, despite these achievements, in 2011, only 74% of households overall had access to combined improved drinking water and sanitation facilities. There were also stark differences between regions. In 2011, only 47% of households had access to both improved water and sanitation facilities in the Mekong River Delta compared with 94% in the Red River Delta. In 2011, households in urban compared to rural areas were more than twice as likely (odds ratio [OR]: 2.2; 95% confidence interval [CI]: 1.9-2.5) to have access to improved water and sanitation facilities in combination, and households in the highest compared with the lowest wealth quintile were over 40 times more likely (OR: 42.3; 95% CI: 29.8-60.0)., Conclusions: More efforts are required to increase household access to both improved water and sanitation facilities in the Mekong River Delta, South East and Central Highlands regions of Vietnam. There is also a need to address socio-economic factors associated with inadequate access to improved sanitation facilities.