Abstract
Monitoring affordability of drinking water services is constrained by data gaps from traditional approaches that rely on cross-sectional data from infrequent, nationally representative surveys. Estimates of income or expenditure ratios spent on accessing a main source of drinking water are poorly equipped to reflect affordability in rural contexts where poor people often resort to multiple sources of varying costs, quality and distance to cope with unreliable or absent water supplies. Here, we present findings from an 18-week water diary study that documented daily water choices and expenditures of a stratified sample of 120 households in coastal Bangladesh. This intensive, longitudinal monitoring is supported by household surveys, water infrastructure mapping, hydrogeological analysis of salinity, automated rainfall measurements and interviews with diary participants. We identify five water expenditure typologies, ranging from those who always rely on unpaid and often poor-quality sources like shallow tubewells, pond sand filters and rainwater, to those who purchase vended water for drinking and cooking all year-round, spending 3–7% of total household expenditure. These behavioral dynamics are shaped by environmental, infrastructure and cultural factors, with household wealth being a weak indicator of behavior. We conclude that affordability measures should recognize the quality of service available and chosen by users across seasons, rather than being fixated on income or expenditure ratios for a main source. Measuring the latter without considering the former impedes the design of service delivery models appropriate for providing safe and reliable water supplies, at costs that users and society are willing to bear and sustain.
Highlights
Affordability is a concept in search of consensus
This is due to the simplification in identifying a “main source” of drinking water, whereby infrastructure types are used as proxy for service quality (e.g., UNICEF/MICS 2017; DHS Program 2015)
Failure to acknowledge the multiplicity of sources used by households over time in specific hydro-climatic contexts has economic implications for policy design, infrastructure choices, financial sustainability and poverty reduction for an estimated 785 million people who live without basic water services (WHO/UNICEF 2019)
Summary
Affordability is a concept in search of consensus. The Joint Monitoring Programme (JMP) led by WHO and UNICEF has provided critical and increasingly sophisticated information over more than a decade to inform global and national policy and investment priorities, articulated in the Sustainable Development Goal (SDG) of safely managed drinking water for everyone by 2030 (WHO/UNICEF 2017). Data derived from nationally representative household surveys every few years, which provide necessary political legitimacy and global monitoring consistency, conform weakly to measuring daily affordability of drinking water services. This is due to the simplification in identifying a “main source” of drinking water, whereby infrastructure types are used as proxy for service quality (e.g., UNICEF/MICS 2017; DHS Program 2015). Failure to acknowledge the multiplicity of sources used by households over time in specific hydro-climatic contexts has economic implications for policy design, infrastructure choices, financial sustainability and poverty reduction for an estimated 785 million people who live without basic water services (WHO/UNICEF 2019).
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