Abstract

Safe drinking water access has continued to be a growing issue in Haiti. Water accessibility, availability, and quality can have severe implications on health and safety, with those in urban areas often having more access. Key differences relating to water accessibility can be seen between the urban and peri-urban areas of Haiti. One major objective of this research is to examine the disparities between the two areas and determine limiting and enabling factors that are contributing to the perceived access to clean water. A cross-cultural household water insecurity experiences (HWISE) survey (n = 499) was distributed to determine barriers and accessibility to sufficient water quality and quantity at the household level. This paper explores the relationship between water insecurity between two urban and peri-urban communes in Haiti using this data. Fisher’s Exact and Kruskal-Wallis tests were used to identify significant differences between strata, and logistic regression was used to determine significant associations with water security outcomes. Results indicated there were differences in both the costs and the sources of drinking and non-drinking water between urban and peri-urban Haiti. Certain demographic and behavioral characteristics were associated with increased water insecurity, including a household size greater than five and experiencing injury during collection.

Highlights

  • Haiti is a small country in the Caribbean with limited natural resources and is currently ranked as one of the poorest nations in the Western Hemisphere [1]

  • Water and sanitation conditions following the 7.0 magnitude earthquake in 2010 that struck Leogane worsened largely due to the destruction of property, such as community and individual water sources

  • The total household water insecurity experiences (HWISE) score is a sum of the twenty-nine scored questions, and ranges from 0 to 116; favoring those with lower HWISE scores

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Summary

Introduction

Haiti is a small country in the Caribbean with limited natural resources and is currently ranked as one of the poorest nations in the Western Hemisphere [1]. It has the lowest improved water and sanitation coverage in the region, which directly impacts human health, environmental health, and economic stability [2,3]. Access to safe drinking water continues to be a growing issue in Haiti, more so after the damaging earthquake in 2010 and the constant hurricane damages that the region suffers.

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